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Book
Cost-benefit analysis of special and incentive pays for career enlisted aviators
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Year: 2021 Publisher: Santa Monica, Calif. RAND Corporation

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Abstract

To justify budgets for special and incentive (S&I) pays for career enlisted aviators (CEAs), the Air Force needs rigorous analyses on how to efficiently set S&I pays for CEAs to achieve and maintain required end strength. The authors of this report develop an analytic capability to calculate the efficient amount of S&I pays for CEAs, using RAND's Dynamic Retention Model to create separate models for each CEA specialty. They use these models to estimate the per capita cost for each CEA specialty under different policies to show the trade-offs between increasing accessions versus retaining more experienced CEAs for a given force size. They also calculate tipping-point values: the values that recruiting and training costs would need to reach in order for retaining more experienced CEAs using selective reenlistment bonuses (SRBs) to become more cost-effective than increasing accessions.


Book
A Framework for Integrating Family Caregivers into the Health Care Team
Authors: ---
Year: 2020 Publisher: Santa Monica, Calif. RAND Corporation

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There are about 53 million family and friends providing care and assistance to loved ones in the United States. Although family caregivers provide a significant portion of health and support services to individuals with serious illnesses, they are often overlooked by U.S. health care systems. Fundamental changes are needed in the way we identify, assess, and support family caregivers. Recent changes in the U.S. health care system and payment models have increased the opportunities to integrate family caregivers into care teams. The authors reviewed the literature on the role of family caregivers in the coordination of care and conducted key informant interviews with 13 experts from diverse stakeholder groups to better understand the barriers to integrating family caregivers into the patient's health care team and identify ways to mitigate these barriers. The authors identify promising policy directions and provide recommendations for next steps in assessing, developing, and implementing policies to improve the integration of family caregivers into care teams. Family caregivers have direct access to loved ones with caregiving needs. These regular interactions allow family caregivers to monitor health changes on a more-regular basis than would be possible for formal health care providers. Including family members in care collaboration improves patients' access to services and reduces patients' unmet needs. Despite these benefits, caregivers are often treated as secondary members of the care team. Although the role of family caregivers is gaining more recognition, integrating them as partners in the care team is not standard protocol currently.

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Book
Evaluation of flexible spending accounts for active-duty service members
Authors: ---
Year: 2022 Publisher: RAND Corporation

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Unlike many large employers, the U.S. military does not offer flexible spending account (FSA) options to members of the armed services and their families. Contributions to either a health care FSA (HCFSA) and/or dependent care FSA (DCFSA) reduce the amount of income subject to income and payroll taxes, thereby reducing the individual's tax liability. FSAs interact with other tax incentives in the U.S. tax code, potentially reducing or even eliminating the potential tax savings to individuals participating in an FSA. For service members to take advantage of an FSA, they must have eligible dependent care and medical expenses for themselves or their family members. For example, in the case of health care, most members would have few or no eligible out-of-pocket medical care costs associated with TRICARE. This report presents an analysis - requested by the Office of the Secretary of Defense as input for Congress - on the implications of FSA options for active-duty service members and their families that would allow pre-tax payment of dependent care expenses, insurance premiums, and out-of-pocket medical expenses. The authors evaluate the benefits and costs of FSA options to active members and the U.S. Department of Defense (DoD), and present an implementation plan should FSA options be implemented by DoD. They also identified legislative or administrative barriers to these options.


Book
Reforming Military Health Care Costs: Issues for Future Research
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Year: 2023 Publisher: RAND Corporation

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The top three costs for the Military Health System (MHS) are health care delivery costs, military medical personnel costs, and Medicare Eligible Retiree Health Care Fund contributions. Determining how to curb burgeoning military health care costs without compromising (1) access to and quality of care or (2) the readiness of military medical personnel continues to be a priority for the Defense Health Agency. The authors of this report conducted a literature review and solicited expert opinions to outline four key policy areas in which further research could be pursued to understand how to reduce MHS costs.

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Digital
Household Responses to Transfers and Liquidity : Evidence from Social Security’s Survivors Benefits
Authors: --- ---
Year: 2019 Publisher: Cambridge, Mass. National Bureau of Economic Research

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We use administrative tax data that cover the U.S. population to identify the causal effects of Social Security's survivors benefit receipt on American families' behavior and financial well-being. We analyze over a quarter of a million widowed households in which the husband died between 2002-2007, and we exploit a sharp age discontinuity in benefit eligibility to study the responses of financially vulnerable households to government transfers. We first study how households respond to unanticipated benefit receipt in the immediate periods following a large financial shock to investigate the protective role of transfers. We find significant impacts of the program on newly-widowed families' net income and labor supply behavior, which points to considerable allocative inefficiencies in the life insurance market and to a high valuation of survivors benefits in protecting Americans against mortality shocks. Second, to investigate the particular role of liquidity and benefit timing, we then study how already-widowed women's labor supply responds to anticipated survivors benefit receipt. We find considerable responses to cash-on-hand via benefit availability that underscore allocative inefficiencies in the credit market and the value of liquidity itself provided by government transfers. These responses and their heterogeneity highlight mechanisms that underlie the labor supply behavior of older vulnerable households, and they point to liquidity constraints, rather than myopia or benefit-schedule misperceptions, as the likely operative channel. Our results have implications for survivors benefits in the U.S., and, more generally, for retirement behavior and response mechanisms to transfers among older vulnerable populations.


Book
Analysis of a time-in-grade pay table for military personnel and policy alternatives
Authors: --- ---
Year: 2020 Publisher: Santa Monica, Calif. RAND Corporation

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Every four years, the U.S. Department of Defense (DoD) commissions a review of the military compensation system. In support of the Thirteenth Quadrennial Review of Military Compensation, begun in 2018, the authors of this report assess the advantages and drawbacks of using a table based on time in grade, rather than time in service, to set military pay. The primary means by which military personnel are financially rewarded for superior performance is through faster promotion, so a time-in-grade (TIG) pay table may increase performance by providing a permanent reward to those who are promoted faster. The current time-in-service (TIS) pay table provides only temporary financial rewards to those who are promoted faster. A TIG table would also provide higher entry pay to lateral entrants who enter the military at higher ranks but with no prior military experience. Drawing on the work of past studies and using more recent data and modeling capabilities, the authors (1) simulate how basic pay would change under a TIG table over the course of a career for a variety of groups of service members, (2) simulate the retention, cost, and performance effects of the TIG table, (3) estimate the costs to service members and to DoD of transitioning to a TIG table, and (4) assess whether the benefits of a TIG table could be achieved by using alternative policies under the current TIS table. The authors' analysis shows that better performers would be more likely to be promoted and retained under a TIG table, and that a TIG table could achieve about the same retention as the TIS table, at less cost per member and with improved performance. The principal disadvantage is that transitioning to a TIG table would be costly to DoD and disruptive to a significant fraction of the force: Almost one-third of the active force would experience a reduction in basic pay, and if DoD were to adopt "save pay" to hold members harmless, it would cost


Book
Retention of enlisted maintenance, logistics, and munitions personnel : analysis and results
Authors: --- ---
Year: 2022 Publisher: Santa Monica, Calif. RAND Corporation

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Over the past ten years, maintenance career fields in the U.S. Air Force have been negatively affected by a series of events that have resulted in an experience shortage. Although there has been an improvement in Total Force manning since 2015, several skill levels are still experiencing shortages. To bridge the experience shortfall, the U.S. Government Accountability Office called for an Air Force retention strategy tailored to retain experienced maintainers. The RAND Corporation was asked to explore whether individual characteristics, economic and geographic factors, and the new Blended Retirement System (BRS) could provide additional insights into what predicts retention of this workforce. This report focuses primarily on aircraft maintenance career fields, with some attention to munitions and logistics career fields as resources permitted. The authors undertake two analytic approaches to examine the underlying determinants of retention. First, they use logistic regression to determine how strongly a variety of individual and environmental characteristics are associated with decisions to reenlist, extend an enlistment, or separate from the Air Force; second, they use RAND's Dynamic Retention Model to estimate how the new BRS will affect maintenance, munitions, and logistics career fields when those in the new system reach retention decision points. The authors find that changes in individual characteristics and environmental variables have improved retention in the maintenance, munitions, and logistics career fields. Although much of what influences retention is beyond the Air Force's control, the authors offer a number of recommendations and identify areas of emphasis that could be exploited.


Book
Review of Reserve Component Activation Data Quality
Authors: --- --- ---
Year: 2023 Publisher: RAND Corporation

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To correctly provide benefits to reserve component (RC) members, activations must be reported accurately. In this report, the authors quantify the frequency of errors in RC activation data and estimate the potential impact of these errors on RC member benefits, including U.S. Department of Veterans Affairs (VA) disability compensation, qualification for the Post-9/11 GI Bill, and eligibility for TRICARE. The impetus for this study was a U.S. Department of Defense (DoD) and VA working group on information-sharing that identified multiple data errors associated with activation timing and duration, resulting in potential errors in the delivery of benefits to veterans, including underpayments and overpayments of VA disability benefits. Through data analysis and information obtained via subject-matter expert discussions, the authors discuss the potential sources of each type of error and provide recommendations to mitigate these errors in the future.

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Book
Market Inefficiency and Household Labor Supply : Evidence from Social Security's Survivors Benefits
Authors: --- --- ---
Year: 2019 Publisher: Cambridge, Mass. National Bureau of Economic Research

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We study the effects of the Social Security survivors benefits program on household labor supply and the efficiency implications for insurance and credit markets. We use U.S. population tax records and exploit a sharp age discontinuity in benefit eligibility for identification. We find that eligibility induces considerable reductions in labor supply both among newly-widowed households in the immediate post-shock periods and among already-widowed households whose benefit receipt is entirely predictable. The evidence points to liquidity constraints, rather than myopia, as a leading operative mechanism underlying household responses to anticipated benefits. Our findings identify important inefficiencies in the life insurance market and in the allocation of credit. Our results further highlight the protective insurance role of the social program and the importance of liquidity provided by the government, and they suggest potential gains from expanding and smoothing the program's benefit schedule.

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Book
Modeling Career Enlisted Aviator Retention in the U.S. Air Force
Authors: --- --- --- ---
Year: 2020 Publisher: Santa Monica, Calif. RAND Corporation

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This report provides the foundation for developing an analytic capability for determining the efficient amount of special and incentive (S&I) pay for U.S. Air Force career enlisted aviators (CEAs). The authors documented contextual information about CEAs, examined the retention profiles of CEAs and S&I pays available, and extended RAND's Dynamic Retention Model to create a version that models CEA retention profiles. Background analysis reveals that the career trajectories and retention profiles of certain CEAs vary across the different Air Force Specialty Codes (AFSCs). These differences in retention and compensation suggest that different retention models are needed for certain subgroups of CEAs. The authors extended RAND's Dynamic Retention Model to model retention profiles of In-Flight Refueling, Aircraft Loadmasters, and Airborne Mission Systems Operators, three CEA categories that share similar retention profiles and make up more than half of the CEA population among the cohorts included in this study. To demonstrate how this type of model can be used to model retention behavior in response to changes in compensation, the authors conducted a simulation in which basic pay increased by 5 percent. Future work will further extend the retention models to include other CEA AFSCs and S&I pays, and these will then be used to conduct simulations to estimate the efficient amount of S&I pays for Air Force CEAs.

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