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U.S. Hospitals Report Lower Clinician Turnover, Aon Reports

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Aon's 19th annual Benefits Survey of Hospitals reveals significant improvements in U.S. hospital employee retention. Turnover rates have dramatically decreased, with only 7% of hospitals reporting increased nurse turnover (down from 62% in 2023), 5% for non-physician clinical positions (down from 41%), and 9% for physicians (down from 22%).

To address ongoing staffing challenges, hospitals have implemented various measures: 70% increased new hire pay, 69% enhanced sign-on bonuses, and 61% raised minimum wage scales. Healthcare costs per beneficiary rose 8.5% to $17,520 in 2024. The survey, covering over 3.3 million employees across 1,500 hospitals, also shows extensive benefits enhancements, with 70% improving voluntary benefits and 67% enhancing tuition reimbursement.

Il 19° sondaggio annuale sui benefici degli ospedali di Aon rivela significativi miglioramenti nel mantenimento dei dipendenti negli ospedali statunitensi. I tassi di turnover sono notevolmente diminuiti, con solo il 7% degli ospedali che riporta un aumento del turnover degli infermieri (in calo rispetto al 62% nel 2023), il 5% per le posizioni cliniche non mediche (in calo rispetto al 41%) e il 9% per i medici (in calo rispetto al 22%).

Per affrontare le sfide continuative legate al personale, gli ospedali hanno attuato varie misure: il 70% ha aumentato la retribuzione per i nuovi assunti, il 69% ha migliorato i bonus di assunzione e il 61% ha alzato le scale salariali minime. I costi sanitari per beneficiario sono aumentati dell'8,5%, raggiungendo i 17.520 dollari nel 2024. Il sondaggio, che copre oltre 3,3 milioni di dipendenti in 1.500 ospedali, mostra anche estese migliorie nei benefici, con il 70% degli ospedali che ha migliorato i benefici volontari e il 67% che ha potenziato il rimborso delle tasse universitarie.

La 19ª encuesta anual de beneficios de hospitales de Aon revela mejoras significativas en la retención de empleados en hospitales de EE. UU. Las tasas de rotación han disminuido drásticamente, con solo el 7% de los hospitales reportando un aumento en la rotación de enfermeras (bajando del 62% en 2023), un 5% para posiciones clínicas no médicas (bajando del 41%) y un 9% para médicos (bajando del 22%).

Para abordar los desafíos continuos de personal, los hospitales han implementado diversas medidas: el 70% aumentó el salario de nuevos empleados, el 69% mejoró los bonos de firma y el 61% elevó las escalas salariales mínimas. Los costos de atención médica por beneficiario aumentaron un 8,5% a $17,520 en 2024. La encuesta, que abarca más de 3,3 millones de empleados en 1,500 hospitales, también muestra extensas mejoras en los beneficios, con el 70% mejorando los beneficios voluntarios y el 67% aumentando el reembolso de matrícula.

Aon의 제19회 병원 혜택 조사는 미국 병원 직원 유지율의 상당한 개선을 보여줍니다. 간호사 이직률이 62%에서 7%로 감소했으며, 비의료 임상직의 경우 41%에서 5%, 의사 이직률은 22%에서 9%로 줄었습니다.

지속적인 인력 문제를 해결하기 위해 병원들은 다양한 조치를 시행했습니다: 70%가 신규 직원 급여를 인상했으며, 69%는 서명 보너스를 증대했고, 61%는 최저 임금 기준을 높였습니다. 2024년, 수혜자당 의료 비용은 8.5% 증가하여 17,520달러에 달했습니다. 1,500개 병원에서 330만 명 이상의 직원을 대상으로 한 이번 조사에서는 70%가 자발적 혜택을 개선하고 67%가 학비 환급을 강화하는 등 혜택이 광범위하게 개선되었음을 보여줍니다.

Le 19e sondage annuel sur les avantages des hôpitaux d'Aon révèle des améliorations significatives dans la rétention des employés des hôpitaux aux États-Unis. Les taux de rotation ont considérablement diminué, avec seulement 7 % des hôpitaux signalant une augmentation du turnover des infirmières (en baisse par rapport à 62 % en 2023), 5 % pour les postes cliniques non médicaux (en baisse par rapport à 41 %) et 9 % pour les médecins (en baisse par rapport à 22 %).

Pour faire face aux défis continus de personnel, les hôpitaux ont mis en œuvre diverses mesures : 70 % ont augmenté les salaires des nouvelles recrues, 69 % ont amélioré les primes à la signature et 61 % ont relevé les échelles de salaire minimum. Les coûts de santé par bénéficiaire ont augmenté de 8,5 %, atteignant 17 520 $ en 2024. L'enquête, qui couvre plus de 3,3 millions d'employés dans 1 500 hôpitaux, montre également d'importantes améliorations des avantages, avec 70 % des hôpitaux améliorant les avantages volontaires et 67 % renforçant le remboursement des frais de scolarité.

Die 19. jährliche Umfrage zu Leistungen in Krankenhäusern von Aon zeigt erhebliche Verbesserungen bei der Mitarbeiterbindung in US-Krankenhäusern. Die Fluktuationsraten sind drastisch gesunken, nur 7% der Krankenhäuser berichten von einem Anstieg der Fluktuation bei Pflegekräften (von 62% im Jahr 2023), 5% bei nichtärztlichen klinischen Positionen (von 41% niedriger) und 9% bei Ärzten (von 22% niedriger).

Um die anhaltenden Personalengpässe zu bewältigen, haben Krankenhäuser verschiedene Maßnahmen umgesetzt: 70% haben die Löhne für neue Einstellungen erhöht, 69% haben die Einstiegsboni verbessert und 61% haben die Mindestlohnsätze angehoben. Die Gesundheitskosten pro Leistungsempfänger stiegen 2024 um 8,5% auf 17.520 Dollar. Die Umfrage, die mehr als 3,3 Millionen Mitarbeiter in 1.500 Krankenhäusern umfasst, zeigt auch umfangreiche Verbesserungen bei den Leistungen, wobei 70% die freiwilligen Leistungen verbessern und 67% die Studiengebührenrückerstattung erhöhen.

Positive
  • Significant decrease in turnover rates across all medical positions
  • 70% of hospitals increased new hire pay
  • 88% of health systems provide employee discounts for their facilities
  • 65% of hospitals aim to cover 80%+ of employee healthcare costs
  • Multiple benefit enhancements implemented across various categories
Negative
  • 8.5% increase in health plan expenses per beneficiary ($17,520 in 2024)
  • 84% of hospitals still report nurse staff shortages
  • High turnover persists among 1-3 year tenure medical professionals
  • 90% concerned about access to mental health services/providers
  • 85% worried about increasing healthcare costs

Insights

The significant reduction in hospital staff turnover rates marks a positive shift in healthcare workforce stability. The drop from 62% to 7% in nurse turnover and 41% to 5% in non-physician clinical positions reflects the effectiveness of enhanced compensation and benefits strategies. However, persistent staffing shortages in 84% of hospitals for nurses indicate ongoing structural challenges.

The $17,520 average annual health plan cost per beneficiary, up 8.5% from 2023, represents a substantial investment by hospitals in employee benefits. The comprehensive benefits enhancement strategy, with 70% of hospitals increasing new hire pay and 69% implementing sign-on bonuses, demonstrates a robust approach to talent retention. These investments, while increasing operational costs, are important for long-term workforce stability and operational efficiency.

The decline in turnover rates should positively impact Aon's healthcare consulting business, as hospitals continue to seek guidance on benefits optimization and workforce management. The expansion of services addressing key concerns like mental health access (90% of HR leaders) and healthcare costs (85%) presents growth opportunities in consulting revenue.

With hospitals investing heavily in employee benefits and compensation, Aon's position as a leading benefits consultant could drive increased demand for their services. The comprehensive data from 1,500 hospitals covering 3.3 million employees strengthens Aon's market intelligence and competitive advantage in the healthcare consulting sector.

CHICAGO, Dec. 11, 2024 /PRNewswire/ -- Aon plc (NYSE: AON) reports that more U.S. hospitals are reporting steady or lower employee turnover after bolstering pay and benefits to help attract and retain talent, according to the firm's 19th annual Benefits Survey of Hospitals.

Seven percent of hospitals reported increased turnover among nurses (compared to 62 percent in 2023) and five percent experienced higher departures among non-physician clinical positions (compared to 41 percent in 2023) and nine percent said that physicians are leaving more often (compared to 22 percent in 2023) than the prior 12 months.

Hospitals reported that turnover happens most often among medical professionals with tenures of one to three years. Eighty-four percent of hospitals still report shortages in nurse staff and almost half report shortages in clinical technicians.

"To continue addressing nurse and technician recruitment and retention, health systems must remain focused on investment in total rewards and support for workforce resiliency and mental health," said Sheena Singh, senior vice president of Aon's national healthcare industry practice.

To address talent recruitment and retention, 70 percent of hospitals during the past year have increased new hire pay, 69 percent have implemented or bolstered sign-on bonuses, 61 percent have increased their minimum wage scales, 46 percent offered higher-than-market wages to employees and 44 percent have modified their total rewards offering for all employees.

Hospitals in 2024 modified or enhanced benefits to further support employees' needs, with:

-       70% enhancing voluntary benefits and an additional 13% considering it. 
-       67% enhancing tuition reimbursement and 12% considering it.
-       65% offering more financial wellness and planning resources and 14% considering it.
-       40% adding Rx home delivery and 8% considering it.
-       36% offering more student loan repayment or restructuring programs and 31% considering it.
-       35% adding or enhancing gender affirming care and 15% considering it.
-       32% enhancing employee assistance programs and mental health provider networks and 28% considering it.
-       32% adding nutritional counseling and 9% considering it.
-       31% offering more subsidies for adoption and 16% considering it.  
-       28% adding subsidies for backup childcare and 18% considering it.
-       26% expanding fertility coverage and 27% considering it.
-       24% adding subsidies for backup eldercare and 16% considering it.
-       24% adding onsite daycare and 14% considering it.

The report also shows average health plan expenses per hospital beneficiary per year increased 8.5 percent, from $16,151 in 2023 to $17,520 in 2024. Sixty-five percent of hospitals aim to pay 80 percent or more of their employees' health care costs and 13 percent offer a no-cost health plan option to some segment of their employee population. Eighty-eight percent of health systems also provide a discount to employees to access their own facilities and providers.

Despite increases in total rewards, health systems remain concerned about their workforce going into 2025. Top concerns from human resources leaders include:

-       Access to mental health services/providers (90%)
-       Increasing healthcare costs for health system (85%)
-       Competitive total rewards to attract and retain talent (85%)
-       Improving health outcomes (84%)
-       Increasing healthcare costs for employees (83%)
-       Preventing and managing chronic health conditions (81%)
-       Managing fiduciary obligations and risks as a plan sponsor (80%)
-       Burnout/workforce resiliency (80%)
-       Employees understanding the value of their benefits (80%)

Aon's 19th annual Benefits Survey of Hospitals surveyed hospital employers between April and June 2024. The survey compiles results of participating benefit plans for more than 3.3 million health system employees representing more than 1,500 hospitals across the U.S.

About Aon
Aon plc (NYSE: AON) exists to shape decisions for the better — to protect and enrich the lives of people around the world. Through actionable analytic insight, globally integrated Risk Capital and Human Capital expertise, and locally relevant solutions, our colleagues provide clients in over 120 countries with the clarity and confidence to make better risk and people decisions that protect and grow their businesses.

Follow Aon on LinkedInXFacebook and Instagram. Stay up-to-date by visiting Aon's newsroom and sign up for news alerts here.

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Aon plc (NYSE: AON) exists to shape decisions for the better — to protect and enrich the lives of people around the world. Through actionable analytic insight, globally integrated Risk Capital and Human Capital expertise, and locally relevant solutions, our colleagues in over 120 countries provide our clients with the clarity and confidence to make better risk and people decisions that protect and grow their businesses.

 

Follow Aon on LinkedIn, X, Facebook and Instagram. Stay up-to-date by visiting Aon’s newsroom and sign up for news alerts here. (PRNewsfoto/Aon plc)

 

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SOURCE Aon plc

FAQ

What is the current nurse turnover rate in hospitals according to AON's 2024 survey?

Only 7% of hospitals reported increased nurse turnover in 2024, compared to 62% in 2023, showing a significant improvement in retention.

How much did hospital health plan expenses increase in 2024 according to AON?

Health plan expenses per hospital beneficiary increased by 8.5%, from $16,151 in 2023 to $17,520 in 2024.

What percentage of hospitals increased new hire pay in 2024 according to AON's survey?

70% of hospitals increased new hire pay during the past year to address talent recruitment and retention.

What are the top concerns for hospital HR leaders going into 2025 according to AON?

Top concerns include access to mental health services (90%), increasing healthcare costs (85%), competitive total rewards (85%), and improving health outcomes (84%).

How many hospitals still report nurse staffing shortages in 2024 according to AON?

84% of hospitals still report shortages in nurse staff, while almost half report shortages in clinical technicians.

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