Lance's Corner

GAO Highlights Workplace Surveillance Issues

Oct 29, 2024

Per the notice below, the United States Government Accountability Office (GAO) is highlighting workplace surveillance issues.

'Why do I feel like somebody’s watching me?' Workplace Surveillance Can Impact More Than Just Productivity

Do you ever get that eerie feeling like someone’s watching you at work?  In today’s digital world, employers are increasingly using digital surveillance tools to monitor workers.  While many employers say that digital surveillance has benefits like increasing worker productivity, most workers say being watched gives them the creeps.  The question is—does this constant monitoring actually work?  Does it increase productivity and safety, or is it killing morale and causing other issues?  For Halloween, today’s WatchBlog post answers these and other questions, while looking at our new report about digital surveillance tools.
Stock image showing a camera mounted near the ceiling in an office space.

Cameras, microphones, and tracking software—oh my!  Why do employers like “bossware?”

Often referred to as “bossware,” a wide range of digital surveillance tools are used in all kinds of workplaces.  These include warehousing, retail, trucking, health care, and banking, to name just a few.  Digital Surveillance tools include everything from cameras, microphones, and computer monitoring software to advanced tracking software (like GPS), app-based monitoring, and even wearable devices that track workers’ health data.

Graphic showing kinds of digital surveillance tools--like wearable trackers and monitors, microphones and cameras--used in different workplaces.

Why do employers like digital surveillance?  The primary aim of digital surveillance is to monitor workers’ productivity, performance, and efficiency.  It allows employers to identify specific areas for improvement and provide targeted coaching, training, and other support.  Some employers began using surveillance tools after increasing workplace flexibilities for their staff, such as remote and hybrid work arrangements.  Employers who allow telework have raised concerns that workers are slacking off when working from home.  Digital surveillance tools allow employers to check whether their staff are working from where they say they are (and not… the beach, for example).  Some employers said they also use digital surveillance tools to increase workplace safety and health.  For example, in oil production, one employer uses wearable devices to track workers’ sweat levels and electrolyte loss to help prevent heat stress on the job.  Digital surveillance also bolsters security to ensure that only authorized personnel enter sensitive areas.  With innovations like facial recognition technology, employers can swiftly respond to potential threats, creating safer working environments.  For example, a labor union official commented that GPS-enabled panic buttons are used for hotel housekeepers to “alert hotel security if they feel unsafe or threatened, a not uncommon occurrence for housekeepers who have faced sexual harassment and assault from hotel guests.”  Even with these potential benefits, employers weren’t always sure how effective their tools were.  For example, perpetual monitoring had led some workers to game the system—performing meaningless tasks, like jiggling a mouse, just to meet arbitrary milestones.  And the constant monitoring is leading to negative effects on workers, which may outweigh some benefits.

Under constant scrutiny—why do workers dislike surveillance tools?

Digital surveillance tools are putting employees on edge and having other negative effects that could impact their mental health, morale, productivity, and more.

  • Worsens mental health: Constant surveillance can amplify workers’ stress and anxiety levels, making them feel like they’re under a microscope.  The sheer act of surveillance can contribute to workers’ feeling less confident or enthusiastic about their jobs.  Workers increasingly reported feeling that they cannot voice concerns or share suggestions out of fear that their digital footprint will bite back.  When the work environment makes workers feel scrutinized, it may very well foster a culture of distrust.  For example, a call center worker said that surveillance tools have resulted in an unrelenting push to improve sales.  They said, “The pressure to sell and the various ways that managers can monitor me creates an enormous amount of stress.”

  • Discourages unionization: Being perpetually watched can also eat away at a workers’ sense of autonomy and privacy.  Consequently, some workers feel it discourages workplace solidarity and unionization efforts.  When workers fear their every move is being tracked, organizing for better conditions feels risky—undermining solidarity and weakening workplace morale.

  • Potential to create discrimination: Workers’ advocates and researchers worry about the potential for digital surveillance to create bias or discrimination.  Some worry that AI-driven performance metrics might unfairly target certain groups.  For instance, those who take longer to complete tasks due to disability or other factors.  This could magnify existing disability, racial, or gender inequalities in the workplace.

For more spooky details, read our new report.

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc