#healthcare

well at least my health insurance is only going up 10% this year. if only my merit increase kept pace

In the news...

Humana loses challenge to 2025 Medicare Advantage ratings

October 14, 20251:58 PM EDT

Clearly CVS made the right choice if the anecdote is to be believed.

I personally LOVED the digs about not doing AI for flashy headlines and to focus on the basics.

Also kind of interesting with all of the "the whole system is broken and should be remade" [in brackets is how we eliminate the broken Payer/reimbursement system rather than just put AI bandaids on it]

Who else is putting in an application at CVS today??

I’m in the process of interviewing at Humana with a panel scheduled soon, in the Quality space. What is the culture and vibe like? Humana used to be the market leader in Medicare, the envy of all payers and after looking at this job board, stock prices and Stars ratings I’m surprised to see that things have not been as stellar? Any insights would be appreciated.

Lenox Hill Hospital, part of Northwell Health, plans to lay off more than 30 EMTs and paramedics within about 30 days while scaling back its ambulance fleet. Three units that currently handle 911 calls from West 72nd Street through Washington Heights will be removed, which frontline staff warn could mean longer response times. Five ambulances will remain in service, focused on Harlem and the Upper East Side.

The hospital says the cuts follow a strategic reassessment within the FDNY’s broader EMS network and aim to streamline operations. The move comes amid citywide financial strain on hospitals and warnings that New York’s healthcare system could lose about 8 billion dollars annually under new federal policies. Advocates and labor groups say reducing hospital based ambulances will add pressure to an already stretched 911 system. Northwell implemented similar reductions in Queens and Staten Island last year, and new city rules that direct patients to the nearest hospital may also be influencing deployment plans.

• https://eastsidefeed.com/odds-and-ends/lenox-hill-hospital-to-lay-off-ems-workers-scale-back-ambulance-services/

So many teams have been reduced to bare bones that we can barely manage, if at all. Layoffs have disproportionately targeted people in critical roles, those with real experience and skills. My team is missing several people whose shoes the rest of us can’t fill even if we wanted to. And to make it worse, the workload is the same or even bigger, but there are far fewer people to handle it. I’m basically falling off my feet, just like everyone else.

I’m also afraid this round won’t be the end of it.

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https://www.axios.com/2025/10/10/unitedhealth-aarp-health-coverage-medicare

UnitedHealth paid AARP $9B to sell Medicare products

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Kaiser Permanente is laying off hundreds of workers across California, further deepening tensions with its union of 31,000 nurses that is preparing a five-day strike beginning next week.

In an Oct. 6 letter filed with the state’s Employment Development Department, Kaiser’s Human Resources Director Christine Neubauer said that the Oakland-based health care provider began notifying 216 workers of their layoffs starting Sept. 17.

https://www.dailynews.com/2025/10/09/kaiser-laying-off-216-workers-deepening-tensions-amid-nurses-labor-talks/

After 3 weeks, the separation agreement is finally done. Dell is covering 2 months of COBRA insurance (they cut us off a full week BEFORE he was laid off).

How long did it take for y'all to get health insurance reinstated? We're in OKC and I've been without medication for a month now. It's way too expensive to pay out of pocket (thousands). I'm afraid it'll be too late to use it by the time they reinstate & backdate it.

My husband signed his severance paperwork yesterday (after waiting for 3 weeks for them to get it to him) and they agreed to cover 2 months of COBRA.

How long did it take for them to reinstate the coverage after you signed the paperwork? They canceled ours a full week BEFORE he was laid off. (They claim they are "looking into it") But I haven't been able to refill medications ($$$$$) or go to appointments for almost a month now. I fear they will reinstate it too late for us to be able to use it - with the backdating.

Take time to review your medical selections carefully because it looks like a lot of little changes have been made and some may or may not affect you. Please read the options carefully. ChatGPT can also help you select the best option for you and your family.

Can anyone share the timing on when merit and RRP funding is decided and when funding levels get communicated down the chain of command?

Or maybe there will be no communication because there won't be any funding this year?

60-90 minutes devoted to commuting.
Coworkers constantly stopping by to chat about non work related things.
Leaders encouraging team lunches that last an hour.
Scrambling to find private space for sensitive calls.

I’m hitting my time but getting a lot less accomplished. But I’m at my desk. That’s what matters, right?

"One thing that you begin to notice when you spend a lot of time around people who perform at a world-class level is that they are more prone to anxiety. So when you shake things up, you’re most likely to rattle the very people you can least afford to lose and who can most easily leave."
https://www.fastcompany.com/91384291/how-to-truly-change-your-organization

RIF happened today in MI, stated it was due to Marketplace loss

Just wondering if anyone has received the dreaded 6am email today?

Who is coming with me?

Rifs announced today...not sure how many were affected.

Got a very angry provider call stating they got an approval letter for a member with wrong information, like Dx Code, several kids spellings and wrong service dates. Asked manager who confirmed they started to send out AI letters upon approval.

They never address employee issues. Only "your feedback matters"...yeah right.

There usednto be an actual chart and I can't see to find it to see by grade, and years of service whatbthe amount of weeks your would get. Does anyone know where it is?

Is WFS even taking the time to read people's requests for accommodations? They are denying people with no explanation. How many cases are being sent straight to the trash can?

In long years of working, most toxic environment. Not at all healthy or productive for anyone to join this organisation. PLEASE DON’T FALL FOR JOB OPENINGS UN THIS ORGANISATION. You will regret. Plus no promotion just politics.

The Director/Manager's daughter got hired on making 65K+ as a Business Analyst with a Bachelors Degree in Fashion and no prior health care experience. When normal people don't get looked at unless you have at least 1+ of health care experience. But if you have the right last name and NO experience you can just be handed a job. NO need to work for it.

It seems like there were more layoffs to kick off October. Anyone know who all was affected?

We skipped the 9/25/25 layoffs. Anyone know who all is expected to be impacted this week?

They’re all terrible enterprises that only care about the bottom line, no matter the cost to clients or employees. But Optum has been, hands down, the most exhausting, mentally, physically, and emotionally. The mix of daily toxicity and uncertainty, constant ethical dilemmas, and the pressure to underserve clients has taken a real toll. I don’t know how the rest of you are coping, but I can’t seem to shake it off, even in the little free time I get.

I was due to start with HCSC on the Dearborn side as a Claim Technician on Monday, October 6th. I received this email today:

"As you were previously informed via email on October 3rd, 2025, HCSC has rescinded your offer of employment.

This decision cannot be reviewed or appealed, and we are unable to disclose any further information.

We apologize for the inconvenience this has caused."

That's it. No other email, no reason why. Are the layoffs happening company-wide or specific only to the Cigna acquisition?

What’s going on with the Ambetter LOB?

Those of you saying it is awful and filthy please snap pictures of it there are a lot of us documenting what the company is doing, their failed business practices, wanting to offshore American healthcare needs overseas to a country that is known to hack and scam people, and generally just expose what they have been doing all around. Not going to expose member data or anything that would bring harm to any one person at the top, but just bring to light how overall sh---y they are as a company. There are about 15 whistle blowers so far just waiting to post, so Filthy pictures on top of it will just add more proof this company is trash and only cares about what lines the shareholders and executives pockets. Not to mention half the staff can’t even afford the healthcare they offer.

Pediatric behavioral health provider Hazel Health has laid off roughly 11% of its staff.

San Francisco-based Hazel Health works with school systems to provide virtual therapy to students. The organization, which has pursued an ambitious expansion plan in recent years, said layoffs will help the company sustain its growth trajectory as it incorporates AI and automation tools.

https://bhbusiness.com/2025/10/01/hazel-health-announces-layoffs/

September brought a wave of executive hires, promotions, exits, and layoffs across the healthcare industry, with major names like Medtronic, Amgen, and Kaiser Permanente making leadership changes, while organizations such as Novo Nordisk and Seattle Children’s cut jobs.

Hires:

• Amgen appointed Shannon Turley as vice president of research and co-head of research biology, following her tenure at Genentech.
• enGene named Hussein Sweiti as chief medical officer, bringing experience from Astellas Pharma, where he led commercial gene therapy efforts.
• IKS Health hired Ajai Sehgal as chief AI officer. He previously served as chief data and analytics officer at Mayo Clinic.
• Kaiser Permanente brought on Craig Albanese, former CEO of Duke University Health System, as president of integrated care and coverage. His past leadership experience includes roles at NewYork-Presbyterian, Stanford Children’s Health, and UCSF Health.
• Medtronic named Adam Arthur chief medical officer of its neurovascular business. He was previously chair of neurosurgery at the University of Tennessee Health Science Center.
• Penguin Ai appointed Mark Caron as chief strategy officer. Caron has held leadership positions at Capital BlueCross, Optum Health, Blue Cross Blue Shield of Wisconsin, Blue Cross Blue Shield of Massachusetts, and CHI Health.
• Spring Fertility hired Mike Michetti as CEO and Stacey Payne as chief people officer. Michetti previously held roles at Marathon Health, Highmark Health, Allegheny Health Network, Cleveland Clinic, and Mercy. Payne’s past executive experience includes Sweetgreen, SoulCycle, and Daily Harvest.

Promotions:

• Komodo Health promoted Miles Ennis to COO, following his tenure as chief revenue officer.
• Magellan Health named Steven Pratt chief medical officer, building on his long career at the company since 2007.
• Temple Health promoted Abhi Rastogi to COO and John Ryan to chief administrative officer. Ryan previously served as general counsel at Dana-Farber Cancer Institute.

Exits:

• Ochsner Health COO Mike Hulefeld will step down at the end of 2025 after 27 years. Timothy Riddell, another longtime leader, will succeed him.
• Providence Chief Transformation Officer Sara Vaezy is leaving after nearly a decade with the organization.

Layoffs:

• Memorial Sloan Kettering Cancer Center is cutting fewer than 2 percent of its workforce, citing rising costs for dr-gs, labor, and supplies.
• Novo Nordisk announced it will reduce its workforce by 11 percent, or about 9,000 jobs, as competition intensifies for its GLP-1 dr-gs Ozempic and Wegovy.
• Seattle Children’s will lay off 154 employees, primarily in administrative roles, due to cuts in federal and state funding.

This mix of leadership reshuffling and workforce reductions shows a sector in flux, as health systems and life sciences companies balance growth, innovation, and financial pressure.

United BioSource (UBC), a Pennsylvania-based health care technology services company, is laying off 123 employees tied to its Overland Park, Kansas, offices. The cuts include both on-site and remote workers in Kansas and Missouri.

The layoffs are scheduled to take effect around November 26, 2025, according to a notice filed with state officials. UBC has not yet commented publicly on the decision.

The company provides technology and services that support pharmaceutical and biotech companies, particularly in dr-g development and patient support programs.

How much are they going to gouge us for? Rumor has it costs are astronomical this year… aging workforce and all. I’m guessing a 50% increase in premiums and a cut to their HSA contributions.

What do you think?

Profit margins above human lives.
Policies written, lives disposed,
They stamp it cold

If you lack compassion you no longer belong in healthcare. For those who wish to make a change and got an order to RTO maybe blast a song off YouTube. The Dusty Show DDD glam version. Have it play over team meetings and for the love of god actually think bigger, this company, system and country is corrupted. Things need to change. Don’t harm anyone or burn any buildings, that shouldn’t even be said. Strike on the day of the supposed layoffs or how about every Thursday if you have enough PTO just take off.

So end of June my disabled son is fired from Allegheny Health Network and denied unemployment. 3 weeks short of 3 years so no PTO pay out. Nice. Thank you for caring for him like family. You claim you didn’t know he was disabled but you are a healthcare provider and it’s documented huh? So when I visit your hospital this means the service will be flawless so I look forward to my next visit.

Are RTO just corporate offices they are looking at or any sales agency/clinic location?