#healthcare

The robotic and daily repetitive nature of pushing Centerwell Pharmacy enrollment and the talking points is abnormal. If I didn’t know better, I would think Blagg was AI. The only response is a blank face and talking points. Daily call back delays. But wait! Talking points! Emails every day -talking points. Meetings to repeat you guessed it talking points. All the talking points in the world will not fix that CW pharmacy su-ks A-S and no one wants to use it. Why not eliminate it and save that money instead of spouting some bs that it prevents hospitalizations. PDMRs prevent hospitalizations. Not inept mail order pharmacies.

Medicaid fraud and anti-kickback definitions 100% say it’s a crime and fraud to engage in bribery to sway referrals to increase a company’s healthcare reimbursement from the government. I don’t see how the centerwell bs couldnt fall into this category…
And their super specific disclaimer everyone has to say makes me feel like they know what they are doing and are trying to cover their a— to avoid yet another lawsuit.
I want to make an anonymous report but seems like there’s no guarantee to remain anonymous especially if they pursue it. I still work here and am trying to get out but scared to make a report until I can get out. Anyone else have the stones to??
They are so sketch. With all the suits they’ve been involved in all of this should keep coming out!! Higher ups are taking so much away from the most vulnerable people in this country. They’re making millions while the people they serve can’t afford to eat and are going homeless. Over my five years I have seen such an increase in people unable to afford basic things in life. Can’t tell me this isnt directly affecting the suic— crisis in this country… they deserve to go under and its just a matter of time

• Virginia Mason Franciscan Health announced layoffs in virtual care services in 2025

• Layoffs linked to financial pressures and restructuring for efficiency and stability

• First Round of Layoffs (June 2025):

  • Impacted more than 100 employees
  • Specifically affected 116 workers
  • All in the virtual care services division

• Second Round of Layoffs (September 2025):

  • WARN notice filed for 24 additional positions
  • Positions also in the virtual care department
  • Layoffs scheduled to begin in November 2025

• Reasons for Layoffs:

  • Significant financial challenges
  • Increased labor costs
  • Rising supply costs
  • State budget cuts impacting funding
  • New state laws creating additional burdens
  • Higher taxes adding to expenses
  • Ongoing underpayment from government programs
  • Realignment of resources within the organization
  • Focus on improving operational efficiency
  • Effort to ensure long-term organizational stability

3 directors laid off in TX (to my knowledge.) What's the overall status, and what areas of Medicaid are to be affected? Executing layoffs during IL RFP is just a poor move.

Will there be any layoffs at optum at home/care at home?

All the other services have been on a downtrend, now it looks like the PBM side is being impacted. Doesn't seem like Evernorth is trying very hard to maintain its growth. With them already announcing that they're building "offshore campuses" a few months back seems like they'll be cutting a lot of people soon.

Layoffs already took place on 9/18, with more planned in 4–6 weeks and again in January—confirmed by someone in HR. The company is steadily offshoring more and more jobs from the US to India, unless a contractual agreement requires the role to remain in the US. For those not billing their time to projects, it’s only a matter of time. This organization is going downhill fast, and it’s disheartening. I honestly wish the government would step in—this is a US healthcare company, yet they’re outsourcing our jobs offshore to people who have no real investment here.

If you believe that Humana is doing something that is outright unethical, a person I suppose could consider contacting Brian Schlonsky at Wave News in Louisville KY.

He has a news journal investigative piece called Troubleshooters that he took over for John Boels who retired from Wave News.

I noticed a lot of leaders are at an on site this week. I also noticed Ben Line moved over to Optum on Sparq, but they haven’t announced it officially yet… This is for UHC Ops. anyone know what’s going on? Should we expect layoffs soon with all of this hush hush business going on?

#499!
https://www.forbes.com/lists/employers-culture/

So much for the "employer of choice" part of the Drive to '25.

Who's getting fired for this disgraceful showing?

Today, myself and several of my colleagues in Learning and development were laid off in a round of “reorg.” This was the third reorg in 3 years. They had announced a reorg over a month ago, but when executives were asked about layoffs during a meeting, they evaded the question. Today, they also refused to disclose how many people were affected.

This company is absurd. Every October, they conduct layoffs. The executives should be the ones laid off.

Im still waiting to hear about the severance package. Anyone know?

Anyone know who all is expected to be impacted this week.

Very interesting how the dates are late in the month for September and October.

Good luck everyone!

This company, like all healthcare companies, DOES NOT CARE ABOUT YOU! Their ONLY concern is how much money they can rake in! They are not here to serve their members, just their shareholders so Gail can make her $20 million +!

Ouch, that gotta hurt. Centene to pay $1 billion dollars in rebates back to ACA Missouri policyholders. Sting.

Kind of funny. Many "onshore" employees working at Medical Solutions are from Omaha, Nebraska. Not a shore to be seen. Middle of the United States. 🤦‍♀️

A month ahead of the RIF, just give everyone a heads up on which orgs will be affected. That way people can budget accordingly and the rumor mill doesn't cause worry and panic across the organization.
And, we could tamp down on false rumors that people outside of the organization are reading.

These cuts will deeply affect both staff and patients, and the last thing anyone needs right now is a decline in the quality of care. I feel for all the colleagues who will be impacted - it’s heartbreaking. And honestly, even for those of us who stay, the strain and uncertainty ahead won’t be easy to carry.

WellMed has been hit hard, it seems. It’s difficult to keep track, and we are all on edge, so please share.

With all the new VPs, SVPs, AVPs, etc., we are so top heavy. No wonder we have a partnership with Dollywood!

CEO salary get 16% increament, staff at downstream get lesser increament

No offshoring / put profits over patient care.

They laid off a bunch of directors from the pilot nursing program

Hospitals no longer accept Humana Medicare Advantage plans in 2025

https://m.youtube.com/watch?v=8gvJTbIru-Q&pp=0gcJCRsBo7VqN5tD

My heart is just heavy and I contemplated writing this but here goes. When Humana bought out Kindred ant Home and changed to CWHH, that is the very moment that all values went out the door. We lost touch on the most important mission which is to put patients care first and continue to make it our top priority.

They are what makes this company go round, without them, we are nothing at this point. It’s not about the patients any more, it’s the money and greed that always wins. The answer is not to short staff our clinicians that are taking care of the patients and run them ragged to where they have no choice but to work weekends because of their own morals of what’s right and wrong.

That video that was shown at the Town Hall, was shameful. You highlighted it as the nurse cares so much that they go out on their weekends to make sure their patients are taken care, which of course they do, there is absolutely no doubt about that! But have you thought that they are doing it because they have no choice? That there isn’t enough time in the day to get all completed? Is that a healthy work, life balance?

AI and offshoring the authorization dept is definitely not the answer either in my opinion. They don’t understand how quickly authorization requirements can change over night and the teams responsible must shift focus immediately to not delay patient care or how challenging it is to work with another country and teach them how American insurance works when they don’t have it themselves. THEY. DON’T.UNDERSTAND and Humana you have to know this! And they think a bot can do it??? If only it were that easy it works have been implemented already and those that know, really know.

Their vision and mission is out on planet Pluto, guys because it isn’t here. The end of the day the one that suffers the most are the patients sadly. Ratings are terrible because our patients aren’t receiving the best from Humana and they’re speaking out! Word of mouth travels fast. Why can’t Humana lead this company in this economy by showing how one should should be ran instead of “matching the declining market??” Make an example out this and prove to them how it’s wrong. The world is ever evolving, change is good, we thrive on it! You’re just going to wave your white flag because every one else is doing it? Is that what we teach our children?

Maybe I’m too old school but my dad always told me growing up that, “there will be a day that it will be you against the world. But keep true to your word and invite those that you can to your table and you will have an army.” Humana—Take care of your employees, listen to their struggles and how YOU can improve to get them what they need to be successful which in return, makes you successful. Maybe not rake in the millions of $$ a year for once and do right by the greater good and it will all circle back around and come out on top that way.

You can only be better if you do better and lead by example. Spend some time with our nurses out in the field and see how they aren’t taking their lunches or bathroom breaks b/c that impedes with home visits scheduled back to back all day b/c of critical patients and being short staffed. See what time they get home to their own families. Go out to some of your branches and hear their struggles and frustrations and get them the proper resources and tools. A working tablet would be nice for once. Yes, just a simple tablet. The biggest decisions are made at the top without asking any of the employees that are doing the actual work and getting their input. Or is it just what makes the most sense to line their own pockets.

We know our jobs like the backs of our hands and we love our jobs!! WE are the experts here that do this day in and day out.. If they’d just listen and hear us, they might learn a thing or two. Our leaders can and will one day be in these patients same shoes and what kind of care will they expect to receive? Sometimes it’s better to eat crow and tuck your tail between your legs and say hey, “I’m sorry, I messed up. What can we do to be better here?” It’s as easy as grabbing a cup of coffee and having a seat at their table for once and just listen. Have we lost all touch with humanity??

There are no better advocates for our patients than our own here. Most patients have no one to advocate for them, did you know that? Our home health agency is all that they have and the teams that come with it. That should be our mission and vision and it’s no longer that way unfortunately. Be rich, be a millionaire, I don’t care honestly. But be it for the right reasons. Value what you have right in front of you and take care of them and they’ll take care of you. I used to be so proud of who I worked for. Now I’m ashamed to mention it to anyone. And if you do the right thing, I can almost guarantee that it would keep your name out of all the fraud accusations and news articles that we all see.

This is perfectly said and it needed to be in its own thread. I only added paragraphs for readability, but the OP is @b7+1k59rbzhq. Perfectly stated!

Is it just me, or is everyone exhausted from these constant cuts? I’m this close to walking out no matter what happens next.

A new initiative being rolled out to meet 24hr deadline for Medicaid and DSNP TATs is for RNs in the state of issue to work weekends but our nurses that are out of states are not being forced to do so. You can not make 1/2 your team work weekends and holidays if the other half because of residency out of state conflicts with CMA guidelines. This is complete cr-p! How do you justify that??

More specifically, the DeRoyal facility in LaFollette, Tennessee, which produces all kinds of tools and instruments for use in healthcare settings, is closing down primary operations by the end of this month – with full shutdown by the end of 2025.

https://www.newsbreak.com/the-coconut-mama-317784482/4234203487555-tennessee-braces-for-incoming-factory-shutdown-and-153-layoffs-confirmed

• UC Health is cutting 50 jobs across the organization
• The mobile stroke unit is being eliminated as part of cost-cutting
• Officials cite "sustained industry challenges" as the reason
• All affected employees are offered severance packages
• Laid off workers can apply for other positions within UC Health
• Staff from the mobile stroke unit will be reassigned, not laid off
• UC Health employs about 12,000 people in the region

https://www.healthleadersmedia.com/cmo/uc-health-lays-50-workers-and-eliminates-mobile-stroke-unit-budget-cutting-move

UC Health is cutting 50 jobs across its organization, citing financial pressures and the need to reduce costs. The Cincinnati-based academic health system, which has about 12,000 employees, says those affected have been offered severance and may apply for other open positions within UC Health. Earlier this year, the system disclosed plans to shut down a post-acute care facility and an assisted living facility by the end of September - moves projected to affect about 474 workers. Also, UC Health will wind down its Mobile Stroke Unit later this month, though those workers will remain employed. UC Health is headquartered in Cincinnati, Ohio.

Source: https://www.healthleadersmedia.com/cmo/uc-health-lays-50-workers-and-eliminates-mobile-stroke-unit-budget-cutting-move

banner just filed notice that 351 workers in colorado are getting cut by nov 5. this came through a state warn filing and yeah... it’s a big hit.

they’re closing a freestanding ER & Urgent Care in Greeley on that same date. banner has over 3,000 staff in northern colorado and over 60K nationwide, so big news...

the affected will get transition help, like priority for other open roles in the system, career counseling, and support services.

at the same time banner is rolling out what they call a multi-year investment plan to reshape their footprint in the region. that includes buying up a primary care network and turning the mckee medical center in loveland into a specialty hospital.

CEO for colorado hospitals said the changes are because of "community demand" whatever that means for him. ER volumes at mckee have dropped 4 years in a row, they’re only using 25% of the beds, and 90% percent of surgeries there are already outpatient.

And, it'll not stop here

Revere Health, a healthcare company headquartered in Provo, Utah, is laying off 177 employees. The layoffs are a result of a new partnership with IKS Health, a company that specializes in using artificial intelligence (AI) and machine learning to optimize healthcare business processes. The affected employees are primarily from Revere Health's central business office, and the company is providing severance packages and transition assistance.

SOURCE: https://www.abc4.com/news/wasatch-front/transitions-ai-mass-layoffs-healthcare-company/

Racists , stressful and cutting everyone’s hours.. Della Martin Center psych unit is unsafe

My good friend, a RN at Southern Hills Hospital, Las Vegas just got her layoff notice effective 10/3. It’s too bad, she would’ve been vested with the company the following month. (6 years). It’s too bad company’s treat their employees this way. Their focus is on profit, not patient care. I guess now they’ll dump more patients on the limited amount of staff there, but of course, CEO’s will still maintain their pay. Too many chiefs and not enough Indians! They could easily maintain adequate staff by just cutting a few from the top, and keeping the worker bees.

At least a dozen nurses were notified of upcoming layoffs based on an 'HR algorithm.
For now, the situation remains uncertain, but one thing is clear: this isn’t just about layoffs. It’s about the ripple effect on a close-knit community, the patients who rely on Mayo Clinic, and the future of nursing in southern Minnesota.

https://nurse.org/news/mayo-clinic-austin-nurse-layoffs-community-impact/

Utah’s largest network of independent, physician-owned clinics is planning to lay off 177 Provo office workers this fall. The state’s Department of Workforce Services announced Revere Health’s intended layoff on its Worker Adjustment and Retraining Notification, or WARN, dashboard.

https://www.sltrib.com/news/2025/09/09/utahs-revere-health-clinic-network/

Dear UHC? Is this really happening?

I actually love this approach. It’s like a Hallmark channel for corporate PR: scripted, heartwarming, and just enough to distract from the plot twist nobody asked about.

Looks like health care has pushed the company over the line.,So if true… 20% salary cuts at all levels will beat the open and margin targets even considering the
Free fall. Hold on and giddy up if you work at DT.

And some Med Advantage markets.

https://www.modernhealthcare.com/insurance/mh-elevance-health-medicare-advantage-plans-2026/#:~:text=Key%20Takeaways,offset%20their%20prescription%20drug%20costs.

" While I am certain the Company would say otherwise, what is clear at this time is that [they] had no interest in reaching an early agreement...
We either prepare ourselves for a protracted strike, or we accept the true worst-case scenario: the end of retiree healthcare in the not-too-distant future."