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Thoughts about the Dec. 16 town hall?

Here’s what I got out of it:

1) There is a new corporate strategy called Lead to One that is about focusing more on the consumer and personalization. (Every 5 years we claim we’re now going to focus on the consumer, but don’t actually make any of the necessary investments and then abandon it. So excuse me if I’m highly skeptical.)

2) Our expenses are way too high and need to be drastically reduced. (We’ve been hearing that for many years and yet the same leadership that hasn’t fixed it is still in place. Where should the blame be placed?)

3) Layoffs will definitely continue. Evanko said we’ll have fewer employees next year than this year. (No surprise there.)

4) We’re counting on AI to be our savior and are going to push as many things to AI as possible.

5) The only business that is performing well is specialty pharmacy.

6) The VillageMD investment and our attempt at creating a care delivery strategy was a failure. (Even though it’s obvious, I’m glad they actually admitted that. Interesting that the failed MDLIVE acquisition wasn’t mentioned though. I guess we just don’t talk about that.)

7) We’re going to do more lobbying and public relations to try to control the narrative about Cigna.

Did anyone hear something different? What did I miss?


Aviation Division

I saw MM just posted a position for a new corporate pilot salary of 240k to 320k. I was not aware that MM employs 14 pilots and an additional 21 highly paid support staff.
So let’s just say the average employee expense Is 200k a year that is at least 7 million in salaries plus the cost of the multiple aircraft, including insurance, flight fees, fuel, and whatever else is needed, the total expense is probably at least 10 million per year times the last ten years = 75 to 100 million accounting for inflation. Just so the SLT flys luxury and isn’t subjected to joe public ,the people RC always says MM value so much as our customers. All the while the average employee is nickel dimed on raises and benefits. Anyhow just wanted to share. Happy Holidays to all!


Citi Benefits- Medical plan

Noticed that Citi’s medical plan costs are rising significantly compared to other firms like Wells. For next year, the increase is around $380 per paycheck, which is substantial — even annual salary or bonus adjustments don’t seem to offset that jump


NBC New’s Program — Cost of Denial

Tonight’s episode on the 6:30pm news, showcased a gentleman Mr. Middleton, whom has Bile Duct Cancer was denied a life extending dr-g Ziihera that hos Oncologist and team recommended.

Cigna denied and suggested another dr-g that most likely would not extend Mr. Middleton’s life long enough to obtain the liver transplant he needs. Unlike the recommended dr-g Ziihera most likely would

Just another example as to how profits are being placed before member’s health. Our healthcare system is truly broken.

Oftentimes I hear persons say that reason why healthcare is so expensive in the U.S. is because of all the state of the art technology and research. And although I do not doubt that is the case, I think persons would take maybe less state of the art technologies and research, if they could at least have their healthcare actually save their life in an affordable way, when needed.

To use a metaphor, what good would it be if all commercial planes got replaced with an equivalent to airforce one, if because of that now, it would cost a person $20k to fly from San Diego to San Francisco?

Also, I think there is a lot of greed going on where C-Suite executives are getting paid millions, Large Bank Investors are making major profits, and because of that, which has been recognized by hospitals and providers now figure they might as well not be left out of the profit gains and charging exponential costs for services that would have cost a fraction in the 50’s, 60’s, and 70’s. And I won’t even bother mentioning Pharmaceutical manufacturers. I really do not know what to think about it nor what can be done.

Anyway, here below is a little about that news program, if you want to check it out.

(Not sure yet if Humana has ever been mentioned yet on this program but would not be surprised. Unless of course they pay off NBC a big fat check for millions to keep them out of any episodes.)

"The Cost of Denial" is an NBC News series that investigates the financial and emotional impact of insurance companies denying claims for health, home, or auto coverage. The series features stories of people struggling to get coverage for medical treatments, repairs, and medications, highlighting how insurers use processes like prior authorization to deny claims. NBC News provides an email, CostofDenial@nbcuni.com, for individuals to share their experiences with insurance denials.


Layoffs

On a recent visit to Home office, I noticed an open bar (with paid servers) providing free beer and wine each evening we were there. I’m at a bit of a loss as to how this helps clients and why it is better to have this than the home office representatives who were laid off.