Thread regarding Elevance Health (Anthem) layoffs

@13w Conversely, divisions and ops that Carelon has taken over have been plummeged and are feasting on scraps. Im no economist, but it appears to be much more akin to how private equity acquisitions thrive on strategic shitification, bloated and invented numbers for short term profit. Aquire, destroy, profit, repeat. Improving the health of humanity one death at a time! More than one thing can be true at once.

The more Elevance gets involved the worse the Carelon companies become. The best thing Elevance could do is get their arrogant, condescending, worthless people out of the way and let the Carelon companies do what made Elevance want to acquire them. Instead they impose archaic and worthless overhead and water down any and all good that those companies can deliver. When they were independent the Carelon companies could care about what they delivered. Now the only thing that matters is an SLTs bonus. We are incentivized to stop caring and do the minimum necessary while expecting to be laid off.

Agree. One of the core issues is Provider data. It has been a mess for at least a decade. Someone should have pumped the brakes and cleaned up foundational core issues. Instead, various VPs step in, claim things are better, then further automate and make things worse before leaving with big bonuses and stock cashouts (most recently Shane Hochradel). Network business SMEs are clueless about provider data and push forward more cr-p initiatives. The few decent IT folks who had a chance at clean up are Riffed or replaced by H1B or leave because they are fed up with clueless leadership and offshore IT folks who have no healthcare knowledge. They also get blamed for everything, including not implementing requirements that were never provided to them. You can't fix something when SLT won't admit that it is broken so you just shut your mouth and plan your escape.

@vx correct, the surprising part of this whole case is that both members and associates are well aware that the ENTIRE network of all types of providers and services are bull. Search any service in any zipcode and you will find numerous numbers out of service, providers no longer contracted, and complete inaccurate listings. Worse yet is this issue has been well known for years. As an associate, good luck following up to try to get something corrected too. Carelon's leadership response recently to how we can help members to locate appropriate services? Direct them to the website. Then let's all cry about cost of care when these same then require hospitalizations because they were unable to receive outpatient services.

The entire carelon operating model is disastrous. Farming established processes and teams from elevance health to carelon creates friction especially when the carelon teams intaking the teams/processes are inexperienced and abrasive. Yet this is the underpinning of the entire carelon operating model. It’s not sustainable but the execs will continue to tout it because of all the promises to Wall Street. It’s extremely disappointing and I look forward to the day it gets sold off and discontinued

I can’t wait to hear how Gail spins this one, if it’s even mentioned at all. Business as usual for these greedy fu--s.

@vk Let’s no kid ourselves. This wasn’t a mistake, this was very much intentional to serve shareholders instead of members.

@vk I've been watching this lawsuit closely, because the ghost network doesn't only apply to mental health services, and I'm surprised that's the only class action on the subject.

Just wait till people sign up for that HPN for 2027. For every 50 doctors in any given specialty that show in network, maybe 5 actually accept the plan, and it's at least even odds that half of those will be denied due to some weird backdoor technicality that the company can't explain and won't make right.

@vk that team is probably at Deloitte now

@v5 https://litigationtracker.law.georgetown.edu/litigation/doe-et-al-v-carelon-behavioral-health-inc/

Yes - lawsuit and payouts regarding deceptive practices regarding misrepresentation of network participation. I don’t know if it was intentional deception or if they really don’t have a clue who is in network after years of incompetent provider data migration and SLT revolving door of people saying they were going to clean it up and lying. Pretty pathetic when you might be so incompetent that it looks like you are attempting to do something illegal.

1. Dream up a poorly constructed ‘product’ (that requires next to nothing in the way of materials).
2. Lobby the government to drive demand for the ‘product’.
3. Make sure the coverage afforded by the ‘product’ is as minimal as possible.
4. Hire large scale marketing teams to convince users of the ‘product’ that it is providing them value.
5. Collect billions in profits!

@qw "Care"lon probably has the least compassion of all. Can expect nothing else at this point. Do more with less while you wait for your number at the chopping block.

@ty didnt BH get dinged for having a whole ghost network that doesn't even exist? Pretty sure that was never fixed either. And nobody in the org seems to care. It's a constant shuffle of pass the buck.

@re 100% agree with this statement. They come off as sociopaths and make it VERY clear that they do not care about associates or members.

The vampires at the top feast on the blood of those doing the work beneath them.

The BH division that used to be Beacon and VO were good little companies. Not perfect but no company is. The culture here and the service to our members and clients has dramatically decreased in quality under Elevance. The small group of legacy old timers is holding it all together but will not be able to do so forever. Constant reorgs, lack of accountability, expecting more out of already understaffed teams, silos, focus on Elevance or MBM and not on BH, quiet firing, ........

@qw Holiday season has meant layoff season for many years. The last true time that this place showed care and concern was the days of Larry Glassclock - it has gone downhill since then.
While common sense or common compassion would lead a company to have Executives take a small pay reduction (one they would never feel) to spread the wealth to a working wage - it will never happen - these people are greedy, and imposters. It is clear that the mission statement is a pretty poster - they treat their employees like cr-p and their members just as bad - well, except high visability executives of accounts and their families along with House Account executives - this place should implode. I hope to see it happen

There's a comical lack of compassion at this organization. The closer you get to the top the more obnoxiously toxic the people are, especially the women.

Once upon a time I actually liked the people I worked for and with.

So much for being a mental health organization. It is deeply troubling when an organization that is supposed to promote compassion and well-being treats its own employees so inhumanely.

Leadership should have more heart and consideration than to lay off staff just weeks before Thanksgiving. If those at the top were willing to take even a 3–5% salary reduction, perhaps there would be enough resources to maintain fully staffed departments.

Instead, employees are expected to continue doing more with less—while carrying the burden of decisions made by those in leadership. Where is the compassion for the very people who keep the organization running?

@OP working with Careless is a nightmare - the TAT for any issue is apparently whenever thay feel like it - and if you try to raise an issue of lack of care or response you are essentially told to shut up because they are so busy - if it is he-l working with them it seems just as bad as working there - this entire place is a poster for dysfunction, lying and apathy

I work Carelon health and I concur. Worst part of ELV I’ve experienced and I’m a very positive person. Can’t wait to leave.

Hmmm, sounds like what was Commercial....