o answer your question, I am not sure. All I can tell is that LTIH or most of HAH is being restructured. More money is being directed to the consumer need- transportation, meals, discharge planning and chronic disease management. I don't see room for prevention. The new MA plans are offering more support in meals, transportation. OTC is being reduced or eliminated, Health coaches are diverted and serviced through Go365 and a questionnaire. Logistic care services are being increased and premiums are being reduced. The consumer spoke and they don't want excessive calls. Review the new plans. 2018 proposes new services to consumers to meet their needs. It does not include an a large workforce of PHC, SS, CHE's; it involves a new business model that is revolved around clinical management. My wonder is, does clinical management include social support and a holistic view of the elderly, their caregivers? Does that mean all of Humana is now working toward the license... RN's, LCSW, MD's and Psychiatrists as suggested by the new CEO, new legislation and consumer needs. Just a thought... but in the end the consumer and the market is going to drive the direction of this monster. Not our rantings about how bad we have it.
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Well B@!?$, good thing I wasn’t talking to your slow azz. I bet you’ll figure this one out.
Actually read it several times still makes little sense. Better sentence structure might help. Js
I hate when someone half azz read something then comment.
Poster below maybe you should go back read the proceeding threads before responding. My post was clear.
To the earlier poster: PojSedm-jab
Your post made zero sense! Are you saying they are cutting all positions dealing with member education such as PHC and CHE? Give us some real info if you have any and stop getting everyone worked up!
How soon 😳
To the PHC that posted about health education services not being offered your are correct and that is the program that all us of have been working under. This benefit is totally different the poster that’s speaking about Go365. Again just wait in the email it’s coming soon!
Sounds like a few of them are drinking the kool-aid with an extra shot of stupid.
Exactly!
To the below HCMRN, I'm glad other people can see that this is not a good thing. Everyone on my team is acting all carefree and happy at this. They are all moving as many of their members to monitored that they can and only making an average of 4 or 5 calls a day now...and just constantly chatting it up on the team chat how wonderful and freeing it is. All the while im just thinking "you morons. You are eliminating your own position and celebrating it."
We might need to find another job. My only problem is finding a job that pay well like Humana.
I’m a PHC. All day today I have been pulling up and looking at the benefit grid for 2018 for every member I am calling to see if telephonic personal health coaching is included. It shows it as available for this year with the usual description under Health Education Services. Next year, “Not Available”. Not good.
Well, as an HCM RN, something is up with the monitored status, I think they will keep some HAH HCM RN's, but I have to think that they are going to reduce the number combine teams, lay off some coaches and condense it some. But the fact that they hired 2-3 classes of HCM's recently is pretty crappy, if I was one in those classes, I would really be upset at being laid off.
I think they will definitely get rid of that silly Wellness pilot the CHEs have been doing. Since my team has been involved we have noticed it's just a duplication in services and leads to too many calls. My members get confused and think the wellness people are now their coaches because they call more frequently. Too confusing for some.
Wellness coaching has been available through Go365 anyway. I think you all are reading into that portion too much. I doubt management, as inept as they are deemed, would have customer service telling members their PHC is not a benefit in 2018. Even if they word it that coaching will be available through Go365, a member could then potentially ask the PHC why they are being told their coaching is now through Go365. Let's be rational here. We are all stressed, but until we hear it from the horses mouth, it's all just speculation isn't it?
Look at your members benefits for 18. U will see that coaching is no longer available for 2018 from a PHC. it will be through Go365 as the poster suggested. The talking points have been released for customer service to go over it with members who ask.
My question, is the OP getting this info just from reviewing the 2018 plans as she/he suggests we do or is this truly insider information?
THe press release from earlier this month says Medicare advantage members will still get HAH care managers to call or visit them regularly and provide personalized attention and assistance in accessing resources for medications, transportation and more.... so HAH will still be there, the question is to what size....I wonder if they have to wait for open enrollment to end to figure out staffing and to layoff from there ?
The three pillars they kept talking about....pharmacy, in home and behavioral health...what you say about the plans certainly fits in with that, and our restructuring towards that....a license seems to be almost key to keep you....