What I heard in town hall today was that they are not sure where HAH telephonic will fit in to their new push for “deeper in home care” model. “Maybe they can do post acute care things” was the vague answer. Sounds to me like another big RIF coming in 6-8 weeks. Rosters and expectations are at an all time unrealistic high. CT backup is almost nil now. Can’t keep up. There is still a big push to move mbrs to “monitored”. I think they will move to a triage only phone nurse model as soon as they have the new home care and hopice in place. Thoughts?
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In home is not telephonic.
Yes, for in home services...I guess we need clarification, because to me, in home means physically in the home face to face...maybe humana considers telephonic support in home, too
FYI everyone Humana was one of 9 companies in Florida that won a state contract for 5 years to provide in home services to dual enrollment people The contract is worth 90 billion ,that’s correct 90 billion it is not a typo trend is to provide in home services
It seems the next rif will be in June, with the reforming of hah to care management and how they’re going to start the integration of things before they go to in home more....look at the jobs in hcsrenewal, that will show where the ship is steering towards
Seriously? This last post.......
I think they literally don't know what they are doing. We are all speculating as if they have an actual plan. They are just stringing people along and trying to gain some sort of footing since the failed Aetna merger. Market is too changeable, stars rating down, Humana is trying to reinvent itself. It may or may not have anything to do with worked in the past. My bet is get rid of current personnel, rehire later
I agree with OP. Humana’s star Hedis rating has dropped to 3 which means they can only enroll during the open enrollment period. So new members may be enrolling but not en masses year round ( and only because they just qualified for Medicare etc.) as they used to when Humana had a 5 Star Hedis rating. That means far fewer members enrolled in the program period; combine that with members being moved in large numbers to monitored and I think the writing is on the Wall about thevtelephonic nurse roll diminishing
I think this is all fear mongering. They just did the deal. Not every aspect of future can be designed over night. Yes we are graduating to monitored but also enrolling alot of new members everyday and get some out of monitored, some us RNs have new members every day and they have a post for 20 enrollment specialists out there so clearly we are still planning to enroll. They also just backfilled the director role, even if we don't like who they chose.
I came from United, you think this place is bad but the grass isn't any greener on the other side, I can say that.
Well, shoot. Anyone have anymore info or insight on this? -SNP employee
I’m an hcmss, and I heard the same thing and have the same thoughts....a small team left for those who aren’t able to be addressed face to face, and as back up or interim support for in home ? I really don’t see how they can cut back any more hcmss, when I started there were over 200, it’s down to 90 or less now. Maybe the CMs will get hit?