Thread regarding Humana Inc. layoffs

September?? I think sooner. Hang on to your nursing caps! We are in for a bumpy ride!

Skilled nursing is a profitable business. Being an icu nurse with skilled home health experience, I understand how this machine works. It is a high overhead for a company to hire skilled RNs. Training, competencies, clinical documentation for homebound status to comply with Medicare guidelines. It does cost a lot. Unfortunately Kindred has a bad reputation in the region I live in. When I worked for home health it was for a hospital system and I never understood why Humana would send ltih or transition nurses into a home that already had skilled RNs visiting. It was just a matter of time before someone figured it out. I’ll continue wah until my time comes. To me, this job is still less stressful than any ICU or skilled home health job I have ever had. Good luck everyone.

Why did they layoff so many FCM's and leaders if they were planning on expanding?

They can have it!

Network in home care managers would be reimbursed for mileage by their company. There are more nurses in rural areas than you realize who would be willing to do the job.

They used to reimburse LTIH care managers mileage to first visit and from last visit. They took it away and they decreased ammount they give for each mile and now the mileage reimbursement is next to nothing. Kudos to them they figured out how to take money out of the pockets of hardworking care managers so this company can be even wealthier. Pure greed. Pretty sad!

What about time spent between visits for travel that you are not reimbursed for and the wear and tear on your car. You do get mile reimbursement but that does not cover paying 3dollars a gallon for gas plus car maintenance. Good luck with the home care.

I meant savings outweighs cost and patients love your company which also has a psychological impact

In home care is the new norm. Cost outweighs the savings. Proven. I think the nurses on this post will love it, because you have hands on care. (Unless you are trying to use you WAH job as a way to not put your kids in camp)

Payment whether it be "reimbursement", PMPM, fee for service, or whatever has been reduced across the board for a very long time. It's about providing appropriate services based on need and the recipient's willingness to participate.

It is just hard to believe that it makes financial sense to have so many home visits and certainly not geographical sense for many of my members. I think a large percentage also do not want someone coming into their homes. I have several who refuse LTIH. I just cannot imagine the cost to send nurses or SS to all the homes. Unless they would make a paltry salary and expense reimbursement.

Reimbursement for BH and home care was scaled way back a few years ago which is why alot of companies folded or limited services. There is certainly a need for it but is it profitable enough ? IDK...

The hccp members are Medicare non commercial, and they would be coming in around open enrollment, I think those numbers are reflecting what they said about lower open enrollment from last year, and markets humana is expanding into. That being said, I agree they can’t do face to face everywhere....they rolled out landmark in some states, where if the member is in that, no telephonic...LTIH has been like that, too....I really don’t think the in home is going to impact the telephonic, but our roles may change to help support them, too?

HCMRN for HAH here. Almost all the members I have been receiving have been CRCM members. Are they think of a closing that program at the end of this year ? What happened to all the HCCP members I used to get

OK and if we do in-home care is Humana going to be able to pay us a decent salary and cover our expenses for travel. Remember the price of gas is three dollars a gallon and the wear and tear on your car plus the safety issue of being in your car all the time. The area I live and they’re giving a home health care nurses $10,000 bonuses for sign on because no one wants to do it it’s just not profitable for the nurse

Some telephonic will remain for those areas they don’t have the ability for in home support, it will be scaled back to some extent....but, we’ve been told telephonic isn’t going away completely

That would not surprise me. They have made it abundantly clear they are changing directions, which probably makes good sense for business and patients, but I really wish it occurred to them to transition their workforce with them. Humana just doesn't seem to value its nurses, social workers or educators- just keep churning through the endless supply. No biggie ... fire and rehire

Why not give telephonic RNs a chance for in home management if they qualify?

And this is shock. Come on!

The writing is on the wall, this company is ruthless and has no ethics. They do not care about staff and this for the member sales pitch is crap too