Thread regarding Humana Inc. layoffs

No one is capable of perfection

This is the only position I have had where perfection is expected 100% of the time. Every min of our day is recorded. There is no room for the members needs to guide the calls. Our calls are expected to be so robotic - ask for member by first and lady name, say disclaimer, do a survey, give number at end of call. In theory this call structure is an ok idea. However, there has to be room to personalize each call. It feels impersonal to ask for a member that you have been managing for four plus years by first and last name, particularly if you are making a follow up call and just spoke to them the prior day. After four years my members have my contact information - it does not make good sense to repeat it at the end of each call just for the sake of checking a box. It is these types of issues that causes members to UTC and disengage in the program. No one is capable of perfection. I will continue to do what makes most sense to meet my members where they are and help them. Well as long as I have a job.

This was posted on another thread (@KvHkt4M-1tpu) by someone else. I feel almost the same, and I think I'm not the only one.

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Post ID: @OP+LY8zTQG

10 replies (most recent on top)

Those coaches are crazy. One guy told me his boss told him several times that maybe this isn't the job for him because he completed calls holistically per what we were hired for! Manage health and well-being with memer best interest. Yes called but the day was productive. One coach went to lunch while a team of menand women mentioned how had it was to meet metrics. .just hey I'm going to lunch. One was told that coach didn't know layoff names but those coaches completed a survey on him to let him go! One coach told somone that individually meetings were a waste of their time. The place is crazy.

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Post ID: @5fle+LY8zTQG

I have never worked for a company that did a 180 degree turn like Humana. When I started over 3 yrs ago we were told to build a rapport with mbrs and working with some of the same mbrs continously I did. I told everyone I loved my job. Then they pulled the rosters from us and we worked from lists dealing with people who were mad that Humana keeps calling them ....then put on the AD and this is the worst. The AD is so overrated... I made more calls when I had a roster.....these poor mbrs!! I am an "impacted" HCC and can't wait to leave this place. Unrealistic contact expectations which forces people to work unpaid OT. Humana does not care about mbrs OR their employees. My last day can't come soon enough. ...and I know the nurses feel the same way. It's a shame HAH could have been great.

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Post ID: @2aml+LY8zTQG

Humana nor HAH cares about members or employees. They are a for-profit BUSINESS and only care about the bottom line and making dividends for investors.

I think if you really want to make them listen, hit them where it hurts...in the pocket.

Report HAH to FTC/FCC for making repeated calls to members who have requested no more calls.

Encourage or report that members are not "allowed" to leave the "voluntary" program after requesting to do so.

File members complaints through the dreadful online reporting system, AND inform them of their RIGHT to file a grievance. The documentation will work in your favor in case of an investigation/audit.

Anamously Notify CMS, attorney general office, social media, and news outlets of unethical practices.

The ONLY way they will change things is if they have a reason to. The reason will be the threat of loss revenue from premiums, fines or CMS contract.

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Post ID: @1ozo+LY8zTQG

OMG The more I read all these posts and comments the more I wonder, why can't all we or at least most of us, HCMs stand up to make it clear how we feel? and what we think? I know its scary, I am not as assertive as I would like to be , but in numbers? I do not mean antagonistically, but with calm rationality, just say the things so many of us say here, what so many of us hear and experience from the poor members! And the poor " us" who like me, practically dread work now, even with the wonderful WAH perk! And I have been looking at want ads, because yea, I fear my all important all vital numbers are not good enough. My heart is pounding at work when I have a long call or a computer problem or could not figure out cgx 2 care plan. So back to this wonderful post about perfection. You are so right! We are human. Mbrs are human. And we are not at all being treated as humans. Management ( Upper not my direct boss who seems compassionate and remembers being an HCM with a roster) has the tone of you peons are lucky to have a job and WAH while we wallow in our perks and bonuses.

Oh don't get me started on all of THAT , and let me get back to rational calm. Eh the more I think about it the more I suspect... it won't matter. Or do any of you think it would help?

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Post ID: @1kff+LY8zTQG

Well said. Case management is impossible with these numbers and the quality is not taking anything into consideration. Complete crap!!!! Now CGX 2.0 they still expect perfect numbers and perfect charting. I've worked over 50 hours of UNPAID Overtime since January! I hope to get out of this crap ASAP!!!!

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Post ID: @shz+LY8zTQG

Yes I feel the same... had an establish member come to tears when I was explaining who she could call to rectify med issues with humana of course I did a support call that didn't count for metrics but kept member knowing that I still care and helping her with her needs...it's getting away from our main objective most calls to be effective can exceed 20 min and there is no longer time for these!

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Post ID: @cka+LY8zTQG

I feel so emotionally drained I can barely work. Only time for soft touch calls meeting just the immediate needs with the expectations of metric. There is no way we can perform to meet Medicare guidelines and this has to be verging on fraud. I feel very uneasy about the ethicality of Humana.

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Post ID: @dtj+LY8zTQG

Also, to continue off of what I just said... these poor or who didn't want to participate for whatever reason... PHCs were penalized if they said they didn't want to be apart of a voluntary program. If they were I enrolled, they went into a bucket and the stalker calls to re enroll them begins again in a year. Even in social work unless under court order, people had a choice! We had to try to convince them to continue taking our calls-the resistant members. We had to keep calling. Some got over 20 calls before being sent to the RIT team!

There's no graduation of program. So even if you meet your interventions guess you better find another goal because we aren't allowed to close your case even though you politely asked and have your diabetes under control now. Even clients graduate from social work programs once they can support their needs. I feel sorry for some of our members, and the members who had such a great rapport with their phc to have them ripped away.

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Post ID: @jbz+LY8zTQG

As someone impacted by the layoff, I'm starting to look at it as a blessing.

You're right! Perfect experience is a total different meaning. They messed up by hiring people with case management backgrounds. You're expected to have short calls with people who can have serious needs. I was there long enough that members started asking why we had to do the same survey again and some started to refuse them. The mdat is useless unless someone is functionally challenged and even then moving them to nurse care was near impossible. These surveys and member contacts look great on paper and I honestly think that's why they are pushed so hard. MF turned social work into a robotic environment because people who don't know social work don't understand it's more than numbers. To the markets, numbers speak. They can't listen to everyone's work or measure our interventions - they just can't. The only way they can say our program works is the numbers we put on paper.

I think 8 years ago this started as something with integrity but now it's intrusive, Humana focused, and let's be honest even working smarter not harder, how many of us were able to take breaks or put up high numbers every day. The guy on my team putting up high numbers, his calls were lacking quality.. but his numbers are what counted.

For those of you not aware too, the top CEOs just cashed in 66 million in stocks yesterday... smells like insider trading, and the layoff isn't public.

My old team is now doing RS work for months to enroll members. But 600 of us were laid off?

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Post ID: @oul+LY8zTQG

I have felt exactly that same way, the constant auditing, the expectation for 100 percent accuracy while pushing productivity at obscene metrics. Yes that frustrates and stresses me out.

But the real kick in the pants, is that the geniuses calling for perfection can fail at their job with no consequence. Having to lay off people means you failed. Not preparing adequately for a merger means you failed, and definitely dumping your stock to make millions means you have failed your business.

That's the worst.

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Post ID: @bom+LY8zTQG

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