I feel like it's not CMS rules or changes, it's leadership's misinterpretation of CMS rules, issues with licensure vs. Non licensure, the role of nursing, social work and PIC and their lack of clarity on who should be doing what. MF is an engineer by training , I believe. How in the world would people without medical training know how best to utilize nursing and social work dollars? There is a role for everyone, collaboratively, and that is what CMS wants. INTERDISCIPLINARY. but that's a concept Humana doesn't get.
Really well put, @OmrCrCc-1bar. When you have somebody with no background in this field, stuff like this is to be expected.