#healthcare

13 years as a nurse and scared of the unknown. Afraid the final pay out will be leas than the “expected” amount. Want to know what the “agreement” states before hand. Praying for everyone!

They seem to be growing and doing big things

Centene, a massive provider of government-sponsored healthcare, is navigating significant operational shifts under the Trump administration's health and budget policies. With major federal budget cuts to Medicaid and changes to the Affordable Care Act (ACA), the insurer has experienced steep membership losses and is actively undergoing corporate restructuring.Centene & The Affordable Care Act (Obamacare)Enrollment Drops: The expiration of enhanced ACA tax credits alongside Trump's budget packages has forced many consumers to confront higher premiums. Consequently, Centene—one of the nation's largest ACA marketplace insurers—lost over 2 million members, seeing its exchange enrollment drop from roughly 5.6 million to 3.6 million.Repricing and Layoffs: Because of sicker member pools and lost subsidies, Centene has been forced to reprice its health plans and offer companywide employee buyouts to cut overhead costs.

Things seem to be moving fast, anyone with more insider info/dates?

Era – Michael Neidorff (1996–2022)
Peak Quarterly Performance: $535 million (Q2 2021)
Annual Performance: Maintained profitability
Main Drivers: Pharmacy benefit manager legal settlements; COVID-19 utilization spikes

Era – Sarah London (2022–Present)
Peak Quarterly Loss: $6.6 billion (Q3 2025)
Peak Annual Performance: $6.7 billion net loss (Full-Year 2025)
Main Drivers: Federal Medicaid funding cuts; asset write-downs

Why is Sara London still the face of this company if she has cost the company Billions??

What’s the talk around here? I’m working remote so hard to gauge what’s going on in other departments here. Been here for more than 5 years.

Does anyone know or heard a number on how much Centene is trying to downsize? Ive seen articles but they are very hush hush about the target number... only that our membership has decreased by 6%.

I'm considering taking a job working with Rx health plan clients. Is this a good department to work in? Any information is greatly appreciated because I don't want to leave my job for a worse opportunity.

UnitedHealth Group managed to squeeze $12B in pure profit out of the healthcare system last year solely through value extraction. Like Sears, Circuit City, and other notable companies that found themselves in the trash bin of history, they are relying on their size to keep employers, providers, and members with them. At a time when healthcare costs are skyrocketing, they could be creating value in the healthcare system and — gasp! — earning some profit for themselves. Instead, they push out anyone who wants to innovate or question the dirty tactics and legally dubious actions. Hemsley was supposed to make it better. Instead, he’s made the company culture worse and is putting short term gain above not only UnitedHealth Group’s interests, but the already strained healthcare system.

Know this, there is an avoidable trajectory here; but persist down this road and some startup will eat your lunch just like Amazon — a nobody at the time — did to Sears and Circuit City. Change course before it’s too late. Hire some technology people that actually know technology. Hire ethical business leaders that will follow the law. UnitedHealth Group could be the reason the healthcare system gets better or the reason it crashed. Choose wisely.

not even subtle anymore just straight up cutting staff to post lower paying jobs (lvn vs rn), using vendors to take risk loss, cutting anything social work and replacing with an AI resource handout and most gross of all: eyes only on patients just out of the hospital. More to upcode, test, bill. Poor elderly...easy target. But lets have another townhall and discuss values. karma will eventually follow these strategy team vultures.

Sanitas, a clinic operator, laid off nearly 150 employees. These layoffs occurred in South Florida. The affected positions included medical assistants. Nurse practitioners were also among those impacted.

https://www.bizjournals.com/southflorida/news/2026/06/10/sanitas-warn-notice-south-florida.html

https://triblive.com/news/health-now/upmc-to-lay-off-200-mostly-non-medical-employees/

Layoffs have impacted specific industries like technology and media organizations. However, the broader job market continues to evolve with new demands. Demand remains strong in essential services, infrastructure development, and emerging technologies. Healthcare, artificial intelligence, skilled trades, and clean energy are key hiring sectors. This indicates a structural shift in the labor market, not a broad decline.

https://www.storyboard18.com/trending/jobs-hiring-now-where-opportunities-still-exist-despite-layoffs-across-industries-100518.htm

UPMC eliminated 200 positions. These cuts primarily affected non-clinical employees. Roles not directly facing members were also impacted. The health system posted higher operating revenue. However, it experienced a decline in revenue over expenses.

Pittsburgh, Pennsylvania

https://www.bizjournals.com/pittsburgh/news/2026/06/09/upmc-announces-layoffs-200-jobs.html

A couple denied coverage by UntedHealthcare their twins needing care in the NICU:
youtube.com/shorts/4VVE-GO4cbg?si=I0OWMbq7qc5jzxea

Not layoff related, but here is another example of why UHG is so hated. Couple denied coverage by UHC for preemie twins in NICU.

Help this go viral:
youtube.com/shorts/4VVE-GO4cbg?si=I0OWMbq7qc5jzxea

Just remember UHC can always keep lowering the bar on healthcare:

youtube.com/shorts/4VVE-GO4cbg?si=I0OWMbq7qc5jzxea

Is HP a pretty decent segment to work in? I've heard some nightmare stories in the past and just curious.

Recent public health layoffs are causing many epidemiologists and infection prevention professionals to seek new jobs. These professionals are now looking for roles in acute care settings and hospital-based positions. A recruiter noted a significant influx of these individuals into the infection control field. Hospitals consider prior clinical experience when determining infection prevention salaries. Specialized recruiters help organizations find qualified candidates by thoroughly vetting applicants.

https://www.infectioncontroltoday.com/shorts/transitioning-public-health-layoffs

Maryland reported 3,452 layoffs in the past three months. These job cuts occurred between March and May. This period represents 74% of all affected workers in 2026. Key sectors impacted include transportation, federal contracting, and healthcare. Overall layoffs in 2026 are lower than the same period last year.

Maryland

https://patch.com/maryland/across-md/md-layoffs-top-3-4k-recent-months-major-closings-job-cuts-hit

Chandler Hall Health Services is selling its facility in Newtown Township. The nursing home and senior living community will cease operations. This change is expected around August 1. A total of 220 employees will be laid off. The new operator intends to offer employment to these workers.

Newtown Township, Pennsylvania

https://www.wfmz.com/news/area/southeastern-pa/upper-bucks-county/bucks-county-nursing-home-announces-sale-staff-layoffs/article_5b468d5b-1898-4dc2-817a-96636180eb3e.html

Baptist Health–Fort Smith plans to eliminate 70 more jobs. This action is part of an ongoing restructuring effort. The total number of announced job cuts now reaches about 220. These job reductions have been announced since April. The health system is located in Fort Smith.

Fort Smith,

https://www.swtimes.com/story/news/2026/06/03/additional-layoffs-announced-at-baptist-health-fort-smith/90380755007/

Presbyterian Hospital has announced the layoffs of 150 workers along with the discontinuation of most Medicare Advantage plans in 2027.

According to a statement from Presbyterian Healthcare Services, the layoffs will be in administrative roles and not related to hospitals or clinics.

https://www.koat.com/article/presbyterian-layoffs-albuquerque-new-mexico/71475392

Presbyterian Healthcare Services announced 150 layoffs. These layoffs affect administrative roles. The affected positions are not in hospitals or clinics. The organization will also discontinue most Medicare Advantage plans in 2027. Direct patient care roles will remain unaffected.

Albuquerque, New Mexico

https://www.koat.com/article/presbyterian-layoffs-albuquerque-new-mexico/71475392

Oregon-based insurer PacificSource announced another round of layoffs. The company will cut 97 positions across all lines of business. These job reductions are effective July 31. Offices in Bend, Portland, Salem, and Springfield will be affected. This action follows PacificSource's exit from Montana operations.

Portland, Oregon

https://www.koin.com/news/oregon/oregon-insurer-announces-large-number-of-layoffs/amp/

Hospitals Streamline Management to Address Budget Gaps

Hospitals are increasingly cutting administrative and leadership positions. This trend aims to reduce overhead and address financial challenges. Clinical staff remain scarce and costly, making nonclinical roles targets. Care New England, Washington Regional Medical System, and Intermountain Health recently announced such reductions. These restructurings seek efficiency but may strain remaining staff.

Providence, Rhode Island

https://www.healthleadersmedia.com/ceo/why-hospitals-are-targeting-leadership-administrative-jobs-latest-layoffs

Will there be another layoff on the ambetter side of things? I work in the care management department and seen a couple people get laid off in the beginning of May , but I still feel uneasy in this LOB.

I am about to get laid off as IFP. I want to just continue career at Cigna as I am familiar. But where else to apply to? All other healthcare companies like Blue Cross and others?

UnityPoint spent over $2 million on consultants. This spending aimed to prevent healthcare workers from unionizing. The expenditure occurred in 2025 alone. Despite these efforts, the union won its election. UnityPoint continues to challenge the election results.

https://iowastartingline.com/news/labor/video/iowa-hospital-spent-millions-on-anti-union-consultants-instead-of-its-workers/

Just thinking about this on Memorial Day...
HCA Healthcare spent years telling everyone how much they "support our veterans." They joined big programs like Hiring Our Heroes, bragged about hiring tens of thousands of veterans and military spouses, got all the awards, and used it for great PR. "We know the positive difference veterans make" — their words, not mine.
A lot of us took those jobs. We brought the same discipline and work ethic we learned in the service into their hospitals and offices. For a while, it felt like they actually valued that.
Now this Memorial Day, while we're remembering the people who didn't make it home, HCA is busy building a huge new center in Hyderabad, India. They're pouring in $75 million and planning to hire thousands of people there for IT, finance, accounting, HR — all the back-office work that used to be done here.
At the same time, American employees — including some of those same veterans — are getting laid off and forced to train their replacements. The company calls it a "small portion" of the workforce, but it doesn't feel small to the families losing their income right here in the U.S.
It feels like a slap in the face. They were happy to wave the flag and hire heroes when it looked good. Now that they see cheaper labor overseas, those same people are apparently disposable.
I’m not saying every job should be protected forever, but this one stings. Especially today. Their Facebook post feels insincere.
If you’re a veteran who worked at HCA, or you know someone who got caught up in these cuts, you’re not alone in feeling betrayed by this.
Just doesn’t sit right.

PacificSource Health Plans will exit the Affordable Care Act marketplaces. The company will not participate in the health insurance exchanges next year. It is also withdrawing from Montana operations. PacificSource is a nonprofit health insurer. Approximately 30,000 members are currently on its exchange plans.

Montana

http://www.modernhealthcare.com/insurance/mh-pacificsource-aca-exchanges-montana/

Seems like there are big layoffs for tech, rx, all of the non-Optum health areas. Does anyone know if health or care will be impacted this week?

Any Cisco retirees using Cisco RMAP health insurance plan? Can you share the premium you are paying and how you like/dislike it?

How much are they making hourly?

Billings Montana laid off several nurses, medical assistants and a few providers. They stated they were restructuring and removing some positions.

https://www.insurancebusinessmag.com/us/news/mergers-acquisitions/cvs-offloads-omnicare-pharmacy-unit-in-250m-bankruptcy-sale-575756.aspx

St. Christopher's Hospital has enacted layoffs. These staff reductions are occurring now. The hospital faces looming Medicaid spending cuts. Other regional health systems also anticipate these reductions. These cuts are expected to be large-scale.

Philadelphia, PA

https://www.bizjournals.com/philadelphia/news/2026/05/19/st-christophers-hospital-children-layoffs.html

Community Healthlink is increasing its planned layoffs. Up to 84 employees will be affected by these job cuts. These layoffs will occur in Worcester, Webster, and Leominster. The job cuts are scheduled between June 30 and July 6. This comes as the UMass Memorial affiliate transitions programs and prepares to close.

Worcester, Massachusetts

https://wbjournal.com/article/community-healthlink-layoffs-rise-as-transition-negotiations-progress/

ACA (Obamacare) is most expensive. The Citi retirement plan is second and ironically COBRA is cheapest (at $2,100 per month for my wife and I).

I will turn 65 during the 18 month COBRA period. So, I thinking that is the best option (COBRA then Medicare for me). Then ACA for my wife until she turns 65 in 3 years.

I'm just wondering what others have done or what your thoughts are. Thanks

• 16 weeks base salary
• 2 weeks per year worked
• 18 months of healthcare

I haven't heard anything on how they are handling RSUs. I know Cisco accelerated RSU vesting through August. Oracle seems to be the new low in employee severance.