#healthcare

• Trinity Health is cutting jobs within its revenue cycle department. The Livonia-based system will eliminate 10.5% of these positions. This move involves outsourcing many non-patient-facing roles to an external partner. The exact number of affected employees in Washtenaw County is not disclosed. The company cited low reimbursement rates and rising costs as reasons for the changes.

https://www.mlive.com/news/ann-arbor/2026/01/some-health-care-staff-laid-off-in-washtenaw-county-as-trinity-health-outsources.html

Ann Arbor, MI

Alameda Health System Faces Layoff Opposition

Alameda Health System intends to cut 300 healthcare jobs. The reductions will occur by March 2026. External consultants made these decisions without clinical input. Medical staff and community members reject the planned layoffs. A public session with Supervisors is scheduled for January 26.

https://www.indybay.org/newsitems/2026/01/23/18883347.php

Tough times peeps, it's depressin

Trinity Health Outsourcing Leads to Revenue Cycle Layoffs

Trinity Health is cutting 10.5% of its revenue cycle department jobs. These non-patient-facing roles are being outsourced to an external partner. The exact number of affected employees is currently unknown. The hospital system cited industry challenges and cost reduction as reasons. These challenges include low reimbursement rates and rising care costs.

https://www.mlive.com/news/ann-arbor/2026/01/some-health-care-staff-laid-off-in-washtenaw-county-as-trinity-health-outsources.html?outputType=amp

https://fb.watch/EPm6kmUn3N/?

Hold them all accountable.

Former marketer at Elevance Health, now aiming to transition into UnitedHealth Group. Eight-plus years in healthcare marketing, with parallel consulting work for Medicare organizations.

A pattern keeps surfacing: a meaningful share of U.S. healthcare marketing roles are being placed in India. This is difficult to reconcile with the reality of the work. These are American companies serving American patients, operating under U.S. regulations, and handling highly sensitive U.S. health data. Yet core marketing execution and channel leadership are increasingly offshore.

Elevance followed the same trajectory.

This is not framed as xenophobia or talent denial. It is a structural contradiction. Healthcare marketing is inseparable from CMS rules, state-specific nuances, cultural context, compliance risk, and real-time coordination with U.S.-based legal, product, and clinical teams. Offshoring these functions optimizes cost while quietly increasing operational and regulatory fragility.

Job reference illustrating the pattern:
Associate Director – Channel Lead – Digital/Social
Requisition: 2339060
Location: Gurgaon, Haryana, India

This reflects a broader corporate strategy shift, not an isolated posting. Whether it is cost arbitrage, shareholder optics, or internal margin engineering, the outcome is the same: American healthcare expertise displaced from American healthcare execution.

Any confirmation of layoffs within Home and Community Care (NaviHealth)

Blue Cross of Idaho has implemented organizational changes aimed at improving efficiency and reducing costs for its customers.

The company, which has been committed to Idaho for over 80 years, stated that these changes will help it focus on serving nearly 600,000 members and continue transforming the healthcare experience in the communities it serves.

Blue Cross confirms that fewer than 90 employees were affected by the changes.

The Blue Cross previously announced layoffs effecting approximately 135 employees during April of 2025, following the early termination of a decade-long dual eligible contract with the Idaho Department of Health and Welfare (IDHW) in June 2025.

The company said it has built a dedicated team over the past ten years to serve the dual population, providing personalized care coordination for Idahoans with complex and costly medical needs. The loss of the contract led to the closure of that exclusive operating unit.

https://idahonews.com/news/local/blue-cross-of-idaho-announces-organizational-changes-to-enhance-efficiency

Was just told by someone in that department that on Friday 1/23 they are laying off 17% of the team.

Heads up...Just saw this job rec and it actually says in job description "Lead the globalization of our healthcare revenue cycle (RCM) business. The person in this role will be essential in hitting our goal of globalizing 1900 employees within 2026 and expedite our remaining global workforce goals for 2027."

Heads up...Just saw this job rec and it actually says in job description "Lead the globalization of our healthcare revenue cycle (RCM) business. The person in this role will be essential in hitting our goal of globalizing 1900 employees within 2026 and expedite our remaining global workforce goals for 2027."

A North Country health care system is preparing to lay off more than 100 employees.

North Star Health Alliance made the announcement Monday afternoon.

The layoffs include management, clinical, and non-clinical employees.

https://www.wwnytv.com/2026/01/19/north-star-lay-off-100-employees/

Hoskinson was hit with another wave of layoffs toward the end of last week. According to a report from WyoFile on Friday, the Hoskinson Health and Wellness Clinic plans to eliminate roughly 40 positions. The layoffs follow a separate round of job cuts just weeks earlier, when more than 120 workers were let go from Hoskinson Contracting.

https://newslj.com/gillette-clinic-expanded-too-quickly-co-owner-says-after-dozens-laid-clinic

Blue Cross Blue Shield of Arizona has had layoffs as of early January 2026 and cut benefits to current employees.

Maybe those of us with working Edison machines can get an adapter kit for our machines.
That would give us the added ability to do Alzheimer's diagnosis, in addition to the standard suite of tests we can do now.

https://www.bbc.com/news/articles/cq5y85e8d2xo

Which large contract did Optum/UHG lose in Texas to make so many Housecalls NPs lose our jobs?

Society Domino: What Happens When Essential Workers Quit: What would likely fail, in rough order, if all essential workers across sectors collectively stopped working:

Essential work is the actual backbone of society. Remove it, and the system can’t run on emails, spreadsheets, or meetings alone. Saying "stakeholder" or "circle-back" all day, believing you are important in the big picture, is delusion.

Domino Chain of Societal Failure

1. Immediate life-threatening services fail (hours–days)
   Healthcare: hospitals, clinics, emergency response collapse
   → No nurses, paramedics, lab techs, or doctors → patients can’t get care → preventable deaths rise quickly
   Safety & emergency services: police, firefighters, ambulance crews stop
   → Fires spread, crime response slows → public safety crisis
   Critical utilities monitoring: electricity, water treatment operators stop
   → Immediate risk of blackouts, contaminated water

2. Food and basic supply disruption (1–3 days)
   Grocery staff & supply chain: stock shelves, warehouse workers, truckers halt
   → Stores empty → people start hoarding → food insecurity rises
   Farmers & food production: crops and livestock aren’t tended
   → Harvests lost → supply drops further → prices spike

3. Infrastructure & logistics breakdown (2–7 days)
   Public transit operators: buses, trains, subways halt
   → Commuters stranded → office/industry work slows
   Electricians, water repair crews: no one to fix emergent failures
   → Small problems cascade → blackouts, broken water systems
   Garbage & waste management: trash piles up → sanitation crisis

4. Education & childcare collapse (3–7 days)
   Teachers, aides, childcare workers stop: schools close
   → Parents can’t work → ripple effect on every sector
   → Child safety and nutrition affected

5. Office/administrative : IRRELEVANT
   Corporate reporting, spreadsheets, “coordinating” roles.
   mostly continues — office worker absence doesn’t trigger collapse

6. Government & emergency response overwhelmed (1–3 weeks)
   Unable to coordinate hospitals, utilities, supply chains effectively
   Emergency backups strained → ad hoc crisis management
   Potential for martial law or forced labor orders in extreme cases

7. Long-term restructuring & reckoning (weeks–months)

• Pay scales, staffing priorities, and labor value finally realign to reflect actual societal dependence*.
  Essential workers gain leverage; nonessential roles are reassessed
  Infrastructure is rebuilt, but societal fragility is now painfully obvious

Major layoffs at Alameda Health System have caused disarray. The system cut 247 employees, roughly four percent of its staff. These cuts are attributed to federal Medicaid funding reductions. Staff report overflowing trash and delayed lab tests due to the changes. Many doctors and nurses urge the board to halt the reductions.

https://www.sfchronicle.com/health/article/alameda-health-system-hospital-layoff-21297646.php

Trump's new healthcare plan aims to give money directly to the consumer and not to the health insurance companies. I wonder how this is going to work.

On Wednesday, January 14, Noridian Healthcare Solutions announced staff reductions.Noridian is a Medicare administrative contractor that processes aspects of Medicare services, including including Medicare Part A and Part B medical claims and Durable Medical Equipment claims for Medicare Fee-For-Service beneficiaries in select states.

https://www.inforum.com/business/noridian

Trumps Healthcare Bill
Trump announced today a plan to reduce healthcare costs (great!). He seemed to take aim at taking money out of the hands of insurance companies. Do you think this will mean more layoff at UHG/Optum?

Trump announced today a plan to reduce healthcare costs (great!). He seemed to take aim at taking money out of the hands of insurance companies. Do you think this will mean more layoff at UHG/Optum?

My schedule is only full over the next 2 weeks. After that, it starts to be 1/2 full at most. How is everyone else’s? I’m guessing I’m on of the ones being laid off? Texas FNP.

It seems like there are some disagreements about my previous post on capitalism. Let me explain more, and you don’t have to agree with it — that’s totally fine.

1. In the last post, some of you said there are many welfare abusers in this country. I do agree there are abusers, but that’s only a small percentage of people. If you work at BNY, you are probably not eligible for any type of benefits.

2. The government pays for the benefits, but where do the benefits go? Most of them go to the healthcare industry and food stamps. As we all know, healthcare is notoriously expensive in the US because the priority goal for hospitals is to chase maximum profits. Isn’t this capitalism at its peak?

3. By now, most people would think, “Oh, so you just want communism.” The answer is no. The opposite of capitalism is not communism. We need to fix our current system so that most profits won’t go to the top 1 percent. The benefits that the government spends on people are bananas compared to the taxes that the top 1 percent have avoided.

4. Capitalism chases monopoly. In this country, our food, water, electricity, banks, and healthcare industries are dominated by very few companies. If you really like competition, then how is this a fair game?

5. For most companies, there is only one goal for CEOs — the stock price. When companies make money, most of it goes to executives and stock buybacks. Just use our company as an example: our main business hasn’t grown for years, but the stock price is going up. Why? That’s because the executives cut back our benefits and outsourced. They used the money being saved to buy back stock.

6. We have the most Fortune 500 companies, and yet they only pay 9 percent of all government income taxes. Let that sink in for a moment. Where did all the money go?

7. Let’s take insulin as an example. The price of insulin is 8 to 10 times higher than in other countries, yet the cost to make insulin is extremely low. The same logic can pretty much apply to other industries as well.

Overall, if this is really capitalism, then it’s not functioning very well — at least for 90 percent of Americans.

The U.S. feels like it’s entering the late stage of capitalism.

The cost of living—housing, healthcare, and insurance—has gone through the roof. The government takes50% of your income before you even see your paycheck.

Wages can’t keep up with inflation, which has been over 5% for years. People are getting poorer even while working full-time.

The job market is broken. Entry-level jobs are being outsourced to India, while workers over 50 face constant age discrimination.

The corporate ladder is basically dead.

Corporate culture- What is that? Everyone is toxic af

What’s the point of all this? We are fu---d

Let the games begin!
https://www.politico.com/live-updates/2026/01/08/congress/insurer-ceos-testifying-before-house-health-subcommittee-jan-22-00716104

You don’t use to forfeit this money. I believe you can still use the FSA while on COBRA

https://news.sky.com/story/tpg-closes-in-on-1bn-plus-deal-for-gp-patient-records-system-supplier-13491127

TPG closes in on £1bn-plus deal for GP patient records system supplier
The buyout firm is close to buying Optum UK, which supplies the systems used by NHS doctors to manage patient records, from US giant UnitedHealth, Sky News learns.

Optum purchased a large home health group plenty of positions posted.

According to a letter I got today from Vz, my health coverage official end date was 12/31/25. Directed me to enroll in COBRA or sign up for marketplace insurance (Obamacare). Obviously this was a major sc--w up by corp but it will wreck any claims for care received after 1/1/26.

These clowns can’t even execute a RIF correctly.

https://njbiz.com/optum-layoffs-nj-medical-clinic-closures/

https://njbiz.com/optum-layoffs-nj-medical-clinic-closures/

https://x.com/gebaidc/status/2004931798279586072?s=46
But yet if u go to Good Rx and compare prices for meds : Optum prices are
Higher than everyone else’s.
That’s why that
Poor kid died because they jacked up his rescue inhaler up to over 500 dollars and they lost a lawsuit when they denied a ulcerative colitis member his dr-gs and he had to drop out of college cause his condition worsened till he couldn’t get out of bed. Story after story.

Patient Data Tracking: A class-action lawsuit claims Elevance used website trackers to intercept and share private patient health info with third parties without consent.

Medicare Advantage Fraud: A federal judge allowed a DOJ lawsuit to proceed, alleging the company submitted false data to boost Medicare Advantage reimbursements.

Behavioral Health Denials: A settlement was approved for a lawsuit accusing them (as Anthem) of improperly denying mental health/substance use treatment.

Provider Reimbursement: Subsidiaries faced numerous lawsuits for failing to pay healthcare providers for medically necessary services. Recent Allegations & Lawsuits

Why is the union negotiating for an extension? Why not get a new contract. They have to fix retiree Healthcare. Then the union should try to get everyone a pension or at very least a bump in the match in 401K plans.

UnitedHealth Group has released findings from multiple independent reviews of its business practices following a June pledge from CEO Stephen Hemsley to conduct a transparent and comprehensive examination of company processes.

The reviews, conducted by FTI Consulting and Analysis Group, examined Medicare Advantage risk adjustment operations, utilization management practices, and Optum Rx’s administration of manufacturer discounts. UnitedHealth has adopted 23 action plans in response, with 65% targeted for completion by year-end and full implementation by March 31, 2026.

Ten things to know:

1. Across all three areas, the auditors concluded that UnitedHealth maintains strong operational controls and documentation. However, a common theme emerged: policy organization, centralization and governance structures need improvement. The risk adjustment review found policies weren’t always codified or recently reviewed; the UM review found corrective actions that weren’t fully remediated; and the PBM review recommended consolidating and streamlining policy documentation.

2. In response to the findings, UnitedHealth said it will ensure all policies and procedures are reviewed and approved at least annually, maintain centralized policy repositories, and enhance enterprise-wide governance structures outlining roles and responsibilities for policy oversight, compliance monitoring and risk assessment activities.

3. FTI reviewed Optum’s risk adjustment diagnostic coding standards against ICD-10-CM guidelines and found the content consistent with official coding guidance. The HouseCalls in-home assessment program received strong scores, with “comprehensive and well-organized” policies and evidence that the majority had been reviewed within the past 12 months.

4. FTI recommended separating coding audit functions from operations. Currently, targeted coding audits directed by Optum compliance are performed by coding resources that report into coding operations rather than compliance. FTI recommended establishing dedicated coding audit resources within compliance itself. UnitedHealth’s action plan confirms it will “establish an independent coding audit team within the broader Optum compliance organization.”

5. UnitedHealthcare holds national NCQA utilization management accreditation with 100% scores. The insurer achieved the accreditation in 2023, which deems its Medicaid and commercial plans 100% compliant with NCQA utilization management standards. When benchmarked against Medicaid peers in external quality reviews, UnitedHealthcare met full compliance in all 12 states examined, scoring 100% on prior authorization and practice guideline standards.

6. Nine of 62 UM audits showed corrective actions that weren’t fully remediated. While 42% of the UM-related audits FTI reviewed had no negative findings, auditors flagged instances where corrective actions from previous audits remained unresolved. FTI found UnitedHealthcare lacks “an overarching control” to ensure full remediation of all audit findings and recommended formalizing a standardized tracking mechanism with dashboards and internal thresholds independent of regulator deadlines.

7. The UM review questioned how quality management is operationalized. FTI observed that while multiple teams have roles in quality improvement for utilization management, “there did not appear to be a documented, centralized process or cross-functional accountabilities” to oversee systemic improvement opportunities. The quality management team’s UM role focuses on maintaining NCQA accreditation rather than leading broader quality improvement activities, FTI found.

8. Analysis Group identified 25 distinct controls in Optum Rx’s manufacturer discount administration. The PBM review concluded that Optum Rx has “built a robust and well-structured governance framework” for collecting discounts from dr-g manufacturers and disbursing them to clients.

9. Optum Rx was advised to improve client reporting on why certain claims don’t generate rebates. While the PBM provides information on claims deemed ineligible for manufacturer discounts upon client request, Analysis Group recommended assessing opportunities to enhance this reporting proactively. The firm also suggested refining escalation processes for manufacturer disputes and non-payment, and evaluating automation opportunities for low-complexity, high-volume processes.

10. All three reviews had limitations. The auditors did not test the effectiveness of controls, did not perform legal analysis, and expressly disclaimed any opinion on legal compliance. FTI’s UM and risk adjustment reviews focused only on current-state policies, not historical practices. Analysis Group noted its PBM review “did not identify deficiencies” but rather “opportunities to further enhance Efficiency

Starting a job at Wells Jan 19th. Is the United plan decent? Coming from a place with Humana

Why can’t leadership, for once, stand behind their decisions? Anything that negatively impacts our well-being, prospects, compensation, or benefits is always delivered in a stealthy, cowardly fashion, preferably with multiple layers of separation between leadership and employees. How can anyone expect a bunch like that to responsibly and successfully lead a massive business, let alone one dealing with something as critical as healthcare? That requires courage, accountability, and real skill in dealing with both employees and clients. No wonder we are miserable and the entire enterprise is a sad affair.

More than 1,100 workers in Illinois are set to be affected by layoffs and furloughs announced by seven companies in November. The biggest cut comes from insurance marketplace GoHealth, which is eliminating nearly 500 jobs in Chicago. Other companies reporting sizable reductions include CVS Health, ca--abis firm PharmaCann, and packaging company Printpack. The layoffs span multiple industries, including healthcare, insurance, manufacturing, and wholesale.

https://www.pjstar.com/story/news/state/2025/12/17/2026-will-bring-layoffs-for-over-1100-illinois-employees/87732570007/

With 3+ years of layoffs, Voluntary Retirement packages, offshoring of headcount, and sale of Medicare business and headcount, how possible can Cigna cut deeper in 2026 while continuing to invest in healthcare transformation, care delivery quality, and technology? Math does not add up.