#medical

wow .. this is pretty insane!

https://www.spglobal.com/ratings/en/regulatory/article/-/view/type/HTML/id/3571666

Just got the notice Cigna will not cover Zepbound for its employees for weightloss effective 7-1. Feels like the ultimate bait and switch: “join our program, use Omada, we cover your medication cost for this lifetime
Med!!” 2 years and 100lbs later “just kidding- you can pay $500 per month cash pay, it’s accessible now!”. Between layoffs, benefit downgrades, verint, stagnant wages I feel like I’m actually losing money working for this company not making money lol. Anyone else feel like they are paying for the “luxury” of working here? Maybe they’re just hoping we regain the weight and unalive so they can save money without additional layoffs

Can anyone claim anxiety and not be required to come in? Just found out that two people in my area were approved to be HBA because of anxiety.

Does anyone have experience with dealing with MetLife for renewal of medical remore accommodations? It's interesting WF switched to MetLife and wonder if it is due to large payouts awarded to those who sued for being denied.

Everyone check out their newest lawsuit.

Medical Solutions 401(k) Fund Swap Drives Proposed Class Action

Couldn’t get the link to post

Is it possible some layoffs happen tomorrow instead of 05/28?
Just got a last minute invite for tomorrow morning.

There was a colleague in a different department that I worked with and anytime I look them up on teams they are still there, last seen approximately 2 months ago. I have a feeling they were let go, but wouldn't they be gone from teams by now? Maybe they are on a medical leave, which is why I don't want to ask them. Thank you

Medical device company Medtronic is reorganizing its cardiovascular division. Multiple heart and blood circulation businesses are being combined. This move targets high-growth areas and strategic investments. Medtronic's stock price has fallen significantly since late November. Employees have reported job cuts, but the company did not confirm layoffs.

Fridley, Minnesota

https://www.startribune.com/medtronic-restructuring/601838496

Excerpt from this site (well worth a read). https://healthcareuncovered.substack.com/p/flash-drives-and-funny-numbers-what

“buried inside the same earnings release was a $935 million charge — the company’s “best estimate” of what it may owe the federal government for years of improper Medicare Advantage billing.”
Based on “February 27 notice from the Centers for Medicare & Medicaid Services:
Medicare Advantage insurers are paid by the government based on the health status of their members. Sicker patients generate higher “risk scores,” which generate higher payments. Insurers are required to submit accurate diagnosis data to CMS through its electronic systems — and if they discover that a diagnosis code isn’t supported by medical records, they’re required to correct it and return any overpayment within 60 days.
Elevance didn’t do that. According to CMS, from November 2018 through October 2025, the company submitted data corrections for unsupported diagnosis codes not through the required electronic systems but via encrypted external USB flash drives — a method CMS had explicitly rejected. During that same period, the company sent CMS seven letters stating it did not intend to use the required systems. CMS sent six letters directing it to comply.
The agency’s language was unambiguous: Elevance’s conduct represents “substantial and persistent noncompliance” that “has persisted for over seven years despite repeated clear directives from CMS.”
The result, as CMS sees it: Elevance collected government overpayments it never returned, and repeatedly certified the accuracy of its data submissions while knowing that unverified diagnosis codes had not been corrected through the required channels.”
“That is not a paperwork problem. That is a description of a company that — for seven years, across multiple administrations — chose to do things its own way with Medicare’s money.”

https://www.statnews.com/2026/04/30/elevance-health-fraud-doj-says-access-blocked-key-witness/

gotta love as always shoot first ask later oooops who will help patients now that we cut lcsws and RNs to hire random strategy people....get some popcorn but spoiler alert: patients suffer.

Was there any extended medical coverage included?

My last severance paycheck will be May 8. Anyone know if insurance stops the day after or does it stop May 31? I have heard if you work at least one day in a month then leave, your insurance is covered until end of month. Wondering if same applies for severance ending.

Anyone know if the medical last till 4/30/26 or does it end on 4/10/26? When does Oracle pick up the 1 month of COBRA, May 1st?

The posts are generally whining and moaning.
I thought I would provide info so folks can plan better.
Topic of this week is around NRE and pension.
You don’t lose your pension. You lose benefits, especially medical. You get your pension, you get vested after 5 years. So you will get your pension. However discounting is different between retiree and terminee. Suggest you run Alight calculator between age 55 and 54.5 and you will know the difference.

Central Alabama Water laid off 135 employees on March 13th. These former workers claim they have not received their promised severance pay. Their representative, Eric Hall, states the lack of pay affects survival and medical care. Some former employees are battling serious illnesses like cancer. Central Alabama Water is coordinating with the Alabama Department of Revenue regarding tax exemption for eligible severance.

Birmingham, Alabama

https://www.wvtm13.com/article/central-alabama-water-workers-missing-severance/70978843

I had been extremely worried about the five day return to office due to my medical conditions. My manager told me I had to go through ERIC, so a couple weeks ago I reached out to them. I was sent a form that I had to have my doctor complete. Once the completed form was received, I was contacted to have a meeting with an human resources representative. After that conversation, they schedule a meeting with your manager to discuss a modified schedule.

I must tell you that this process has been very easy so far. The reason I am posting this is because if you have a medical condition supported by your doctor and you need to limit your days in the office, it’s very much worth your time to contact ERIC and put in the request. If you’re someone that just wants to work from home because you don’t want to come in, that is not going to be a valid reason based on the form that your doctor has to complete.

I have been worried sick about this whole situation and I was really put at ease during this process. I just wanted to put this positive information out for others who are employees that may be concerned. I hope this information helps someone.

Need some advice I’m
Planning on going on short term disability due to treatment needed I know my role is safe up to 12 weeks for FMLA how about if my short term is extended to another 12 weeks , I understand I may not be paid but whatever about the benefits like my medical dental etc do I get it keep those and pay my current share of cost per usual

Any info on the retirement medical was anything done

I was the author of the maybe layoffs thread last year where everyone mentioned that I was trolling. https://www.thelayoff.com/t/1jmakfz6x

I was impacted, but in good spirits now since it took me a couple of months to find another role. I am giving my perspective and guidance to those who maybe affected next month.

If something feels off start applying immediately to other jobs, that is what help me achieve a faster turnaround in this job market. Those who got poor performance reviews out of nowhere with little to no warning helped me understand that except for family, no one is to be trusted.

When you are in the call with HR remain calm say that you will look over the severance package and leave. You'll have a few days to sign it with a clear head. Always have your keys, wallet, phone, and other with you at all time.

If applicable look at your state unemployment laws for additional income, but do watch how much taxes are withheld.

If you get a job offer, take it then keep applying for other roles or better yet apply internally once in so you get a job that matches your skill set. I REPEAT TAKE IT!

Get your medical checkups now! FSA used it.

You will get a message from old teammates about your status, but this is not a checkup. It is a check to see where you end up and some will be jealous to hear where you end up.

Trust your gut.

Lookout UnitedHealth and CVS: https://www.warren.senate.gov/imo/media/doc/break_up_big_medicine_act_one-pager.pdf

The legislation will:
• Prohibit a parent company from owning a medical provider or management services organization and a PBM or insurer
• Prohibit a parent company of a prescription dr-g or medical device wholesaler from owning a medical provider or MSO
• Require companies in violation to come into compliance within one year of enactment
• Create automatic penalties for failure to comply, including disgorgement of profits and forced asset sales
• Enable the FTC, HHS, DOJ, state attorneys general, and private parties to bring lawsuits against violators
• Allow the FTC and DOJ to review and block future transactions that recreate these conflicts of interest

A manufacturing facility in McDowell County recently laid off employees. Approximately 90 workers were affected by the job cuts. Baxter North Cove operates this facility. These layoffs represent 3% of the company's workforce. The company produces medical products like intravenous solutions.

https://www.citizen-times.com/story/news/2026/02/10/mcdowell-county-nc-company-baxter-north-cove-lays-off-90-employees/88591480007/

Relocate to Hawaii, all of your medical expenses are covered there, 0 premiums in most cases. You're welcome.

A longtime Petaluma maker of tools for manufacturing electronics and devices for medical and dental treatments plans to cut 30 jobs this spring as its Swiss parent company restructures globally.

https://www.pressdemocrat.com/2026/02/06/petaluma-small-precision-tools-manufacturing-layoffs/

What they don’t tell the providers who use their products - is they escalate as much as they can for medical review due to their escalation list and even if it meets IQ criteria - well we know what happens than. InterQual Auth Accelerator pairs Optum’s InterQual clinical criteria with AI to digitize payer rules, extract relevant clinical information from provider records and bring it to human reviewers. Most payers using the accelerator are starting with an augmented workflow, where AI organizes and presents information but a human reviewer still makes the determination, rather than fully automated approvals.

“We do not and will not automate denials,” Dr. Kontor said. “This is only accelerating reviews and automating approvals.”

How do I get a medical retirement from this place

I'm curious.

I requested temporary medical accommodation and received layoff notice in few days. Also no one responded to my medical accommodation Request, not even an acknowledgement. Is this driven by this?

I've been in the accommodation process for some time (going on 2 months now) to get some workplace flexibility and I feel like HR is just dragging this on to try and make me give up on the whole process. Not only have I had my primary care professional provide a letter with their medical recommendation but they have also completed Truist's assessment form (redundant questions at that) - all saying the exact same thing justifying a medical accomodation. Now I'm hit with a "we need some more information in order to process this request."

Is this normal for those who have gone through this? This seems like such an unnecessary, painfully drawn out process for something fairly straightforward.

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.

Can this be true or is this a worrisome rumor?

LeeMAH Electronics will close its Richardson facility, cutting 84 jobs tied to aerospace, medical, and tech industries

Has anyone been able to not RTO due to a medical condition?

The Wayne-based medical technology company has agreed to sell its original equipment manufacturer (OEM) business to a partnership between private equity firms Montagu of London and Kohlberg of New York for $1.5 billion. In a separate transaction, Teleflex (NYSE: TFX) will sell its acute care and interventional urology businesses to United Kingdom-based Intersurgical Ltd. for $530 million.

https://www.bizjournals.com/philadelphia/news/2025/12/10/teleflex-2b-sale-intersurgical-kohlberg-montagu.html

How likely is that we'll see major layoffs of clinical nurses and medical assistants in 2026?
I see rumors but it's hard to figure out.

Does anyone understand the weeks of medical benefit line? Does that mean we keep our insurance for that many weeks? Or is that strictly cobra coverage? They don’t explain anything.

Sorry if this was already asked and answered, but posts are coming in too fast and I can't keep up. Are people getting any extended medical coverage as part of the severance package?

https://www.bbc.com/news/articles/cqjwg197855o

I've recently noticed several people who were Auditors/Education are now back to working as regular medical coders. Seems like a demotion to me, what happened?