Thread regarding Optum layoffs

Anyone else inspired by Tilak?

Clearly CVS made the right choice if the anecdote is to be believed.

I personally LOVED the digs about not doing AI for flashy headlines and to focus on the basics.

Also kind of interesting with all of the "the whole system is broken and should be remade" [in brackets is how we eliminate the broken Payer/reimbursement system rather than just put AI bandaids on it]

Who else is putting in an application at CVS today??


by
| 3114 views | | 18 replies (last December 11) | Reply
Post ID: @OP+1k7hpym0s

18 replies (most recent on top)

@8es I have a second interview at CVS next week! There IS hope out there!

by
| | Reply
Post ID: @8f8+1k7hpym0s

After yesterday's sh!tshow from the blowhard a$$clown, I wanted to remember a previous production that featured a real corporate leader that engenders respect.

Can anyone drop a link to the recording, and perhaps forward with the one from the biker gang guy to our top shareholders?

by
| | Reply
Post ID: @8es+1k7hpym0s

CVS has been also laying off people . Mostly in IT but there are positions as well. I know bec I have friends who work there and one of them got laid off a few months ago.

by
| | Reply
Post ID: @1qj+1k7hpym0s

@OP I like him and his honesty. What I don’t understand is his statement about “healthcare can’t be fixed unless you rebuild it to be AI first”.

I don’t see how adding LLMs to everything is going to somehow make the health system better. Many of the problems at Optum are generally cr-ppy old claims systems that are unreliable or black boxes. Why do we have 100s of teams making small bandaid projects to make up for the deficiency of our claims systems. Some of our mainframes are 40 years old. With literally 150000 columns. That complexity is insane. Slapping AI in the mix won’t solve that. We need to rethink our touch points entirely. How do groups get created? How do claims get submitted? How do we make those better. If the answer to those questions is a huge diagram filled with 5-20 different software systems touching them there is a massive problem.

by
| | Reply
Post ID: @jk+1k7hpym0s

I really had no impression of Sandeep until today but I agree with this thread; I found Tilak to be a wise leader that I could have listened to for another hour while Sandeep struck me as a bad talk show host or amateur. It’s that whole outsourcing background coming thru-those places are fundamentally bs factories. Lying to get business, lying to get visas to bring a bunch of dudes over,lying to lay blame on clients when projects fail. It’s just not the right background for true leadership.

by
| | Reply
Post ID: @cx+1k7hpym0s

@by Can you believe that Tilak has lost his daughter to s-xual as--ult and mu---r. Sometimes behind those happy face is a strong determined parent. Google his TED talk. Respect !!

by
| | Reply
Post ID: @c3+1k7hpym0s

@b0 He took Optum to kindergarten class. Sad we will never get a giant like this. Humility with so much depth. Chase your own dream and everyone has lost their race to death, great philosophy. Experience of MGM, Disney, AMEX, Enron was speaking for itself. Fun fact SH and Dave W both are ex-Anderson of Enron fame.

by
| | Reply
Post ID: @by+1k7hpym0s

Tilak absolutely nailed a few key topics on Healthcare and AI. Incredibly talented — he speaks from real experience with AMEX and Disney. UHG HR, if you’re seeing this, hire people like him — not the “100X” gimmicks.

by
| | Reply
Post ID: @b0+1k7hpym0s

Can UHG directly deposit into my Crypto Account?

by
| | Reply
Post ID: @aw+1k7hpym0s

@af Formative experience and cultural development at Infosys+Wipro vs Amex+Disney. The difference couldn't be more stark. A $25k weekend of Second City Executive Training is lipstick on a pig when it comes to real results.

by
| | Reply
Post ID: @ak+1k7hpym0s

@ab There was one leader on that stage. He works for CVS. SD looked like a complete buffoon by comparison. Bad look.

by
| | Reply
Post ID: @af+1k7hpym0s

@ab 100x was pure marketing bs. Nothing tangible was ever done. Clear why CVS passed on Sandeep for someone who actually does something.

by
| | Reply
Post ID: @ae+1k7hpym0s

Paul was a nervous nellie. God bless us.

by
| | Reply
Post ID: @ac+1k7hpym0s

He was refreshing and may I say, someway Sandeep was very humble today. Liked the town hall. I can’t believe I am saying this.

by
| | Reply
Post ID: @ab+1k7hpym0s

The problem remains: removing inefficiencies from a system that is under scrutiny. Without MA writing blank checks, these pharmacies lose their bread and butter.

CVS is smart but it’s simply weathering the agonizing decline in healthcare better, theoretically.

Why not move your career to a field with actual growth?

by
| | Reply
Post ID: @aa+1k7hpym0s

@a1 getting out of the Payer side (and eventually for-profit Provider) is right given inevitable trends. If Optum focused on technology and services and could be fully split from UHC, it could be a massive force for good, be sustainable, and show how healthcare can be fixed any not 100% govt run.

No way we'll nationalize healthcare but AI alone is not the solution, it takes policy and operational changes as Tilak illustrated including regulation.

by
| | Reply
Post ID: @a5+1k7hpym0s

@a1 Using AI & robotics to free up pharmacists coupled with policy changes to allow them to replace standard non-emergent urgent/primary care is a game changer. Takes out cost, it helps the consumer, it reduces inefficiency in the system.

We're twittling thumbs adding AI to deny claims faster and make the old mechanics of a hundred steps happen faster all while upcoding to get medicare to pay more. That's the #1 focus. Everything is to get more data points into an EHR to bill for more. Agents, ambient, digitization - all of it is to increase severity to bill more.

THAT's the difference I heard. CVS can focus on providing care and helping people. No more do you have to bill insurance $250 for a visit then a $80 "contracted reimbursement" while the patient pays $50 (or 63% of their care) because $50 is 80% of the FFS bill.

It's all a godda-n gimmick and if you read between the lines Tilak is actively working to fix it while Candyman is making jokes and chasing headlines.

by
| | Reply
Post ID: @a4+1k7hpym0s

They are going to face the same downstream pressures as these MA plans gets the whip. Seniors spending less on RX and less in their stores with their health benefit dollars.

I think leaving the health sector entirely is my play. This is not a growth area. AI is buzzword for cutting costs (meaning they have no real plans for growth but need something to keep investors interested).

by
| | Reply
Post ID: @a1+1k7hpym0s

Post a reply

: