Thread regarding Humana Inc. layoffs

UM metrics

Curious on everyone's thoughts on the new metric requirements for UM. Just not sure how to break that new barrier.


by
| 1562 views | | 7 replies (last March 6) | Reply
Post ID: @OP+1keqwy0vz

7 replies (most recent on top)

Is anyone else struggling to meet metrics because there are no cases? My team is constantly begging each other for cases to review and asking for more. Why did they hire 500 nurses and decide to implement metrics without knowing what the volume would end up looking like day to day?

by
| | Reply
Post ID: @7vq+1keqwy0vz

@bw ok so glad it’s not just me. Leader did 1 on 1 and acted like my 13 I completed over 12 hours was nothing. Asking questions like how long have you been in um like I was the issue and not way too high of new metrics. I asked how did they come up with that number? I said well I guess no lunch and she said oh no must take breaks. Ummmm how? I am working through breaks and I’m going to have to majorly scale back on quality of reviews. I don’t see any other way. She had me thinking well maybe I am just a problem and everyone else meets those numbers no problem. They also send you a bunch of other stuff to complete that doesn’t even count towards metrics.

by
| | Reply
Post ID: @4bs+1keqwy0vz

@c3 people who work every weekend

by
| | Reply
Post ID: @d2+1keqwy0vz

So who is doing 10 and 12 hours if we have to 8-5 m-f starting in Feb

by
| | Reply
Post ID: @c3+1keqwy0vz

10 hour shifts must have 16 reviews with 10 determinations and 12 hour shifts must have 18 reviews with 12 determinations.
The determinations are not the challenge. But that number of reviews hits hard.

by
| | Reply
Post ID: @bw+1keqwy0vz

12 clinical reviews with 8 of them to be completed with decision

by
| | Reply
Post ID: @aj+1keqwy0vz

@OP what are the metrics?

by
| | Reply
Post ID: @ab+1keqwy0vz

Post a reply

: