So I know we all come from different health plans under Centene, has anyone been told anything regarding individual health plans that may be affected this week? Obviously we all know something is brewing in the background. I am just looking for some credible information. I keep seeing 7/31, but who really knows the date or teams that will be impacted?
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The company is rarely going to give any indication on layoffs because they don't want productivity affected. Having said that, if you're in a state that opted into Medicaid expansion post COVID, those states will be heavily impacted as those expansion programs have the bulk of the financial dollars beinf pulled. How that looks remains to be seen.
I have been in claims for the last 8 years (and this is just speculation on my part based on what I am seeing & have experienced), is that claims stateside are going to get walloped by the layoffs. We are constantly asking for work (and I am in adjustments) because they are sending it all offshore. This has been happening since late 2020, intending to automate most if not all claims operations and outsource adjustments to the global team ( even though we are constantly fixing their mistakes because Centene will not spare a penny to get them the correct training (which is below subpar even stateside) or the tools they need to do the work correctly. Whoever is handling these projects - I don't know what they are doing - recouping monies we should never have taken back, denying claims that should never have been denied - not to mention the extraordinary amount of mistakes by the system (or the BOT as they like to call it) itself. But hey, when you take the cheapest route, this is what you get, I guess.
Claims in general has been having more and more inventory at all levels sent over to NTT, so that's been looming for a long time, it's just recently that they've been really pushing to have NTT have a more hands on role than they did previously.
Just in the past two months, I've seen more and more folks from NTT brought into meetings and project planning than I have in the past 2 years. The writing has been on the wall for a while now.
Wellcare Medicare appeals team was told end of year layoffs due to outsourcing to NTT India
Oklahoma has been bleeding money from unchecked behavioral health utilization, and just really poor financial mismanagement overall. And at open enrollment in June lost quite a few members to the two other MCOs, Aetna and Humana.