Thread regarding Optum layoffs

HouseCalls Business Update

Anyone else received business update meeting invite for this Thursday? Able to elaborate?


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| 7239 views | | 68 replies (last January 14) | Reply
Post ID: @OP+1kea7nhc5

68 replies (most recent on top)

@1ap Texas. Booked 2 weeks then mildly scheduled.

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Post ID: @1be+1kea7nhc5

also, no news of any incentive visits. usually beginning of the year hits the ground running and we get an incentive offer by now. and no HouseCalls positions listed on job search.

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Post ID: @1b6+1kea7nhc5

@1an seniority probably doesn’t matter if your salary is higher than others.

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Post ID: @1az+1kea7nhc5

@1an same in AZ

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Post ID: @1ar+1kea7nhc5

@1an what state are you in? I have the same in PA.

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Post ID: @1ap+1kea7nhc5

@18w I am a NP. My schedule is full the next 2 weeks. After that, it is half full at best going into Feb. How are other NPs? Been with UHG for 14 years and already assuming seniority doesn’t matter and I’m being cut….

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Post ID: @1an+1kea7nhc5

so hard to focus on work with this looming

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Post ID: @1ac+1kea7nhc5

another thread here says RIF notification 01/22 or 01/23…then there’s an all optum meeting the week after. Think any of us housecalls folks will be let go next week?

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Post ID: @18w+1kea7nhc5

@16h I’m not surprised there is a policy but my point was that not all managers follow policy.

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Post ID: @16w+1kea7nhc5

@14v

It was actually part of policy a few years ago and I saw the actual policy on the HR page then. I have not checked recently.

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Post ID: @16h+1kea7nhc5

For some NPs working for HouseCalls the reduced member volume in their service area or Medicare exits has resulted in them being doing hybrid work with a combination of telehealth (throughout their licensed state) and in home visits (in assigned county/counties). This, however, is not an option for all Housecalls NPs (its according to business need in specific state). With the forecasted member loss overall for 2026 its unclear how long the early assigned hybrid NPs will be have enough members to see for the rest of the year...

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Post ID: @163+1kea7nhc5

@13s being able to use PTO after giving notice is at the manager’s discretion

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Post ID: @14v+1kea7nhc5

@11v

I get that! It su-ks all around. Just be SURE and burn ALL of your PTO before you give notice. I have friends who gave notice and then tried to use WEEKS of PTO and were denied. It's definitely in the fine print of their policy. So burn the PTO and then give notice.

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Post ID: @13s+1kea7nhc5

@11x Completely agree. Just let me know already.

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Post ID: @11z+1kea7nhc5

@11v this is the optum way. This is how they treated us in HBMC. They will tell you some information and then leave you hanging wondering when the ax will fall. Been feeling this way for about 1.5 years. Just keep doing your job while, looking for another job. At least you won’t be blindsided like some have been when laid off. I’m sure the whole reason for that meeting was to get people to leave so they wouldn’t have to pay so much in severance.

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Post ID: @11y+1kea7nhc5

@11v feel exactly the same way. Horrible anxiety just waiting to get news, whether it be good or bad, and feel a weight on my shoulders. wish we at least had a date or timeline to look forward too

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Post ID: @11x+1kea7nhc5

I’ll speak for myself. Although I completely agree that waiting out for severance and other perks makes sense it is the mental anguish of anticipation that is driving me crazy. It may or may not happen. Maybe on 01/22, maybe in a few months. I don’t know how to disconnect and just let it be. Hence, actively looking and applying.

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Post ID: @11v+1kea7nhc5

@y2 I would hold out and at least make them pay you severence. Don't make their role easier.

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Post ID: @11s+1kea7nhc5

@vq Minnesota was for sure mentioned in multiple articles about having UHG Advantage cuts. So a big heads up if you live there.

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Post ID: @11j+1kea7nhc5

@yc but np home visits are not created equal

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Post ID: @10b+1kea7nhc5

@xq there are several companies that hire NP’s to do home visits. Check out LinkedIn.

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Post ID: @yc+1kea7nhc5

@xq same here. no desire to go to a clinic and see 30 patients a day 5 days a week with no flexibility in schedule.. I don’t know what else to do as an np. Feel like I’d have to resort back to rn roles and pay..

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Post ID: @y3+1kea7nhc5

@xq That’s why my plan is to go back to the clinical setting asap. I’m very concerned that the longer I stay the less marketable I am plus everything else that’s happening with HC now.

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Post ID: @y2+1kea7nhc5

I honestly don’t know what else to do for a job as an FNP. After 14 years doing Housecalls, I can’t imagine working in a clinic again. I have loved this job, my patients and all the benefits it has come with. This is all a nightmare….

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Post ID: @xq+1kea7nhc5

@vw good point

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Post ID: @wa+1kea7nhc5

@vv That also explains same day scheduling. Increasing the efficiency of the remaining staff.

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Post ID: @vw+1kea7nhc5

@vq 2025 we did 3.1 mil visits and the budget is down to 2.85. A 250,000 difference. If one APC sees 1k a year that’s at least 250 cuts and most of us aren’t hitting that number.

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Post ID: @vv+1kea7nhc5

@vq I feel the same way.
They haven’t revealed what counties were cut but based on articles I’ve read it seems like largely rural. However, based on the fact that a lot of us completed second visits, makes me fear for those of us in the counties doing those second visits because it hints they may be overstaffed.

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Post ID: @vs+1kea7nhc5

My stress levels are through the roof. I am so extremely tired of going through “job loss” stress every few months. I have been with Housecalls since 2012. You would think seniority would help me in keeping my job but I know with Optum I don’t amount to anything.

Any insight to which 109 counties have been cut? I am still patients in the 3 counties I cover so I don’t believe they were “cut.”

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Post ID: @vq+1kea7nhc5

@kk Agree. It was the first time last year where 2nd visit were offered to members in my service area. Unclear of the utility of them. Was hoping the business update meeting offered more direction and clarity about HouseCalls since it was announced that UHC Medicare Advantage plans were exiting over 109 counties nationwide. Why not disclose those counties and potential impact? Just kept hearing there is “ongoing analysis” of service areas and expect lower visit volume for the year. Meeting revealed nothing new and tone wasn't optimistic or reassuring.

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Post ID: @m5+1kea7nhc5

@kk Most of these seconds visits were completely unnecessary.

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Post ID: @kn+1kea7nhc5

had a feeling this would be coming when they started offering second visits towards the end of 2025. Too much staff and not enough visits

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Post ID: @kk+1kea7nhc5

@kd couldn’t agree more. Extremely vague. Felt like pointless fear mongering. we’re just stuck in limbo regardless.

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Post ID: @kj+1kea7nhc5

Or at least get your affairs in order. Resume, start checking out external openings, put some extra money aside if possible,...

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Post ID: @kh+1kea7nhc5

@kf Sounds like a friendly advice to leave on your own.

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Post ID: @kg+1kea7nhc5

@kd please read the writing on the wall

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Post ID: @kf+1kea7nhc5

What was the actual message? We were told contracts are under review, projected visit volumes are being reduced, and schedules may be lighter—entirely negative signals. While UHC dropping roughly one million MA members is already known, no specifics were provided about affected regions or next steps. If there was nothing concrete to share, it’s unclear why a “business update” was necessary, as it only increased uncertainty and implied potential cuts without offering clarity or direction.

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Post ID: @kd+1kea7nhc5

@jq that’s because they want staff to leave on their own so they don’t have to pay severance

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Post ID: @k8+1kea7nhc5

seems like they are alluding to we will be cut eventually, they just don’t have a date set yet

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Post ID: @jq+1kea7nhc5

@jj what state does your friend live in

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Post ID: @jm+1kea7nhc5

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