This is a sign

Some advice here - HR is mostly outsourced. Marketing is now outsourced. Printing / Mailing mostly outsourced. Claims analysis has vendors in play.
Do they need to manage their own provider networks? Do they need their own customer service? Do they need to handle their own quality analysis? Do they need all of the operational areas? No. Not if they can pay another company to do it for them. CMS doesn’t necessarily care how these things get done as long as it’s happening and secure.
This is a sign. They are going to cut until they are lean and focused only on what’s minimally required to manage the core products (care, caid, pharm).

Whoever wrote this (in thread +19uQ4T61) is completely right. Everything that does not concern managing core products can be left to another company - and it seems that it will be left to another company. I wish it was different, but the cuts would be a logical outcome of that.

Comment! It's anonymous!

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Ehh, this is bit much on almost every one of your points.
1) As someone working in Claims analysis, the health plans Centene has purchased are never a cookie cutter fit to land the data within Centene's structure, and no out of the box solution can replace the reality that the data isn't configured to land cleanly.
2) Analytics - you still need developers/analysts to build and maintain these dashboards.
3) Turnkey provider management isn't what you think it is.

Yes, they will strip the company down over time and jobs will shift. No, it won't be zomg everyone is fired tomorrow.

From that thread, more on this: @4ycw+19uQ4T61 You may not agree with the 'dinosaur' comment–perhaps 'jerrybuilt' or 'dysfunctional' might be better. Another area easily outsourced is care management–there are a lot of software companies out there that put it on a platform which payers and providers can use.
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There are companies that will give you turnkey provider network management, from credentialing to monitoring and compliance. Andros is one of them. New payers like Oscar and Clover Health fully outsource this function with a couple of people in-house to oversee and manage them. Same thing with a lot of your analytics–there's Komodo Health which creates dashboards. Centene will either buy up these services like Magellan and formally restructure like Optum with UHG where they sell them both to Centene health plans and competitors (as they do with Envolve) or outsource them as they did with HLK and marketing.

Their short term strategy is to strip down the company to be a money-making machine, and that means people and overhead have to go. But structurally, the place is a dinosaur. I can't imagine shareholders are very happy about a CEO who's quite as old as MFN and been there for 25 years. He, frankly, is running out of time.

Thread regarding Centene Corp. layoffs

This is a sign

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