Thread regarding Optum layoffs

ISNP just let go of their most of their sales support and compliance team. Why would you get rid of compliance and sales support? Who needs support and compliance if we won’t be around much longer I guess.

It has been eliminated in some states

What is making you think the ISNP program might be termed at the end of the year? Have you heard something? Please share

Thanks everyone for the candid response.
I would not be surprised if the program is termed at the end of the year.

ISNP doesn’t exist because Medicare loves us— we need nursing homes to allow us to operate in their buildings. That has changed as the competitive landscape has new and better offerings available. Is your name Ostrich? Get your head out of the sand and see what’s happening around you or get blindsided. Not my worry.

I think ISNP is fine. Medicare loves programs like ours.

That my friend is 100 percent illegal. Insurance is an individuals choice to make having nothing to do with a facility admin or finance person making that decision. Optum has colluded with the nursing homes to help them maximize profits by cherry picking residents to refer to the plan. Optum has a fiduciary responsibility to report ALL cases of insurance fraud, waste, and abuse of the system to federal and state regulators— yet has failed too do so to help “preserve” their partner relationships with the nursing homes ownership groups. The nursing homes use the Optum plan as a way to manage revenue not do the responsible or correct thing for their residents, and Optum plays along lock stock and barrel

Totally agree it’s on life support. The market is saturated with large provider groups that not only do primary care, but all the sub-specialties. In my market we have a group that does pcp, endo, cardio, derm, wound care, psych, nephro, pain mgt all within the same company. They market themselves well to facilities and provide all those services at the bedside. ISNP offers the facility a NP visit every 30/60/90 days depending on their stratification level. These large private groups have a NP plus docs in their building every single day which the facility loves.

Facilities could care less about the optical/dental/vision benefits that ISNP provides. That and the catalogue used to entice facilities and families for years but those days are gone.

The only thing we do way better than any other group is advanced care planning. Interestingly this has now become a point of contention within facilities. In my market, more and more facilities frown on hospice referrals as it takes Part B $ out of their pocket. 2/5 of my personal buildings have told my manager to tell me no more hospice referrals and if I feel a patient would really benefit I have to get permission from the facility admin first 🤦‍♂️

100 percent agree. Senior leadership keeps saying “don’t listen to the rumors and stop reading the message boards, we are growing we are strong blah blah blah”. I mean really after 3 straight years of watching the layoffs and reductions on spending — do you honestly think we are mo--ns? Even a blind person can feel the water rising as the ship is sinking. Time to jump

Don’t forget how Clinical is increasing its case load and being overworked and micromanaged to reduce medical expenses for members

Not looking good. Referrals way down across the board. Partners leaving the program. Competitors coming on strong. Constant layoffs of key support staff. Multiple class action lawsuits naming specifically the ISNP program having resulted in members deaths due to denial of care. Moral at the worst I’ve seen in years. Same old tired leaders with the same old tired vision that doesn’t work. I’m no mathematician, but it all adds up to a very bad outlook if you ask me. Oh forgot to mention all of the ACO’s and VBC options coming on strong as well. ISNP had its heyday, it’s a product that is losing its place in healthcare and being overtaken by better options