Optum when through a huge expansionary phase over the past decade. They gobbled up clinics, encouraged people to go to their employed PCPs, boosted patient risk scores, to get higher MA premiums, and have really kinda maxed out the growth in their business model.
Now they're in a contractionary phase. All those companies they absorbed now create redundancies in clinicians, technical people, and layers of bureaucracy at grade 29+. So they're shrinking staff, combining regional leadership, etc. The MA Value-Based Insurance Design Model is ending at the end of 2025 due to "substantial costs were driven in part by increased risk score growth and Part D expenditures and that no viable policy modifications could address these excess costs." So the model that we all built to capture higher premium payments is going away.
Personally, I think the contractionary phase is something that we just have to go through. I don't think they're targeting specific demographics of people like single mothers as the OP mentioned, but everyone is just gonna feel it, and it su-ks. Every job I get as an older millennial has felt like I've been sold all the benefits of working for a company, only to find out that they're terminating those benefits and the job security the year after I arrive.
I just wish there were a way to let us know when the cuts would be finished, something like the NBA trade deadline. Every time a RIF ends I get a bit of reprieve, but there's been so many that I'm always on pins and needles these days. I'm a big fan of natural attrition. If we had a better idea of the master plan, some employees might seek alternatives that are better for them, but would also benefit their coworkers by saving an FTE that doesn't need to be RIF'd. I have this sneaking suspicion that the current government is gonna muck everything up so bad that by the time Optum/UHG does RIF me, the job market will be lousy, the labor market will be full, and I'll have two weeks of severance that won't cover COBRA until I get my next job.