Last week CMS proposed a Medicare Advantage increase of 0.09% - basically nothing compared to the 2025 3.7% increase - all in the face of increasing medical costs, significant turbulence, and troubles in the industry. I would not be surprised if we see restructuring in the coming months and possible layoffs..
My perspective: leadership is WAY out of touch to handle these tough coming years, and like always - they will collect their golden parachutes while making significant changes that are unguided by long-term perspective and experience in the business - impacting employees and our products. They would rather rely on their hubris than ask a senior employee working in the trenches their opinion about a change. They will try to cut costs by decreasing product offerings and cut critical resources impacting member experience leading to a long term hit to the business, all while we should be doing the opposite to increase market share. The Spendables fiasco was a disaster, CM / PHCO has what measurable impact? , the Quality team is doing what to reduce medical costs? It is unfortunate that instead of hiring for leadership positions internally, they would rather go outside of the organization and bring someone new in..
Overall I am trying to remain hopeful for Centene - but when we stray away from the mission which is supposed to guide us and improve profits, our short term thinking will do the opposite. I'll end with this: AI is not our future, our employees and our members are.