Anyone in Aetna UM see the email this afternoon re: restructuring all UM lines of business under a new department within COE? Thoughts on if this will be another massive set of layoffs like the initial Aetna centralization when CVS acquired us?
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"You know, we were told that changing from salary to hourly was not a demotion. You know what, it is! It’s a moral demotion. I’ve worked here for years and always have been salary. I’ve never had issues with getting my work done and am online when I’m supposed to be. A few individuals ruined it for all of us. Disgusting.". I hope you know after the restructure only VPs up are going to be salaried. Everyone below hourly, your just another interchangeable part that can be replaced at anytime and let go at any time.
COE= Center of Excellence under Catherine Czarnecki
You know, we were told that changing from salary to hourly was not a demotion. You know what, it is! It’s a moral demotion. I’ve worked here for years and always have been salary. I’ve never had issues with getting my work done and am online when I’m supposed to be. A few individuals ruined it for all of us. Disgusting.
If UM clinicians are now hourly, will appeals nurses be switched to hourly also?
"Even Medicaid plans with state contract requirements for UM teams? I don’t see how they could go offshore or AI route without risking losing contracts.". If they can cheap out they will it will take time for the government to find out probably end the insurance, stores, go over to that Urgent Care model totally.
What’s C O E
They just made UM hourly instead of salary . High volume, staff clocks out on time leaving work on the table. Turn around times are pushing 12-14 days. Had they left them salary most would stay and not leave work on the table. Now no one cares.
Providers and members call incessantly trying to get authorization done. UM is a sinking ship.
AI I’m sure will start to crop up in areas of business but i don’t think they can push UM out in entirety at this point. Im pretty sure they can’t off shore UM nurses because of the licensure
The CVS model is designed to maximize profit instead of quality, cost effectiveness and transparency. This is demonstrated in the work we do every day. The focus of the use of AI here in UM is designed to significantly reduce the need for nurses, instead of leveraging the technology to promote a cost effective, quality program that is transparent and promotes better healthcare. My opinion on the choice to use off shore nurses for UM further depletes the delivery of quality services to the member. So as I move on in my endeavors, I will seek organizations that focus on leveraging technology to improve patient outcomes.
Even Medicaid plans with state contract requirements for UM teams? I don’t see how they could go offshore or AI route without risking losing contracts.
Redo your resume. They are going to get rid of absolutely every single person that they can. That's been made clear. When we are taking Offshore Svc Ops or AI to replace everything eventually what do you think.