Seems now they worried about this quality issues because Medicare not gonna pay them if you have tons of complaints. This year when they went to town with denials and they boosted their earning by 24 percent , seemed quality was not an issue. Less staff, increased productivity, oops poor quality. Now let’s turn it around so Medicare will pay.
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Quality isn't possible when productivity is the goal. Quality needs to be the goal and getting there as quickly as possible is the the process you create. The productivity metrics are to justify the ftes needed to fulfill volumes. The ask is do more... Do more with less. They cut too deep yet again and now they want to slow the bleeding. I heard them say feel comfortable saying no when quality is compromised...Easy to say it, "no". Someone needs to hear and acknowledge that who has some ba--s to share it.
It’s all a bunch of rhetoric. The say quality and at the same time ramp up our metrics making it impossible to meet both metrics and give good quality for the members. The members are who matter.
I thought it was interesting SD didn’t show up in the ‘quality’ town hall. He never misses an opportunity to get on stage.
Andrew W your job is at risk. CDO will automate it. Wait, you’re safe - he can only talk, can’t deliver.
How this syncs with 100x. Rampant outsourcing?