July 9, 2013
Not sure if they still have mainly men in the senior management positions -- they have so many management layers, I am no longer sure what is senior or middle or something else! Plus the players seem to keep changing! The only constant in so many aspects is change! But I do agree that their emphasis is not on the clinical aspect. We are really just data collectors with the expectation that if we see something wrong, we will take appropriate action. Their bottom line is the dollar! They tell the insurance carriers that we spend 60-90 minutes with each of their members, but how can one do that if visits are scheduled an hour apart? You do the math -- 90 minutes per visit for six visits a day with travel added on top of that and you either have a long day or a shorter visit, or like some of my colleagues, you just pray you have a cancellation during the day. In my opinion, they have lost sight of the clinical aspect and the caring aspect. But they do love to use those little anecdotes about what a great job we do with the members to sell themselves to their clients. In my opinion, it is very telling that those little anecdotes get the submitter an award! I am used to doing a good job for the sake of doing a good job! I am very curious as to how the implementation of the Affordable Care Act will affect things.