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Local hospice/home health group is freezing wages and only giving end of year bonuses

 
Anonymous Coward
User ID: 10327591
United States
02/25/2013 11:17 AM
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Local hospice/home health group is freezing wages and only giving end of year bonuses
What is behind such a move? So that they always have stable employee costs and can skip bonuses some years? Will this affect social security earnings for employees? Sounds bad to me.
Anonymous Coward (OP)
User ID: 10327591
United States
02/25/2013 11:23 AM
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Re: Local hospice/home health group is freezing wages and only giving end of year bonuses
Additionally, a local big hospital conglomerate in the area is calling in older employees and giving them X number of options to choose from. Don't know if it is cutting wages, hours, or what - but hear tell that some are just saying they are going to retire rather than put up with the alternatives.

Keep in mind this hospital conglomerate as well as the competing local hospital conglomerate continues to build new hospitals all over the area. The rooms are underutilzed, staff is called off (told to take vacation or unpaided leave) when the patient load is light. But they are still building and essentially screwing the employees - as well as the patients because costs go up when they have so many half filled facilities sitting around.

Plus, Medicare premium supplemental insurance is doubling for some and they are dropping common medicines from their formularies. Also, heard many regular insurance companies (self employed as well as company-sponsored) are dropping meds from their formularies!
Anonymous Coward (OP)
User ID: 10327591
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02/25/2013 11:37 AM
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Re: Local hospice/home health group is freezing wages and only giving end of year bonuses
Is anyone else encountering issues such as these listed? Would like to know because input would help me to convince spouse that we need to cut back and watch money, be more self-sufficient because I see things as just getting worse and worse.
eddy

User ID: 21052064
United States
02/25/2013 12:01 PM
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Re: Local hospice/home health group is freezing wages and only giving end of year bonuses
Hi OP. I work at a Magnat Hospital, have been independent for ever but this year is joining a larger hospital and a smaller one to form a group. We get called off when the census is low. We are not hiring any new people now and some are asked to change shifts so coverage is adequate. Matrix is used to determine number of staff needed and we have been in the 90th percentile, but now plans are to change patient to nurse ration to 75th percentile and eventually the 50th percentile. I forsee a potential cut in pay as medicare and medicaide reimbursement are decreased. If we do not become more fiscally responsible, the health care industry is in for a big shock. We represent close to 20% of GDP and that is not a number that is sustainable. With 10,000 seniors a day retiring the number of people needing care will keep increasing, but where are the dollars going to come from to provide this care at the same level we provide today? A very large and scary can of worms indeed. I think you are correct in being very careful and not counting on continuing lucrative reimbursement. Hope this helps with your discussion with your spouse.

Last Edited by eddy on 02/25/2013 12:01 PM
Anonymous Coward (OP)
User ID: 10327591
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02/25/2013 02:14 PM
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Re: Local hospice/home health group is freezing wages and only giving end of year bonuses
Hi OP. I work at a Magnat Hospital, have been independent for ever but this year is joining a larger hospital and a smaller one to form a group. We get called off when the census is low. We are not hiring any new people now and some are asked to change shifts so coverage is adequate. Matrix is used to determine number of staff needed and we have been in the 90th percentile, but now plans are to change patient to nurse ration to 75th percentile and eventually the 50th percentile. I forsee a potential cut in pay as medicare and medicaide reimbursement are decreased. If we do not become more fiscally responsible, the health care industry is in for a big shock. We represent close to 20% of GDP and that is not a number that is sustainable. With 10,000 seniors a day retiring the number of people needing care will keep increasing, but where are the dollars going to come from to provide this care at the same level we provide today? A very large and scary can of worms indeed. I think you are correct in being very careful and not counting on continuing lucrative reimbursement. Hope this helps with your discussion with your spouse.
 Quoting: eddy


Thanks for the feedback, Eddy. As you stated, things look to get worse in the healthcare(not just affordability but also quality). I heard from another nurse that certain agencies are saying the freeze is because of the gov't and Medicare/gov't freeze on pay.

It is all so frustrating because it doesn't have to be this way. Yes, I know that healthcare isn't cheap but when they continue to build hospitals when occupancy is low and when the gov't won't push to have a bulk discount buying program from Pharmaceuticals for Medicare as they do for the VA & Tricare -- it just gripes me! Drugs don't have to be so expensive.

I dated the head of a hospital pharmacy once and they said that almost all new drugs are minor tweaks to older formulas but they (Big Pharma) do it so they can claim $$ spent on research when it isn't even a value add. Their patents run out, so they want to be top dog with a new one. And then couple that with the gov't afraid to stand up to the Pharmaceuticals for discount buying and it is bad, very bad.

I have a parent under home Hospice care and if I had 1/2 or even 1/4 of the money they get per patient, I could manage their care better. As it stands, the gov't pays out nearly $5,000 per patient while the family caregivers (if a person is fortunate enough to have them does the 24x7). The aides would get paid better and even the visiting nurse.

Considered long-term healthcare for spouse and me, but a neighbor who has it pays a tremendous amount and they recently got a letter saying (I think it was Prudential) will no longer be offering long-term policies but that they were still OK and would continue to be covered. But, of course, it makes one very uneasy to get such a letter. And, the cost of long-term health insurance is prohibitive for most people. Heck, even regular healthcare is outrageous.

I don't like to think any person is evil but I am starting to wonder about the administrators at hospitals and gov't, etc. aren't perhaps filled by evil or at a minimum uncaring people.
Anonymous Coward
User ID: 33283057
United States
02/25/2013 02:22 PM
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Re: Local hospice/home health group is freezing wages and only giving end of year bonuses
These big real estate guys treat hospitals like big apartment buildings, buy, sell, buy,sell, who cares about health care or housing, just increased profit.
Sorry to hear about your losses.
Our home health agency had to lay of 33 percent of folks last year, may close now after 10 years.
Anonymous Coward (OP)
User ID: 10327591
United States
02/25/2013 06:48 PM
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Re: Local hospice/home health group is freezing wages and only giving end of year bonuses
These big real estate guys treat hospitals like big apartment buildings, buy, sell, buy,sell, who cares about health care or housing, just increased profit.
Sorry to hear about your losses.
Our home health agency had to lay of 33 percent of folks last year, may close now after 10 years.
 Quoting: Anonymous Coward 33283057


Yep, big real estate guys are another problem area in hospitals as well as general housing and commercial real estate. Near our neighborhood, they build both new residences and commercial ventures that mostly remain empty. They must be getting some tax break or why build with no buyers.

It is sad about the lay offs. My father-in-law has home health care and they were great. I, particularly, admire the aides who come in cold to situations and have such pleasant personalities that they really brighten the person's day - mental/emotional uplifting is so beneficial to the patients.
Anonymous Coward
User ID: 1711599
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02/25/2013 07:13 PM
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Re: Local hospice/home health group is freezing wages and only giving end of year bonuses
Is anyone else encountering issues such as these listed? Would like to know because input would help me to convince spouse that we need to cut back and watch money, be more self-sufficient because I see things as just getting worse and worse.
 Quoting: Anonymous Coward 10327591


With for-profit healthcare, it's all about the bottom line. As insurance payments to providers shrink, you'll see more and more of this, even as patients pay larger and larger premiums.

I had three knee x-rays the other day that were taken by a technician and read by a radiologist. My insurance paid $37.50 and I didn't pay anything.
Anonymous Coward
User ID: 35102955
United States
02/25/2013 07:47 PM
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Re: Local hospice/home health group is freezing wages and only giving end of year bonuses
Is anyone else encountering issues such as these listed? Would like to know because input would help me to convince spouse that we need to cut back and watch money, be more self-sufficient because I see things as just getting worse and worse.
 Quoting: Anonymous Coward 10327591


With for-profit healthcare, it's all about the bottom line. As insurance payments to providers shrink, you'll see more and more of this, even as patients pay larger and larger premiums.

I had three knee x-rays the other day that were taken by a technician and read by a radiologist. My insurance paid $37.50 and I didn't pay anything.
 Quoting: Little Bee


when the x-ray machine first came out, many shoe stores had one, and we kids could go into a shoe store and look at our feet bones for free . . . and as long as we wanted to.





GLP