General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsI have walked away from my job in the health insurance industry
I was at the company for 29 years. When I hired in, it was relatively small, independent, not for profit HMO and a fantastic place to work. Our service area was not extensive, but still nothing to frown at. Then they decided they wanted to be a BIG health insurance carrier, they added some for-profit lines of business, tried to expand the service area and went a little nuts in the promotion department. In the middle of all of this change and growth, the ACA was enacted.
Being a very vocal fan of healthcare reform didnt make me very popular with certain employees, in and out of management. Even as a peon with no Masters Degree in business or healthcare, I knew there was a sizable population that made too much money to qualify for Medicaid and not enough to afford health insurance. Once they fit into either category, people with a whole lot of unattended health issues, some pretty serious, would finally be able to get help. There were a whole lot of cost, pricing and business issues that should have been taken into consideration, because it will take a number of years before things even out. Id bring this up and eyes would roll. The administrative and board positions were more than peppered with some deeply conservative people who were pretty convinced that the ACA would be struck down by SCOTUS, so why prepare?
And now the company is struggling, lines of business are being sold and jobs are being cut. (To be fair, a lot of the smaller healthcare plans are struggling, right now, I suspect for somewhat the same reason. No foresight.) I had high enough union seniority that my job was safe, but the thought of working in such an uncertain atmosphere made my decision pretty easy. I was already dealing with the loss of my mom and sister and really didnt have the emotional reserves to cope with that kind of uncertainty and stress. And, it didnt seem worth the risk to stay, only to have the company shut down by the State, with little to no notice or severance, or have a bigger fish gobble us up and have jobs disappear in the takeover.
So, I opted for an early retirement, a good three to five years before I had planned. It is still a risk but our latest union contract contains federal language that mandates should the company be sold, the current union contract has to be honored for its duration so my retirement benefit is protected. In the unlikely event it is dissolved, well, then I start shopping for health insurance because the odds of me finding a job that offers it are remote.
On the up side, I'm now sleeping for more than 3 hours a night and have stopped throwing up.
Here is to hoping the 2nd half of my 2015 is much less upending than the first half has been.
peacebird
(14,195 posts)catrose
(5,066 posts)It sounds like it's better already. I decided in my 20s (after being majorly screwed over) that I could never work for insurance companies. Looks like that was a good decision. I'm glad you had a union!
global1
(25,247 posts)I've noticed that in the past few weeks all the bigs are talking either buying another company or shopping their own for a buyer.
What's up? I'm hoping by you being in the biz - you could shed some light on this.
Yo_Mama
(8,303 posts)I also would like some perspective from an industry insider.
I suspect that the provider wave of consolidations is spawning this one, but the idea that in essence persons in the market will have the choice of only one company is frightening.
I don't think small insurers will be able to compete.
http://finance.yahoo.com/news/drug-hospital-m-spurs-big-224300458.html;_ylt=A0LEVoBNm5RVUyUAUd0nnIlQ;_ylu=X3oDMTByOHZyb21tBGNvbG8DYmYxBHBvcwMxBHZ0aWQDBHNlYwNzcg--
Siwsan
(26,262 posts)Much bigger reserves.
Siwsan
(26,262 posts)I do know that some of the bigger companies might be perched like vultures, right now, just waiting for companies like the one I worked for, to be in enough of a financial bind that they will sell off their business, including the physician contracts. It saves a whole lot of time and effort, if they are expanding into an area where they aren't yet approved because it's my understanding that they have to have physician and hospital contracts in place before they can be approved to offer their plan, in that area.
There is a big plan, in my state, that is currently offered on the western part of the state, but not in our area. However, I've recently seen some commercials for that plan. That pretty much makes me think that they are looking to get name recognition before they start expanding across the state. My old company could very easily be in their sights.
Recursion
(56,582 posts)The big players can afford to meet it and the smaller ones can't and get taken over.
After Upton Sinclair published The Jungle, Teddy Roosevelt pushed the Pure Food and Drug Act which set up strict (for the time) cleanliness and safety requirements for slaughterhouses. Within a year, 80% of small slaughterhouses had been bought out or gone out of business.
ACA has a similar effect on insurance companies.
Romulox
(25,960 posts)Person 2713
(3,263 posts)Different business but same push (stress and just done with work bs)
haikugal
(6,476 posts)will be beneficial. Good luck to you and those you care about.
Liberal_in_LA
(44,397 posts)dixiegrrrrl
(60,010 posts)My last job was with a very unhealthy agency, to the point that I walked out one day, and "retired" myself.
Took 2 months before I felt functional, and I slept 10-12 hours a night for at least 6 weeks.
ain't no job worth your health or sanity.
Siwsan
(26,262 posts)Now that my stress level is on the down slide, a number of physical signs of being over stressed have disappeared.
The financial uncertainty issue, and what I considered to be really irresponsible management decisions, were really just a part of my reason for leaving so before I left, I sat down with the new CEO and the director of HR with a 4 page long list of observations and recommendations. Both meetings lasted about 90 minutes because they asked a lot of questions. My work record and reputation gave me some weight and credibility, so hopefully what I said had some impact. And they both realized that my decision to leave was not made lightly.