When hospice reverts to the lowest common denominator and leaders obsess about metrics, it's time to speak. Self-inflated leaders assume clinicians give until their backs break, given no raises for years. A clinical ladder is a rainbow’s pot of gold. Others have a sorrier job and must be motivated by money. Abysmal leaders dangle extrinsic rewards for admission, hiring and EDBITA targets. “Sign on” bonuses entice people into a poor work environment. Employees’ voice equals their raise, zero.
Saturday, October 27, 2018
Toad to Join Farber at Mednax
Strange Tony,
We learned our Vice President Operations (VP Ops) Toad has left the company to join former Kindred Chief Financial Officer Stephen Farber at Mednax. Toad will take his pocket coin jingling to the neonatal medical practice company where Farber stands in line to take over as CFO in November.
Kindred purchased Farber's house at a premium after our CFO's neighborhood turned into War of the Roses. Farber received two moving packages from Kindred's executive enriching board. Mednax is in Sunrise, Florida not Louisville, Kentucky. Farber's Kindred buyout winnings of $2.1 million meant he could afford his own move.
It's not clear where Toad will be or what his new role is with Mednax. Open benefit enrollment for 2019 looms and executives used "sustainable" and "harmonize" in their announcement. These are not good words for employees who've gone years without raises. Did Toad get an early peak at benefit cuts and bolt?
Humana offers employer sponsored insurance products and our 40% owners could reverse our ever declining coverage for outrageous sums of money trend. There's no mention of that only the need to harmonize benefits between Kindred at Home and Curo Health Services. That usually means settling on the lower benefit between the two companies.
Curo Health's Larry Graham heads our Kindred at Home hospice division. Under his leadership at Amedisys and Curo unethical acts occurred. As COO at Amedisys Graham oversaw operations during a period of fraudulent Medicare home health billing. Amedisys settled with the Justice Department for $150 million in 2014.
Curo, founded in 2010, paid a $12.2 million settlement with the Justice Department in April 2017 for paying kickbacks in exchange for hospice referrals. The illegal practice began in 2007 but continued until 2014, four years after Curo purchased Dallas based HospicePlus. The settlement does not mention Curo's compliance program or why CEO Larry Graham did not catch this practice.
Admittedly Graham was busy with the sale of the company from financial rapscallion GTCR to fellow rapscallion Thomas H. Lee. Holding onto revenues is paramount in a sale evaluation process. It would be interesting to know if GTCR disclosed Curo's paying for referrals or if Thomas Lee's due diligence discovered anything shady. Financial rapscallions are not forthcoming on those issues.
Our hospice awaits a new executive and our new benefits. It's hard to believe but both can be worse than what we have now. Jingle, jingle go executive pockets (filled on the backs of workers).
Anonymous (from Curo at Home HospiceMinus)
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Benefits for 2019 are worse in the health insurance arena, higher deductibles for non-Humana plan. No raises in sight. Less staff, much more work. I can't see any improvement from Humana's buying us. I do see alot of turnover in caring, dedicated hospice staff. The buyout has been a curse to our hospice site.
ReplyDeleteAgreed. More work with with 60% less staff. Benefits are terrible. Ensuring clinical staff have the resources and support to provide quality care is clearly not a priority. So disappointed with direction we are heading.
DeleteHurricane Curo, a Wave 3 category storm, nears our hospice. Rumors suggest large losses from Waves 1 & 2. Lots of unreliable technology that impedes customer service. Curo executives are as detached and greedy as Kindred's. Still no raises in sight as benefits crapify.
ReplyDeleteFarber received 100,000 shares of Mednax which closed at nearly $40 a share. The shares vest over a three year period. At current prices that's a $4 million gift. Meanwhile Kindred at Home Hospice employees are saddled with worse benefits, no raises and customer service disabling technology. David Causby and Larry Graham have similar stock holdings as Farber. It's skin in the game. We won't see their shares until Humana buys the other 60% of our company.
ReplyDeleteNothing has changed since I left this cheapskate outfit a year ago. It's the way business is done and has been all the years I was there. It only worsen's. It's nice to vent frustrations via this blog. But what'll come from it? Is there a realization of a systemic neoliberal economic ideology affording this unethical behavior to flourish? What is democracy? Less government, deregulation, austerity via the misjudged mania to balance the budget. How about government for people, not corporations. Trickle down is an obscene concept. Take care good people, you have my concern.
ReplyDelete