InHumana

The following post is personal. In fact, it is very personal, so if you think that personal issues should not be aired on this blog, I beg your indulgence, and hope that after reading this that you will overlook this indiscretion. Also, it is somewhat off-topic, but when has that ever stopped me?

Early Friday morning, my mother fell in her bedroom. When her home health aide and I found her after unlocking her door, she was on the floor near the foot of her bed.

I called 911, and when they arrived, they attempted to pick her up, but she complained of pain, so they transported her to the nearest hospital for x-rays.

She was admitted to Bethesda Hospital West, a relatively new hospital in my area. In 2013, my father was taken to this hospital when he fell in the house, so we were familiar with the hospital and liked it.

Sunday morning, I was informed that she was going to be discharged and that the hospital was trying to get her into a skilled nursing and rehab center near the parent hospital of Bethesda West, Bethesda East.

The day before, the Case Manager for the hospital gave me a list of twelve centers that my mother’s insurance company, Humana, has contracted with.

Out of the twelve rehab centers, only three of them were less than ten miles from my house. The Case Manager contacted the Admission person for the center near Bethesda East, but when I tried to reach this woman, I had to leave voice messages for the woman who handles admissions during the week.

Every other center the Case Manager called did not have any Humana beds, and when I tried to call Humana’s Customer Service number from my house, their automated system informed me that they were closed. Yet, the Monthly statement they sent us says that you can call Customer Service on Saturday and Sunday.

The other rehab centers on the list are either too far away from my house, or too far for my mother’s aide to go to, so would have required us to get a new aide who would be unfamiliar with my mother, and who my mother would be unfamiliar with.

The orthopedic surgeon who consulted on my mother’s case recommended a place to my brother, who is also a physician, but he did not write down the name of the center.

When it was time to transport my mother to the rehab center that did accept her, I went ahead, and when I got there, I saw that the place was a dump.

The décor was ugly and outdated, the staff was just as ugly and looked very unprofessional. The place smelled, and the room was too small. The family of her roommate were too loud and looked like refugees. The staff had to ask them to go to another room because they were too upsetting to me and my mother.

If one was to compare the atmosphere and ambiance of Bethesda West to a five-star hotel, being transported to this rehab center was comparable to being in a roach motel.

I expressed my displeasure to the head nurse at this facility, and she understood my feelings. I told her that I was not taking this out on her, but rather Humana for the way my mother and I had been treated in getting her transferred to a rehab center.

This episode demonstrates that Humana’s only concern is with saving money, protecting their bottom-line profits, and being more concerned with their shareholder’s value, rather than the value such treatment would have on the patient and the patient’s family members.

Humana’s lack of sufficient, nearby alternative rehab centers, when there are plenty of other places in the area, their failure to accept where the hospital or the orthopedist recommended my mother to receive physical therapy, is example of how bad our health care system treats elderly patients and their families.

Therefore, I have called this article, “InHumana”, because they are inhumane, and quite frankly, suck. And now they are going to be bought by Aetna. So now, they are going to get bigger, more profitable, and probably cutback on services and facilities, instead of allowing patients to go wherever they want to go, or wherever a doctor recommends them to go.

It’s like this: say you want to buy a car, but your auto insurance limits you to only twelve dealers, and most of them are too far for you to travel to, and when you contact these dealers, they don’t have the kind of car you want. This is what InHumana is doing to us. They have limited the rehab centers we can choose from, and the ones we wanted don’t have any “Humana” beds available on a Sunday afternoon.

This is not only insane, it is also insulting to the families that they do not have a say in where they want their loved one to receive care. I guess the g-damn bottom-line is more important to InHumana than patient’s well-being and that of their caregiver family members. In a word, InHumana is cheap.

Advertisements
This entry was posted in Elder Care, Health Care, Health Insurance, Humana Gold Plus, Insurance and tagged , , , on by .

About Transforming Workers' Comp

Have worked in the Insurance and Risk Management industry for more than thirty years in New York, Florida and Texas in the Claims and Risk Management spheres, primarily in Workers’ Compensation Claims, Auto No-Fault and Property & Casualty Claims Administration and Claims Management. Have experience in Risk and Insurance Business Analysis, Risk Management Information Systems, and Insurance Data Processing and Data Management. Received my Master’s in Health Administration (MHA) degree from Florida Atlantic University in Boca Raton, Florida in December 2011. Received my Master of Arts (MA) degree in American History from New York University, and received my Bachelor of Arts (BA) degree in Liberal Arts (Political Science/History/Social Sciences) from SUNY Brockport. I have studied World History, Global Politics, and have a strong interest in the future of human civilization in all aspects; economic, political and social. I am looking for new opportunities that will utilize my previous experience and MHA degree. I am available for speaking engagements and am willing to travel. LinkedIn Profile: http://www.linkedin.com/in/richardkrasner Resume: https://www.box.com/s/z8rxcks6ix41m3ocvvep

5 thoughts on “InHumana

  1. Dina Padilla

    Unfortunately, this is mainstream medicine for just about everyone but older people are easily discarded. That the older people who gave so much to make this country what it is, are treated like chattel in a barn and IT IS all about profit. There is no care in HEALTH CARE.
    It is no wonder older people prefer their own home and maybe this an option for her. Getting care for at her home.

    Like

    Reply
    1. Transforming Workers' Comp Post author

      There are other places that are better, but one never got back to me, the other one did not have a “InHumana” bed and the other one was recommended by the dr, but I need to call his office in the am to get name. But two of them are not on their ridiculous list.

      Like

      Reply
  2. john d. pringle

    Richard,
    I am sorry to hear about your mother’s fall and the subsequent problems you have had. Unfortunately, I think your assessment is correct and things will get worse. Good luck and best wishes.

    Like

    Reply

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s