Forget any original ideas or anything that might make you better at doing your job - management knows what is best even though business is off 40% since 10/01/2013 since Regulation 1599-F ('two midnight rule") went into effect. Your domain expertise counts for nothing.
What COULD have been done when Medicare announced the IPPS would be fundamentally changing in 02/2013 with a new regulatory overlay? Lots of things.
1. Contingency Plans A, B, C, D, etc. Was any of this done? Was any of this articulated to employees? To clients? Appears to be no.
2. Reassuring clients regarding the value of EHR
3. Diversification away from Concurrent Operations (90% of EHR's business.)
4. Unleashing UHG's lobbyists on Washington to scuttle 1599-F.
5. And more!
Expect another round of layoffs in 2014 and the company to be put on life support (pardon the pun!) once Congress comes back from break and extends the suspension of the enforcement of the two midnight rule to 10/01/2014 - seems pretty assured at this point.
Now EHR is going to be charging clients for Post-Discharge Reviews (something that previously included no extra charge to clients) - not much of a strategy when hospitals, traditionally very risk adverse and conservative institutions, are paying a lot of $$$ to EHR and even EHR cannot provide clear guidance to navigate these highly turbulent regulatory waters and justify its value to clients. Hence, death spiral.
Bonuses expected to be cut substantially. And now only paid out only once per year - used to be quarterly. Seems to go against the HR canons of employee compensation where work effort and compensation are linked in as closely and timely manner as possible.
~300 people laid off on 11/21/2013 - Happy Thanksgiving!