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I have heard too many times where a hospital is outsourcing their transcription department and you must take the job with the MTSO, and you cannot get unemployment benefits if you don't take the job.
I have been thru it twice. Both times it was done in the most unprofessional way; in 1998 and again in 2011, two different hospitals in two different states. Both times, they lied to us, saying we must go with the MTSO and won't qualify for unemployment.
When you are laid off, you are losing your job through no fault of your own, your job is being outsourced and your department is being closed. This is about the only time you CAN qualify for unemployment.
Your hospital must pay an increase in the unemployment experience rate if they lay off any of their employees and they don't want that. They have to pay more for a certain period of time and pay for part of your state UE compensation. Either HR is not on the ball or administration told them to be nasty and intimidate you.
If your employer outsources your job, you will qualify for unemployment. It is whether you can live on what the weekly rate is. States are different; Massachusetts has the highest rate of unemployment compensation weekly benefits.
It is so insulting to know your employer is done with you once they sign with the outsourcing MTSO. They lie to you, they say they "want to help you with your journey!" We asked periodically at our monthly transcription department meetings if they were considering outsourcing, and were told "I haven't heard anything." (meaning haven't heard that day) Then we were more specific, "has the hospital sent out RFIs?" (request for information from MTSOs) and were told "what do you mean?" (meaning the MTs are asking a yes or no question and our manager was squirming!). We even went so far as to ask, "has the hospital sent out out RFQs?" (requests for quotes from MTSOs), and were told "I don't speak for administration" (a big red flag!). They lie.
On a encouraging note, after the outsourcing, the VP at one hospital was fired, and at the other hospital, the CFO was told to move on or be fired and the HR manager was fired. Unfortunately, we did not get your jobs back.
One hospital was given a line rate from MM and after the initial one year contract expired, all of the sudden that rate tripled! The hospital was forced to accept it, because they had no dictation system and the MTs had moved on, so the hospital fired the mgmt that pushed for outsourcing and stayed with that MTSO, but of course made all kinds of demands - like the pages and pages of account specifications. Your hospital isn't told you don't get paid for demographics, and don't get paid when there is no work, or just doesn't care. That is what so sad, you are part of a "family" with your employer until they are inundated with greedy big MTSOs determined to get their account.