For any potential new Nuance acquisition - or hire. Please read this.

Every time there is a hospital or clinic acquisition, those "acquired" MTs will be crammed onto existing accounts as their own account/work types become more streamlined and less available as more and more of it is done more efficiently with voice wreck and 3 shifts of people to do the work. 

Think of it like when a larger dog moves into a pen already crowded with too many dogs. All the pre-existing dogs have to scooch over yet again (exist on less) to make room for the new dog in the cage. 

You will never be told when this is going to happen, of course. 

All the recent talk about capacity optimization? That is just a fancy name for what they been doing all along. Shifting everyone around trying to keep too many clients happy while losing experienced old dogs who just got way too tired of scooching over to make room for the new people all the time just to stay alive.