Where I’ve been

It’s been over a year since we lost our dear April. I haven’t retreated from the world (any more than usual), but I’ve had little impetus to post here. I’ve been busy pursuing my various creative disciplines, including guitar, drums, bass, keys, and vocals. I’ve been increasing my focus on the various visual arts to include drawing, 3D environments & modeling, and dabbling in video editing and VFX. I’ve been busy, is what I’m saying.

I’ve been more active on social media with occasional creative posts, but nowhere near the level I need to build a community yet. I’ve mostly finished the Unreal Sensei course on UE5, although he has been updating content that I will revisit. I enrolled in Marc Brunet’s digital art course, a big commitment since I’m not bringing any additional money in now.

On that note, I’ll briefly explain. I’m no longer working with VES. They were bought out by a bigger defense contractor called Maximus last year. Word came down in March-ish that we would no longer be able to have schedule limitations and would need to let them schedule as they pleased.

The big issue with that (which I’m not sure I covered before) is that they have a policy where joint exams are all lumped together as a single worksheet for payment purposes. This means they get 6-7 worksheets for the price of one. As it happens, these are some of the most common claims we get. My experience in the past was that I would have my schedule filled with these types of exams, and the result was that I’d have 15-20 exams but end up getting paid like I did 3-5 exams. I had limited my schedule, so they couldn’t pile these exams on. Once, I decided to try opening my schedule up to get more exams, but I immediately got booked with those joint exams, so I reverted to my old policy. This was fine until Maximus required an open schedule.

At the time, I explained to them why I limited my schedule that way and that going forward, I would just be working less because this payment policy wasn’t sustainable. Why would I spend 8 hours in their clinic with only 1-2 hours’ worth of pay to show for it? I didn’t hear anything back and a month or so went by with no communication. Sometime in April or May, I find myself unable to log in to their system. I asked tech support, and their response was, “we’ll forward your request to the appropriate department.” Which is a very non-tech support kind of response.

I knew something was up. The answer I got (through an intermediary) was that “upper management” had decided for one of the following reasons: Veteran complaint, timeliness of reports, the accuracy of reports, employee/Veteran relations, and/or something else we’re not saying, blah, blah, blah, VES had decided to cut ties with you. I responded that this wasn’t satisfactory, and they could at least give me a specific reason (assuming it was possible it could be one of those reasons, although I didn’t believe so).

All I got back was that it was “schedule related,” but they might consider the matter again if I wanted to change my request. I said I never refused to work under the new policy, only that I would be working less because it wasn’t fair payment. I proposed that if they would alter my contract to pay fairly for the joint exams, I would be willing to work more often. My productivity was established over the past year (especially since I completed two of their travel weeks last year, and those are a slog). The intermediary said he’d forward it.

I had some residual emails from other departments about training and the like, and when I got those, I would cc this intermediary as a way to get updates on my proposal. After several weeks there was no answer, so I quit checking.

Since I have no specifics to go by, I think VES doesn’t tolerate any providers challenging their payment system, whether it’s done professionally or non-adversarial. I’ve never made any demands or ultimatums to them; I’ve only explained my reduced hours and why that policy is unfair, in my opinion. I’ve never been shown the courtesy of a response from management.

VES doesn’t hire providers, which prevents them from needing to provide any of the benefits or protections that a normal employer would be required by law to provide. They never hire you, so they don’t need to fire you; they can just say we’re no longer going to schedule appointments with you.

There was a precedent in my experience, my colleague from the VA fee basis days, Dr. Brooks, had experienced the same scenario, although his occurred within a few months while mine was over a year later. I think he may have been more direct in challenging them, going so far as to try and obtain a copy of their VA contract under the FOI act. I don’t think he ever got it, and not long afterward, he was “fired.”

He had been my collaborating physician, so maybe my dismissal was partly due to guilt by association in their minds, I don’t know. I never got a real answer, but I think I’m right in my thinking. Changing that policy to pay providers fairly would likely result in the loss of hundreds of thousands, if not millions, in revenue for them.

All that to say, I just decided to end it with them. I had never appreciated their culture. Despite all their flowery quotations about caring for Veterans, including those awful self-help and uplifting quote framed photos filling the walls in their clinic, their consistent behavior is that profits are the priority, not the Veteran. I often would have a Veteran who had an issue I could address in the clinic, but VES would never let me add or change the report even though it would likely save the Veteran months of waiting and potentially get them their benefits faster.

All this is anecdotal, but I felt that if there was ever a question of payment, their policy was to refuse the exam and make the VA request it formally to ensure they got their money. Whether it was the right thing to do for the Veteran didn’t matter. The other ongoing issue of frustration with them was their QA policy. They would go over each report and make these small corrections that were irrelevant, but I assume it was to ensure their reports were buffed to such a blinding shine that the VA would never question them and they could maintain their contract. Without their VA contract, they essentially have no business model.

I worked directly for the VA for nine years, and the issues that would be flagged by VES QA personnel never got questioned or challenged by VBA. Never. So, that was an ongoing frustration because they could commandeer your time and make you re-visit a report, and they weren’t going to pay you for it.

How’s that for a short explanation? Lol. Apparently, I still have some feelings about it. Mostly I find it frustrating that not only the VA (considering what happened to all of us fee basis providers) but VES and likely the other contractors truly don’t value hard work and competence and mostly want people who will swallow the corporate Kool-Aid and keep their heads down and their mouths shut.

The outcome is that this scenario has driven me into full-time creative pursuits and will eventually provide a means of income derived from the things I love, not the whims of some crass corporate entity.

In a forthcoming post, I’ll get back to the more important updates about my creative pursuits.