Expert in Aging Life and Geriatric Care Management
Post-July 4, the US government will again consider the Trump “Better Care Reconciliation Act, gutting the Medicaid expansion that took place under the Affordable Care Act (or Obamacare), which would throw older people out of nursing homes. But in today’s New York Times article you see the state of care of the vulnerable and elderly presently in US convalescent homes that is a stunning oxymoron for “convalescent”.
Well-heeled seniors, according to the New York Times, may be middle-class retirees who buy shoes from Payless but have a defined pension where that allows them to afford care at home when they need it and private care management. They rode the post-war economy, held jobs long term and through that defined pension (no 401K) face a very healthy financial picture in aging. They worked for city, county, state government are teachers, truck drivers, social workers or were union members in all trades. They had a career at Xerox, IBM, Campbell Soup and big Fortune 500 companies.
These middle-class concierge clients will really shop around and want the best service and seamless points of the compass that an aging life or geriatric care manager can give each client. So you still have to deliver high-quality services
An aging life or geriatric care manager must still use different branding, marketing approach and hyper- attention to seamless care to find these middle-class concierge clients who are affluent clients who can afford their services long term.
This niche market within a market will be careful shoppers, as they have lived frugal lives before retirement, so beyond great services , have a great intake process, perfect elevator pitch and give them care management products not “peace of mind” and assessment.
Find out more in my webinar Learn The 5 Steps to Reach the Concierge Client
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How to Make a Profit Serving the Older Concierge Clients,
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Targeting concierge clients puts geriatric care managers /health care professionals, in a double bind. As a social worker, nurse or health professional practicing aging life or geriatric care management, the catch 22 you fall into is offering limited access to care management. Serving only the upper 10% was not part of our training. It was not part of our social belief system that all members of the community should have access to social and health care resources.
Restricting access to aging life or care management impacts 90% of older people’s ability to reach their full potential, negatively affecting their quality of life and further beats down unpaid family caregivers
But aging life or geriatric care manager chose to run a for-profit business that depends on the top 10%.
Thus a paradoxical situation where geriatric care managers find themselves with an ethical dilemma.
Limiting access to geriatric care management to the upper 10% leads most Aging Life or geriatric care managers to an ethical dilemma. Should we limit resources?
The physician of the 20th century treated all patients rich or poor and did not have a business model. Today’ managed care physicians see everyone on Medicare, although many do not take Medicare because of the low payments. Access to the physician diminishes even more with the advent of the concierge physician, who uses a business model to only treat those elders who can pay privately, which ends up being the upper 10%
Most aging life or geriatric care managers came to the field with inner core beliefs that health care should be available to all elders, yet they chose to start a business. So here ‘s the rub.
But that business cannot prosper if the aging life or geriatric care manager does not have long term concierge clients who can pay for it. The federal government does not fund the profession, so elders have limited access. Should you be part of this?
Here is the ethical dilemma. It turns out that you must serve clients long term to make your aging life or geriatric care management thrive.
Learn more about how to solve this double bind.
Join me for my newest free Webinar
How to Make a Profit Serving the Older Concierge Clients,
August 23, 2017h 11:00 -12:00 PST
Discover how to transform your GCM entrepreneurial dream into a profitable reality with 5 key marketing steps
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Overcome Your Ethical Dilemma about Serving the Concierge Clients
Reach this target audience
Design products that exactly meet their needs
Obtain adult children’s buy-in
Use words that will make them choose you
Get the contract signed with ease
If you start- up an aging life or geriatric care management business your clients are Concierge Clients . Why??
Demand and not need determines the success of an elder-care business . This fundamental fact of life must be taken into consideration when developing a business plan for a for-profit, fee-based, elder-care business.
The target market for such a for- profit Aging Life or geriatric care management business is not the 65 million families who need geriatric care management services.
Geriatric Care Manager, Bob O’Toole , in his chapter of the Handbook of Geriatric Care Management, ” Private 
Revenue Sources for the Fee Based Care Manager” tells us the much smaller subset of upper 10% concierge families who can afford to hire a geriatric care manager , are willing to pay for the services that a geriatric care manager and other for-profit, elder-care enterprises provide, and can actually find their way to the fee-based provider.
Find out How to Find Those Concierge Customers
Join me for my free Webinar How to Make a Profit Serving the Older Concierge Clients, August 23, 2017 and learn how to transform your GCM /Aging Life entrepreneurial dream into a profitable reality with 5 key marketing steps
New York Times Today: Seniors all over the US many of whom were middle class worked all their lives but have spent down their retirement, will lose their federal safety net in Medicaid if the ACA is defeated in the Senate by the Republican Senate
ORANGE, Va. — Alice Jacobs, 90, once owned a factory and horses. She has raised four children and buried two husbands.
But years in an assisted living center drained her savings, and now she relies on Medicaid to pay for her care at Dogwood Village, a nonprofit, county-owned nursing home here.
“You think you’ve got enough money to last all your life, and here I am,” Ms. Jacobs said.
Medicaid pays for most of the 1.4 million people in nursing homes, like Ms. Jacobs. It covers 20 percent of all Americans and 40 percent of poor adults.
On Thursday, Senate Republicans joined their House colleagues in proposing steep cuts to Medicaid, part of the effort to repeal the Affordable Care Act. Conservatives hope to roll back what they see as an expanding and costly entitlement. But little has been said about what would happen to older Americans in nursing homes if the cuts took effect.
ORANGE, Va. — Alice Jacobs, 90, once owned a factory and horses. She has raised four children and buried two husbands.
But years in an assisted living center drained her savings, and now she relies on Medicaid to pay for her care at Dogwood Village, a nonprofit, county-owned nursing home here.
“You think you’ve got enough money to last all your life, and here I am,” Ms. Jacobs said.
Medicaid pays for most of the 1.4 million people in nursing homes, like Ms. Jacobs. It covers 20 percent of all Americans and 40 percent of poor adults.
On Thursday, Senate Republicans joined their House colleagues in proposing steep cuts to Medicaid, part of the effort to repeal the Affordable Care Act. Conservatives hope to roll back what they see as an expanding and costly entitlement. But little has been said about what would happen to older Americans in nursing homes if the cuts took effect.