Concierge Care Manager Archives ⋆ Cathy Cress

What Types Concierge Clients Can Afford Paid Care Besides Donald Trump On the Holidays?

December 17, 2019

Types of aging families who can afford care management

Families who can afford geriatric care management and home care long term can do so because they have the financial resources, which are usually over a million dollars in assets.. Part of this is drawn from Claudia Fine and Nick Newcombe excellent chapter ” Entitlement in the Aging Family”, Care Managers Working With the Aging Family, Jones and Bartlett)

Narcissistic-Entitled Families:

Entitlement in these families usually develops from a specific kind of “not good enough parenting” in which the parents themselves have struggled with personality disorders, most typically, in this type of family, narcissistic borderline personality ( example President Trump)They struggled with a borderline personality that went undiagnosed or was formally diagnosed and untreated. The narcissistic or borderline parent essentially does not experience the child/children as separate and discreet from themselves and, moreover, uses the child/children to serve parental needs. This parent-child relationship is characterized by severe boundary issues in which seduction and abandonment are ever-present dynamics and where emotional unpredictability and instability are constant. ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working With the Aging Family)

Rich and Famous-Entitled Families:

These families are identified by the parents’ socioeconomic, financial and political prominence. ( example President Reagan)They are families in which all basic needs, services, resources and creature comforts are obtained via income, assets, abundant discretionary cash flow and/or come from the political position, station or power. Once again, the entitlement of the family is passed from the parent to the child who in turn brings these behaviors and actions to the caregiving milieu and care management relationship. In this category, the entitlement arises out of a family that is accustomed to purchasing everything. They look to paid others to meet their needs (as opposed to families who must themselves find and orchestrate ways to meet basic and complex needs themselves or with the help of the extra-familial system). Often these families have household staff, i.e., nannies, butlers, drivers, private pilots, cooks, and maids. They may have available to the business and family lawyers and accountants, as well as, teams of medical professionals and concierge physicians. Consequently, in almost all situations they are uninvolved in processes, especially those that are difficult, stressful and time-consuming. ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working With the Aging Family)

Well-heeled seniors,

according to the New York Times, may be middle-class retirees who buy shoes from Payless but have a defined pension can 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.

Professionals- Physician, Attorneys, CPAs

This group made a very healthy living during the late 20^th Century, probably had a defined pension and have very lucrative investments that allow them to afford home care and care management. They usually come from nearly normal families and have been well parented although you will find a mixture of dysfunctional aging families. Their adult children tend to be supportive of their parents, although again you will find a mixture of dysfunctional families in this category.

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If You Start a Geriatric Care Business Why Is Your Mission to Serve Top 10%

August 4, 2018

What is a Mission and why is it a Critical Success Factor in Beginning or Adding an Aging Life or GCM business?

A mission is a – tool for communicating fundamental business objectives,

Part of your mission must state that you are 100% clear you are serving high end entitled clients

Read GCM Bob O Toole’s chapter Private Revenue Sources in the Handbook of Geriatric Care 4^th edition on the Fee-Based Geriatric Care Manager.

He shows you about the very limited market you must serve for financial success. That Market is the top 10% who can afford you.

So give a try to rewriting your mission statement – here’s how

Your geriatric care management business plan starts with your mission statement, which should state the core of your business in a few sentences. The mission statement should reflect the goals and values of your organization. It should be short, focused, perhaps only 20 words, written in the present tense, in positive terms, and without qualifiers.

As part of your business plan so you are adding a major part to a document that will allow you to plan your business and perhaps get investors, who will want to be paid back with your profit.

Try a good mission statement on your own that is short focused and those 20 words.

Here is an example :

“Premium care management services and choices delivered by extraordinary health care professionals”

Learn 5 critical success steps to start and run a profitable, GCM business, including marketing to Concierge clients with your mission, from Cathy Cress MSW, the author of the Handbook of Geriatric Care Management now in its 4^th edition. Sign Up Now

Sign up for this limited enrollment webinar that will teach you to sidestep the 8 out of 10 entrepreneurs who start businesses and fail within the first 18 months.

See you there.

Cathy Cress MSW

Surprise- Retired Teachers, Truck Drivers, Subway Drivers Can be Concierge Clients Too

August 3, 2018

You will get calls from adult children of Concierge seniors over the holidays. These are the seniors who can afford long-term geriatric care management and home care

You may be surprised that this upper 10% of the populations include teachers and subway workers.

Well-heeled seniors, according to the New York Times, may be middle-class retirees who buy shoes from Payless but have a defined pension can 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 and their adult children calling over the holidays when they visit Mom and Dad and find care problems – will really shop around. They want the best service and seamless points of the compass that an aging life or geriatric care manager can give each client. These retirees lived on small salaries. Teachers who graduated in 1967 made $5000 a year. So they lived a working life of cautious shopping and tight family budgets. Now in retirement, they can sail down the Danube with their generous defined pensions and afford home care and long-term geriatric care management when they need it or their adult kids who visit over the holiday know Mom and Dad need help.

Learn 5 critical success steps to start and run a profitable, GCM business, including marketing to Concierge clients, from Cathy Cress, the author of the Handbook of Geriatric Care Management now in its 4^th edition. Sign Up Now

Sign up for this limited enrollment webinar that will teach you to sidestep the 8 out of 10 entrepreneurs who start businesses and fail within the first 18 months.

See you there.

Cathy Cress MSW

Surprise- Retired Teachers, Truck Drivers, Subway Drivers Can be Concierge Clients Too

October 25, 2017

You will get calls from adult children of Concierge seniors over the holdays. These are the seniors who can afford long term geriaratric care management and home care

You may be surprised that this upper 10% of the populations include teachers and subway workers.

These middle-class concierge clients and their adult children calling over the holidays when they visit Mom and Dad and find care problems – will really shop around.They want the best service and seamless points of the compass that an aging life or geriatric care manager can give each client.These retirees lived on small salaries. Teachers who graduated in 1967 made $5000 a year. So they lived a working life of cautious shopping and tight family budgets.Now in retirement, they can sail down the Danube with their generous defined pensions and afford home care and long-term geriatric care management when they need it or their adult kids who visit over the holiday know Mom and Dad need help.

Join me Wednesday, November 8 and learn how to come to the rescue of Concierge Entitled families who find coal in their stockings.

Ten Clinical Steps to Tame the Turbulence of the Holiday Season in The Entitled Concierge Family

NACCM has pre-approved this program for 1.5 contact hours”

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Give frantic entitled adult children hope when they call desperately call this holiday

Learn the 10 Steps to tame holiday turmoil from Cathy Cress MSW, the author of the Handbook of Geriatric Care Management.

Wednesday, November 8 @11am Pacific Time

2pm CST/ 4pm EST / 8pm LONDON / 5am SYDNEY

Do You Have an Aging Life or GCM Ethical Dilemma of Serving Wealthy Entitled Clients?

August 4, 2017

Targeting concierge clients puts geriatric care managers 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 contradictory goals.

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 19th & 20th century treated all patients rich or poor and did not have a business model but a caring 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 nurses and social workers who are 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.They had a caring model. So here ‘s the rub.

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.

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Cathy Cress MSW, Author of Handbook of Geriatric Care Management- 4th edition. Webinar Series
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Do You Have an Aging Life or GCM Ethical Dilemma of Serving Wealthy Entitled Clients?

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