Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Video -Learn Business Skills to Start a Geriatric Care Management Business!

May 6, 2022

What  Business Skills Do You Have in Starting A Geriatric Care Management Agency?

Starting a Geriatric Care Management  Agency does not take simply clinical skills but also business skills. Only 3% of geriatric care managers now have business skills because most are in the health field, nurses, and social workers. So it takes business skills you would get in an MBA to start of GCM business. What are those skills and how do you get them without an MBA?

  • GCM ALCA billing skills to develop a billing system that allows you to bill 85% of your time, control your cash flow, and invoice promptly to make a profit
  • GCM financial forecasting skills to develop a 3-year financial forecast using an excel spreadsheet to track your basic profit and expenses and to track the number of clients and billable hours needed to break even make a profit, pay back loans, hire new staff, and take a salary yourself
  • GCM organizational design skills to create your business flow chart and job descriptions, and outline how power flows down your staff to deliver gold standard care to clients
  • GCM marketing survey skills to pinpoint your area’s upper 10% clients and 3rd-party referrals to market, to make your business profitable
  • GCM competitive analysis skills to set the fee per hour your market will bear for your services and to gather information from each, to position your services vs your competition’s so clients will choose you
  • GCM timeline skills to identify and list (in a manageable, doable order), majortasks to complete before you open your business
  • GCM business planning skills  to write a 13-part business plan to create a blueprint of measurable goals for your business’s financial success
  • GCM marketing skills to create a marketing plan to develop lead sources, conduct lead generation, launch social media, and conduct content marketing to gain new customers
  • GCM sales skills
  •  position your agency to sell your menu of services benefits to 3rd parties and clients through cold calling, 1-1 sales meetings, and inquiries, by knowing how to close the sale and sign the contract

If you do not have all or some of these skills, check out my  Online GCM Business Class which includes 10 modules  teaching you all these business skills to start your GCM Business including two modules on critical  financial management so you do not go under and lose your dream start-up

Includes MY Geriatric Care Management  Operations Manual and Forms Manual at no cost

  • LEARN MORE ABOUT LEARNING GCM BUSINESS SKILLS WITHOUT GETTING AN MBA 

  • Check out our affordable price or choose our new  monthly payment plan for a start-up 

 

Find Out More 

 

CHECK OUT OUR GCM BUSINESS CLASS 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Filed Under: Aging, aging life business, Aging Life Care, aging life care manager, ALCA business, ALCA Business Skills, ALCA start-up business, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black Geriatric Care Manager, Black RN, Black Travel RN, Blog, care management start-up, care manager, cash flow, competition survey, Concierge aging clients, Concierge Care Manager, concierge clients, Concierge Geriatric Care Manager, entrepreneur RN, Families, GCM Billing skills, GCM Business Flow Chart, GCM Business Skills, GCM Marketing skills, GCM Start -Up, GCM Timeline skills, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, high end clients, Marketing Home Care, marketing to the top 10$, Marketing Tools 2021, nurse advocate, nurse care manager, start up geriatric care management business, start-up, value proposition Tagged With: aging business, aging family, aging life and geraitric care manager, aging life care manager, aging life geriatric care billing data base, barrier to billing, Billing 85%, billing for geriatric care management, Black Entrepreneurs, Black geriatric care managers, Black start-up geriatric care management, business start up, care manager, case manager, critical success factor For GCM or Aging Life business, Ethical Dilemma with Billing, GCM billing, GCM customers, GCM making a profit, GCM start-up, GCM Subscription Plan, geriatric care manager, geriatric social worker, minority start -up help, My Geriatric Care Management Operations Manual, nurse advocate, nurse care manager, nurse care manager eldercare manager start-up, Profitable aging life business, profitable ALCA business, reaching top 10% elder, target market for GCM customers, webinar billing care management hours

Critical Success Factor for Start Up Care Management Aging- Serve Top 10%

August 2, 2021

Your customers need to be in the top 10% economically and here’s why. That is how you will make money, stay solvent and thrive. To start a Geriatric Care Management business PLUS to write a major section of your GCM business plan, you must describe the customers you intend to serve -your market assessment or opportunity. That tells you and investors whether you will have enough customers to make money. The Concierge Client who is in the top 10% financially is your client.  Start your business plan and your intention to make money, with a definition of your ideal client. Example: Woman, 85 years old with chronic care needs who has an income or liquid assets of $500,000 or more.

Upper 10% Customer Needs to be Your Mission and Intention- Why?

You want to list the customers who will reward you the most financially. This has to be in your mission and deeply in your mind. The “Why” is Medicare does not cover geriatric care management which is about expensive as a plumber or more critically – home care-at $4000-6000 a month -as expensive as the average closing cost on a home PER MONTH. Only the top 10% can afford that. So, make this your mental intention because you are running a business whose very blood is cash flow. Without the profit motive and profit, your new business stands a major chance of failure

Ideal Clients and Third-Parties You Need for Success

 How many of these ideal clients are in the area you wish to serve? You need to do an analysis of the age and income levels. Generally, geriatric care management customers are over age 85 or are disabled younger people with incomes in the range of the top 10% in your community. One gateway to your customers is the local overstressed adult children of clients, long-distance caregivers with family members who need help and live in your community, Another door is third parties, such as trust officers, attorneys, conservators, or guardians, who refer you to their elderly clients or adult children, as a trusted GCM’s, 

If You Want To Start an Aging Life or Geriatric Care Management Business you need to know you can make money before you start.

You need to do market research to define the size of the market in the area where your business will be located (e.g., how many people over age 85 live in Modesto, California, how many third-party target markets such as trust departments are in the town?). This type of demographic information may be available from U.S. Census Bureau reports local Area Agencies on Aging, local chambers of commerce, local hospitals, and even members of the local media who have done their own surveys. You can use the Internet to retrieve U.S. Census data in your area, and in addition, you can Google your State Department of Aging, find your local Department of Aging, and then find all senior services that may have data on older people in your area.

 

You Need To Understand Billing and Cash Flow for Success

You also need to know about billing. You might be making good money but if your cash flow is not coming in to pay your bills and staff, you stand a new chance of failure. Care managers who are most often social workers and nurses, often have an ethical dilemma with billing and are filled with guilt. That guilt keeps them from billing every hour and leaving time billed off their timesheet to help a client. This leaves them hurting their business and their bottom line over the short term – not being able to pay their bills and themselves each month. If this continues long term- the GCM is faced finally, like a slowly dying tree in a drought , death by bankruptcy.

Check out my  Online GCM Business Class which includes 10 modules on starting your GCM Business including two modules on financial management so you do not go under and lose your dream start-up

  • LEARN MORE ABOUT LEARNING GCM BUSINESS SKILLS WITHOUT GETTING AN MBA 

  • Check out our affordable price or choose a monthly payment plan

 

Find Out More 

 

Skills you will learn in My GCM Business Class

  • GCM ALCA billing skills to develop a billing system that allows you to bill 85% of your time, control your cash flow, invoice promptly to make a profit
  • GCM financial forecasting skills to develop a 3-year financial forecast Excel spreadsheet to track your basic profit and expenses and to track the number of clients and billable hours needed to break even make a profit, pay back loans, hire new staff, and take a salary yourself
  • GCM organizational design skills to create your business flow chart and job descriptions, and outline how power flows down your staff to deliver gold standard care to clients
  • GCM marketing survey skills to pinpoint your area’s upper 10% clients and 3rd-party referrals to market, to make your business profitable
  • GCM competitive analysis skills to set the fee per hour your market will bear for your services and to gather information from each, to position your services vs your competition’s so clients will choose you
  • GCM timeline skills to identify and list (in a manageable, doable order), major tasks to complete before you open your business
  • GCM business planning skills to write a 13-part business plan to create a blueprint of measurable goals for your business’s financial success
  • GCM marketing skills to create a marketing plan to develop lead sources, conduct leadgeneration, launch social media and conduct content marketing to gain new customers
  • GCM sales skills to position your agency to sell your menu of services
    through benefits to 3rd parties and clients through cold calling, 1-1 sales meetings, and inquiries, by knowing how to close the sale and sign the contract
    • LEARN MORE ABOUT LEARNING GCM BUSINESS SKILLS WITHOUT GETTING AN MBA 

    • Check out our affordable price or choose a monthly payment plan

     

    Find out More

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Filed Under: Aging, aging life business, aging life care manager, ALCA business, ALCA Business Skills, ALCA start-up business, Blog, care manager, cash flow, Concierge aging clients, concierge clients, Families, GCM Business Flow Chart, GCM Business Skills, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, high end clients, nurse advocate, nurse care manager, START UP, start up geriatric care management business, Start-up Marketing, value proposition Tagged With: aging business, aging family, aging life and geraitric care manager, aging life care manager, aging life geriatric care billing data base, barrier to billing, Billing 85%, billing for geriatric care management, black aging family, black american geriatric care managers, black american social workers, Black Entrepreneurs, Black Nurse Entrepreneurs, Black RN's, Black start-up geriatric care management, business start up, care manager, case manager, critical success factor For GCM or Aging Life business, Ethical Dilemma with Billing, GCM billing, GCM customers, GCM making a profit, GCM start-up, geriatric care manager, geriatric social worker, My Geriatric Care Management Operations Manual, nurse advocate, nurse care manager, nurse care manager eldercare manager start-up, Profitable aging life business, profitable ALCA business, reaching top 10% elder, start-up aging business, start-up care management business, start-up care manager, start-up eldercare, target market for GCM customers, webinar billing care management hours

Critical Success for Start Up in Aging Care Management – Serve Top 10%

July 16, 2021

Why Top 10% Are Your Best Aging Life Customers?

Your customers need to be in the top 10% economically and here’s why. That is how you will make money, stay solvent and thrive.Aging clients in the top economic bracket can afford you and the lower 10% cannot.  To start a Geriatric Care Management business PLUS to write a major section of your  GCM business plan, you must describe the customers you intend to serve -your market assessment or opportunity. That tells you and investors whether you will have enough customers to make money. The Concierge Client who is in the top 10% financially is the client you put in your business plan.  Start your business plan and your intention to make money, with a definition of your ideal client. Example: Woman, 85 years old with chronic care needs who has an income or liquid assets of $500,000 or more.

Upper 10% Customer Needs to be Your Mission and Intention- Why

The why is that Medicare does not pay for geriatric care management or what comes long term 24 hour care .The average cost of home care is 4-6K A MONTH  Only the wealthy can afford that , so they must be your  ideal customer.

This cold financial fact has to be in your mission statement and deeply imbedded  in your mind.  So, make this your ” intention” because you are running a business whose very blood is cash flow.You have to have the cash from billing to pay your monthly bills. Without the profit motive and profit, your new business stands a major chance of failure and bankruptcy.

Ideal Clients and Third-Parties You Need for Success

 How many of these ideal clients are in the area you wish to serve? You need to do an analysis of the age and income levels- income over 10%. Generally, geriatric care management customers are over age 85 or are disabled younger people with incomes in the range of the top 10% in your community. One gateway to your customers is the local overstressed adult children of clients, long-distance caregivers with family members who need help and live in your community, Another door is third parties, such as trust officers,elder -law attorneys, conservators, or guardians, who refer you to their elderly clients or adult children, as a trusted GCM’s, 

If You Want To Start an Aging Life or Geriatric Care Management Business you need to know you can make money before you start.

You need to do market research to define the size of the market in the area where your business will be located (e.g., how many people over age 85 live in Modesto, California, how many third-party target markets such as trust departments are in the town?). This type of demographic information may be available from U.S. Census Bureau reports local Area Agencies on Aging, local chambers of commerce, local hospitals, and even members of the local media who have done their own surveys. You can use the Internet to retrieve U.S. Census data in your area, and in addition, you can Google your State Department of Aging, find your local Department of Aging, and then find all senior services that may have data on older people in your area.

 

You Need To Understand Billing and Cash Flow for Geriatric Care Management Success

You also need to know about billing and cash flow. You might be making good money as a small business but if your cash flow is not coming in to pay your bills and staff, you stand a new chance of failure. Care managers who are most often social workers and nurses, often have an ethical dilemma with billing and are filled with guilt. That guilt keeps them from billing every hour and leaving time billed off their timesheet to help a client. This leaves them mortally wounding their business and their bottom line over the short term – not being able to pay their bills and themselves each month. If this continues long term- the GCM is faced finally,like a slowly dying tree in a drought , death by bankruptcy.

Check out my  Online GCM Business Class which includes 10 modules on starting your GCM Business including two modules on financial management , billing and financial forecasting so you do not go under and lose your dream start-up

  • LEARN MORE ABOUT LEARNING GCM BUSINESS SKILLS WITHOUT GETTING AN MBA 

  • Check out our affordable price or choose a monthly payment plan

 

Find Out More 

 

Skills you will learn in My GCM Business Class

  • GCM ALCA billing skills to develop a billing system that allows you to bill 85% of your time, control your cash flow, invoice promptly to make a profit
  • GCM financial forecasting skills to develop a 3-year financial forecast Excel spreadsheet to track your basic profit and expenses and to track the number of clients and billable hours needed to break even make a profit, pay back loans, hire new staff, and take a salary yourself
  • GCM organizational design skills to create your business flow chart and job descriptions, and outline how power flows down your staff to deliver gold standard care to clients
  • GCM marketing survey skills to pinpoint your area’s upper 10% clients and 3rd-party referrals to market, to make your business profitable
  • GCM competitive analysis skills to set the fee per hour your market will bear for your services and to gather information from each, to position your services vs your competition’s so clients will choose you
  • GCM timeline skills to identify and list (in a manageable, doable order), major tasks to complete before you open your business
  • GCM business planning skills to write a 13-part business plan to create a blueprint of measurable goals for your business’s financial success
  • GCM marketing skills to create a marketing plan to develop lead sources, conduct leadgeneration, launch social media and conduct content marketing to gain new customers
  • GCM sales skills to position your agency to sell your menu of services
    through benefits to 3rd parties and clients through cold calling, 1-1 sales meetings, and inquiries, by knowing how to close the sale and sign the contract
    • LEARN MORE ABOUT LEARNING GCM BUSINESS SKILLS WITHOUT GETTING AN MBA 

    • Check out our affordable price or choose a monthly payment plan

    Find out More 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Filed Under: Aging, aging life business, ALCA business, ALCA Business Skills, care manager, cash flow, Concierge aging clients, concierge clients, GCM Business Flow Chart, GCM Business Skills, Geriatric Care Management Business, geriatric care manager, high end clients, value proposition Tagged With: aging business, aging family, aging life and geraitric care manager, aging life care manager, aging life geriatric care billing data base, barrier to billing, Billing 85%, billing for geriatric care management, business start up, care manager, case manager, critical success factor For GCM or Aging Life business, Ethical Dilemma with Billing, GCM billing, GCM customers, GCM making a profit, geriatric care manager, geriatric social worker, My Geriatric Care Management Operations Manual, nurse advocate, nurse care manager, Profitable aging life business, profitable ALCA business, reaching top 10% elder, target market for GCM customers, webinar billing care management hours

Do You Need To Learn Business Skills to Start a Geriatric Care Management Business?

July 7, 2021

What  Business Skills Do You Have To Start A Geriatric Care Management Agency?

Starting a Geriatric Care Management  Agency does not take simply clinical skills but also business skills. Only 3% of geriatric care managers now have business skills because most are in the health field, nurses, and social workers. So it takes business skills you would get in an MBA to start of GCM business. What are those skills and how do you get them without an MBA?

  • GCM ALCA billing skills to develop a billing system that allows you to bill 85% of your time, control your cash flow, invoice promptly to make a profit
  • GCM financial forecasting skills to develop a 3-year financial forecast Excel spreadsheet to track your basic profit and expenses and to track the number of clients and billable hours needed to break even make a profit, pay back loans, hire new staff, and take a salary yourself
  • GCM organizational design skills to create your business flow chart and job descriptions, and outline how power flows down your staff to deliver gold standard care to clients
  • GCM marketing survey skills to pinpoint your area’s upper 10% clients and 3rd-party referrals to market, to make your business profitable
  • GCM competitive analysis skills to set the fee per hour your market will bear for your services and to gather information from each, to position your services vs your competition’s so clients will choose you
  • GCM timeline skills to identify and list (in a manageable, doable order), majortasks to complete before you open your business
  • GCM business planning skills to write a 13-part business plan to create a blueprint of measurable goals for your business’s financial success
  • GCM marketing skills to create a marketing plan to develop lead sources, conduct lead generation, launch social media and conduct content marketing to gain new customers
  • GCM sales skills
  •  position your agency to sell your menu of services benefits to 3rd parties and clients through cold calling, 1-1 sales meetings, and inquiries, by knowing how to close the sale and sign the contrac

If you do not have all or some of these skills, check out my  Online GCM Business Class which includes 10 modules  teaching you all these business skills to start your GCM Business including two modules critical  financial management so you do not go under and lose your dream start-up

  • LEARN MORE ABOUT LEARNING GCM BUSINESS SKILLS WITHOUT GETTING AN MBA 

  • Check out our affordable price or choose our new  monthly payment plan for a start-up 

 

Find Out More 

 

CHECK OUT OUR GCM BUSINESS CLASS 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Filed Under: Aging, aging life business, Aging Life Care, aging life care manager, ALCA business, ALCA Business Skills, ALCA start-up business, Blog, care management start-up, care manager, cash flow, competition survey, Concierge aging clients, concierge clients, Families, GCM Billing skills, GCM Business Flow Chart, GCM Business Skills, GCM Marketing skills, GCM Start -Up, GCM Timeline skills, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, high end clients, Marketing Home Care, marketing to the top 10$, Marketing Tools 2021, nurse advocate, nurse care manager, start up geriatric care management business, start-up, value proposition Tagged With: aging business, aging family, aging life and geraitric care manager, aging life care manager, aging life geriatric care billing data base, barrier to billing, Billing 85%, billing for geriatric care management, business start up, care manager, case manager, critical success factor For GCM or Aging Life business, Ethical Dilemma with Billing, GCM billing, GCM customers, GCM making a profit, GCM start-up, GCM Subscription Plan, geriatric care manager, geriatric social worker, minority start -up help, My Geriatric Care Management Operations Manual, nurse advocate, nurse care manager, nurse care manager eldercare manager start-up, Profitable aging life business, profitable ALCA business, reaching top 10% elder, target market for GCM customers, webinar billing care management hours

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

November 1, 2020

 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,affluentseniors.jpg

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 20th 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 iStock_000063346301_Medium-1.jpgnormal 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.

If you are in any of these families, how will you spend the coming holidays with them- and will you spend the future COVID-ridden Holidays with them. If you are a geriatric care manager or geriatric therapist, what will you advise your clients do during this star crossed holiday on ice.?

SIGN UP FOR MY NEW FREE WEBINAR

 

8 Ways to Tame the Turmoil of the Holidays & Twindemic in the Aging Family

 Learn how!

  • How to sell services to the desperate Aging Family during the holiday surge
  • How to give hope to frantic children who call when their aging parent struggling with Loneliness and isolation on the holidays
  • How to help the Aging Family make holiday visits remotely or safely in person
  • How to counsel the Aging Family to track aging decline &Twindemic risk in loved ones
  • How to work with both dysfunctional and long-distance families who call during the holidays
  • How to use GCM tools to contain Holiday chaos
  • How to use financial forecasting to prepare for business growth during the holidays

Sidestep the Many Care Managers Who Do not know how to work with Dysfunctional family or do COVID Coaching of Aging Families so the client chooses you

THIS FREE WEBINAR IS Thursday, December 3, 2020, FROM 2 PM – 3:30 PM PST

Sign Up Now

 

 

 Blog: https://www.cathycress.com/blog/

Facebook page: https://www.facebook.com/pages/category/Gerontologist/Cathy-Cress-MSW-633836950007072/

Twitter: https://twitter.com/cathyjocress

Email: cressgcm@got.net

 

  

 

 

 

 

 

 

Filed Under: Aging, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, ALCA & Skilled Nursing Facility, Blog, Concierge aging clients, Concierge Client, concierge clients, Concierge Senior, COVID & HOLIDAY SEASON, Covid 19 Webinar, Covid Holiday Remote Visit, COVID Webinar, Covid-19 and GCM SERVICES, COVID-19 Webinar, elder care manager, Families, Geriatric Assessment, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, high end clients, Holiday Meltdown in Aging Family, Holiday Rituals in Aging Family, Holiday season, Holiday Sibling Rivalry, Holidays, HolidaySeason and COVID, home care, Long Distance Care, Long distance caregiver, Narcissistic Personality, nurse advocate, nurse care manager, Remote Thanksgiving Family Visit, Webinar Tagged With: Aging Concierge client, aging family, aging life care manager, aging parent care, aging parent crisis, care manager, case manager, Certified Senior Advisors, Concierge Care Manager, Covid, COVID & Holiday Season, COVID VIRTUAL CHRISTMAS VISIT, COVID VIRTUAL HANN, COVID VIRTUAL THANKSGIVING VISIT, Covid-19 Telehealth, COVIF VIRTUAL THANKSGIVING VISIT, Entitled, Entitled Family, geriatric care manager, Holiday COVID Celebration, Narcissistic Personality, nurse advocates, nurse care manager, Rich and Famous, Virtual COVID Holiday Celebration, well heeled seniors

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