Cathy Cress

Expert in Aging Life and Geriatric Care Management

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What is President Biden’s New Infrastructre Caregiver Plan?

April 14, 2021

President Biden announced the American Jobs Plan, a $2 trillion investment in infrastructure, jobs, and home care. It includes a $400 billion investment to expand access to Medicaid home and community-based services (HCBS)

Why This Plan for Home-Based Care?

Only 15% of U.S. seniors 80 or older receive care at home. In Switzerland, Denmark, Mexico, and Sweden, that figure is above 30%, with numbers even higher in Israel and Lithuania.

Medicaid has slowly evolved over the years, placing a greater emphasis on home- and community-based services. But the ground gained has been relatively minor compared to investments in other settings like nursing homes.

In 1995, Medicaid spent about 18 cents out of every long-term care dollar on HCBS services. Today, that number has reached 57 cents per dollar.

The Scale of the Problem is Mamouth

The number of seniors is projected to grow by more than 40 million, approximately

doubling, by 2050, while the population older than 85 will nearly triple. Unlike most other industrialized nations, the United States does not provide a public long-term-care benefit for all older adults.

Only10-15% of Americans can Afford Private Duty Homecare

Because Medicare does not pay for home care, only the top 10-15 % can afford private duty home care, while in many other nations it is a right and free to all through the government. What Biden’s new plan does is take a giant step in making home care possible a greater number of Americans.

The plan calls for expanding access to and quality of HCBS to help more older adults and people with disabilities live in the community and extending the Money Follows the Person program to help individuals who are in nursing facilities and other institutions return to the community. 

What The Pandemic Has taught us about Aging and Dying

at Home

What the continuing pandemic has painfully taught us is when we are ill- we want to be home in the arms of our family. When we are threatened with or facing death, we do not want want to be in a sterile hospital with only anonymous caring nurses and zoom to comfort us in our last minutes in this world. We want to be at home- in the arms of our family and loving caregivers.

Long before the COVID-19 emergency, health care policy experts have increasingly recognized the value of home-based health care. A recent AARP survey found that three in four adults 50 years and older would prefer to age in their homes and communities. And a growing body of evidence suggests it is less expensive to deliver care in the home.

Indeed, for years we’ve seen hospitalized patients more quickly returning to their homes and communities to heal and recover safely, reducing costs for themselves and the health care system.

The Plague of Isolation on top of the Plague of COVID -in Locked Down Nursing Homes

Home-based care addresses negative health effects of social isolation and loneliness, which drive poorer health outcomes that annually cost billions of excess health care dollars. 

Isolation is also equal to 15 cigarettes each day. Elders in a nursing home during the pandemic were isolated from the families and their fellow residents so much so that despair may have led to the 174000 deaths as of March 2021. 

So Biden has launched a bill the builds the infrastructure of home care for the lower 30% on Medicaid until in America’s future, Medicare and home care for all is reached.

 

Filed Under: Age at home, AGING IN PLACE, American Jobs Plan, Blog, COVID-19 Recover at Home Plan, COVID-19 Safety, Expanding Medicare to Home Care, FOLLOW THE MONEY, geriatric care management emergency proceduress, geriatric care manager, Geriatric Care Managers value, geriatric social worker, Good Death, Home Based Care, home care, Home Care for All, Home From the Hospital, LOSING CLients TO COVID, Monet Follows the Person Program, Quality of Life, quality of life -COVID-19, Quality of Life for elders Tagged With: aging life and geriatric care manager, aging life care management, aging life care start up, aging life geriatric care manager, aging life or geriatric care manager, American Jobs Plan, Biden's Home Care Plan, Biden's Infastructure Bill, Deaths in Nursing Homes, Expanding Home Care, Home and Community Based Care, Home Based Care, home care, Isolation in Nursing Homes, Medicaid & Community Based Care, Medicaid funded Home Care, Medicare for All, Money Flows to the Person, nurse advocates, nurse entrepreneur

Do You Want a new Affordable Geriatric Care Management Manual ?

March 18, 2021

New Low -Cost Way To But GCM Operations Manual

Introducing my new affordable subscription model , giving entrepreneurs and professionals who want to start a care management agency for elders a low-cost way to begin.

You can now purchase my Geriatric Care Management Manual in its 5th edition at a low-cost monthly price. You can pay a small amount monthly and access the entire manual online to learn how to deliver 15 key geriatric care management products services step by step

The Features of MY GCM Operations Manual include
15 Care Management  Services or Products
A separate Forms Manual with 54 integrated forms  
Electronic PDF so you can edit

 

Check out my cost-effective subscription program  which allows you to pay $100 a month for 10 months and access the entire manual  online

 

 

 

 6 reasons why your start-up business or restart GCM/ALCA  business needs this.



 1.  The operations manual will create and maintain the highest quality of gold standard service /products in your business.

 

2. The operations manual becomes the primary tool for training your employees.

3.  The operations manual creates more time for the owner, by giving you written procedures for your business.

 

4.  The operations manual makes your business scalable thus performing well as it grows.

5. You can easily expand your GCM Business to a second office as the Manual gives you a turnkey guide.

6.With an Operations Manual, You Can Sell your GCM Business for Twice the Amount.

Find out more 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, Care Management Products, care management start-up, elder care manager, Families, GCM Operations Manual, GCM Start -Up, GCM subscription model, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager, Operations Manual, START UP Tagged With: 5th edition GCM OPERATIONS MANUAL, affordable Care Management Manual, aging family, aging life and geraitric care manager, aging life care manager, aging life care start up, aging life or geriatric care manager, aging parent care, aging parent crisis, business start up, care manager, case manager, GCM Operations Manual, geriatric care manager, low-cost operations manual, My Geriatric Care Management Operations Manual, nurse advocate, nurse care manager, start -up elder business, start-up aging business, Subscription Model

How to Sell VIP Clients Products They Want To Buy & Universal Precautions They Need

June 10, 2020

Universal Health Precautions and Concierge Services During a Pandemic

In this pandemic, you will have to give your potential clients assurance that your care providers can render concierge caregiving, companionship and personal care services and quality of life have completed the Corona Virus universal precautions training and have all necessary masks and gloves for each case. You should assure that caregivers should are required to take their own temperature prior to each shift and all shifts are available. In addition, you should tell clients or potential clients caregivers are able to pick up and deliver groceries, medications as well as do light housekeeping and cooking or you will arrange for meals to be delivered from the restaurant they choose. 

Concierge Client’s Can Afford You Due to Income Disparity in the US and NO LTC Under Medicare

Concierge customers are sadly the only customer who can afford you because Medicare does not cover long term care and, in an age of income disparity, 75% of all wealth is held in the hands of the upper 10%. They will choose you -the geriatric care manager over your competition if you have products and Four Seasons services to deliver those products- rivals do not have.

Products make sense to a high-end customer who is brand /product oriented in purchasing anything that reflects who they are. Think Gucci purses, Rolex or Montblanc watches Dior dresses.

All  care management customers in upper 10% relate to products not peace of mind

Rather than tell clients you do assessment– offer products they are seeking  – like relocation (moving an older parent VIP  Care Management, ( Discreet private care for a well known celebrity),Quality of Life (increasing the joy in an older person’s life who is dressed with Stay at Home Restrictions), Dementia Care, Home from the Hospital,( which many desperately need, especially during the COVID -19 epidemic), Medication Assessment,- End of Life Services,Products that pinpoint exactly what the older person needs are in a pandemic & on going and why the family is desperately calling for help. But these products need to be

Jaguar level, not a Hyundai buy. To do this, develop continuously integrated solutions through a product procedure placed in a company operation manual, along with all of your products so you ensure your staff can deliver, step by a step-that high-end product that the Concierge client just purchased and demands.

 

 

Free Webinar-

How to Sell VIP Clients a Menu of Products They Want To Buy During the Pandemic

Learn in this webinar:

COVID-19 Assurances You Must add to Your Products &Staff 

Income Inequality and No Coverage For Long Term Care Controls On Your GCM Market

Why Sell VIP Products rather than Geriatric Care Management
Why VIP GCM Clients prefer GCM Products
How to Develop a 4 Season Menu of Products
How to deliver 4 Seasons Service With VIP Products

VIP Products to Add to your Menu of Services

 

 

 

Sign Up Now

 

 

 

 

Subscribe to My Geriatric Care 1 Youtube channel 

 

 

 

 

Filed Under: Aging, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, ALCA Beneifits, Benefits of Geriatric Care Management, Blog, Care Management Products, care management start-up, care manager, case manager, Covid 19, elder care manager, Families, FREE WEBINAR, GCM Start -Up, Geriatric Care Management Business, geriatric care manager, geriatric care manager start up, geriatric social worker, Income inequality, marketing care management, marketing to the top 10$, marketing to upper 10%, nurse advocate, nurse care manager, Selling GCM Business, Universal Precaution, VIP Products, Webinar, Webinar ALCA GCM Tagged With: aging life care start up, Aging Life Or GCM Products, care management products, case manager, Certified Senior Advisors, CMSA, Covid-19, eldercare manager, geriatric social worker, Income Inequality, marketing geriatric care, marketing geriatric care management, Medicare & coronavirus, Medicare non coverage LTC, nurse care manager, pandemic, products vs services

What Concierge Aging Life or GCM Products Work Best During Covid-19?

April 7, 2020

Concierge Clients Who Can Afford Private Geriatric Care Management No Longer Taking Cruises

Tens of thousands are dying in the US and worldwide of coronavirus so a cruise ship of any cruise now wreaks of dying slowly on the ocean with no real hospital and no place to disembark. This is not the product that the upper 10% or anyone would board now. But in better times concierge products like a Viking Cruise as it is understandable to a high-end customer. They buy it –because it has exceptional services and recognizes their entitled station in life. Coronavirus recognizes no status class and kills all equally.

Sell Products Clients Need During the Pandemic

Geriatric care managers, rather than tell inquiry clients they do assessment–should offer products they need in this pandemic  – like relocation (moving an older person). Elders who live in dangerous SNF facilities, so vulnerable to COVID-19 

In an article from the LA Times Charlene Harrington a Professor from UCFS states”Families with loved ones in nursing homes should consider pulling them out if it’s at all feasible to care for them at home, said Charlene Harrington, professor emeritus at UC San Francisco’s School of Nursing.

“The risk of exposure is so overwhelming,” said Harrington, who has studied nursing homes since the 1980s. “It’s a terrible concern.”

ALCA suggested that you call all the SNF’s in your area and expalin that you specialize in moving elders and can be of help to their clients who are moving out of SNF’s due to family concerns.

 

GCM Products for the Isolated and Lonely Seniors During Stay at Home Orders

Quality of Life (increasing the joy in an older person’s life who is lonely) can be an important service to offer during the coronavirus pandemic. Seniors who live alone are already isolated, lonely, and depressed and the virus only causes this to explode in their lives.  Quality of Life programs like Sage Eldercare’s Humminbird Program has gone remote and can be purchased for a minimal amount for client’s by families or agencies, nationally. Nina Herndon GCM, Sage owner and innovator, started this program several years ago because she was tired of watching elders she served watching TV 40 hours a day. She has brought it into the digital world to serve coronavirus patients nationally. Nina also wrote the Chapter on how to set up a Quality of Life program in my book  Handbook of Geriatric care Management 4th edition 

Products For Seniors Discharged from Hospitals in Pandemic When SNF’s will NOt Take Themphoto.JPG

Home from the Hospital is a GCM product the Safely helps the older client through discharge and the first 3 months to make sure they do not return to the hospital, which now is overrun with coronavirus patients and at capacity.

. Home From the Hospital pinpoints exactly what the older person needs for discharge with the hospital and why the family is desperately calling for help. They are calling for help at a piercing decibel level because nursing homes will not take them for fear of COVID 19 infection of their residents 

To do this, offer these products to families third parties, hospitals and nursing homes in this crucial time. develop continuously integrated solutions through a product procedure placed in your company operation manual, along with all of your products so you ensure your staff can deliver, step by a step-that high-end product that the Concierge client especially under the huge stress of the coronavirus with vulnerable parents -just purchased and demands. If you do not have an operation manual, I have all these products in my GCM Operations Manual plus 11 more, with all the procedures in place so you can instantly offer them. I will offer a 20% discount for the GCM manual during the pandemic for Geriatric Care Management Agencies suffering during the coronavirus outbreak. Contact me here 

 

 

 

 

 

 

 

 

 

 

Filed Under: Aging, aging life care manager, Blog, case manager, coronavirus, coronavirus marketing, coronavirus shut down, Covid 19, elder care manager, Families, Geriatric Care Management Business, Geriatric Care Manager, Home care disaster plan, Home Care Emergency Coronavirus Plan, Home From the Hospital, Long distance caregiver, Move Management, moving parent in your home, Pandemic Tagged With: aging life care start up, Aging Life Or GCM Products, care management products, case manager, Certified Senior Advisors, CMSA, coronavirus, Covid-19, eldercare manager, geriatric social worker, marketing during COVID-19, marketing geriatric care, marketing geriatric care management, nurse care manager, pandemic, products vs services

How to Sell VIP Clients Products They Want To Buy & Universal Precautions They Need

April 4, 2020

Universal Health Precautions and Concierge Services During a Pandemic

In this pandemic, you will have to give your potential clients assurance that your care providers can render concierge caregiving, companionship and personal care services and quality of life have completed the Corona Virus universal precautions training and have all necessary masks and gloves for each case. You should assure that caregivers should are required to take their own temperature prior to each shift and all shifts are available. In addition, you should tell clients or potential clients caregivers are able to pick up and deliver groceries, medications as well as do light housekeeping and cooking or you will arrange for meals to be delivered from the restaurant they choose. 

Concierge Client’s Can Afford You Due to Income Disparity in the US and NO LTC Under Medicare

Concierge customers are sadly the only customer who can afford you because Medicare does not cover long term care and, in an age of income disparity, 75% of all wealth is held in the hands of the upper 10%. They will choose you -the geriatric care manager over your competition if you have products and Four Seasons services to deliver those products- rivals do not have.

Products make sense to a high-end customer who is brand /product oriented in purchasing anything that reflects who they are. Think Gucci purses, Rolex or Montblanc watches Dior dresses.

All  care management customers in upper 10% relate to products not peace of mind

The Four Seasons offers a template in identifying and responding to a client’s needs – availability of 24 -hour room service, one-hour dry cleaning.

 From the moment, a guest sets foot into a Four Seasons establishment, the staff is trained to identify and respond to that client’s needs in an integrated fashion.

A Geriatric Care Manager must apply a Four Seasons Mentality to an older identify client’s needs. So, you must assess their quality of life needs, home care needs, types of referral sources they prefer and preferred service delivery. Most important their health care needs and psychosocial needs must be identified and delivered under the same high-quality delivery by a professional care manager.

At the time care management services are started, the client may have a range of physical, emotional,

intellectual and spiritual problems needs. The Concierge care manager’s role is to identify these needs and provide integrated, continuous solutions to meet the client’s needs.

Rather than tell clients you do assessment– offer products they are seeking  – like relocation (moving an older person), VIP  Care Management, Quality of Life (increasing the joy in an older person’s life who is lonely with Stay at Home Restrictions), Dementia Care, Home from the Hospital,( which many desperately need, especially during the COVID -19 epidemic), Medication Assessment,- End of Life Services,Products that pinpoint exactly what the older person needs are in a pandemic & on going and why the family is desperately calling for help. But these products need to be

Jaguar level, not a Hyundai buy. To do this, develop continuously integrated solutions through a product procedure placed in a company operation manual, along with all of your products so you ensure your staff can deliver, step by a step-that high-end product that the Concierge client just purchased and demands.

 

 

Free Webinar-

How to Sell VIP Clients a Menu of Products They Want To Buy During the Pandemic

Learn in this webinar:

COVID-19 Assurances You Must add to Your Products &Staff 

Income Inequality and No Coverage For Long Term Care Controls On Your GCM Market

Why Sell VIP Products rather than Geriatric Care Management
Why VIP GCM Clients prefer GCM Products
How to Develop a 4 Season Menu of Products
How to deliver 4 Seasons Service With VIP Products

VIP Products to Add to your Menu of Services

 

 

 

Sign Up Now

 

 

 

 

Subscribe to My Geriatric Care 1 Youtube channel 

 

 

 

 

Filed Under: Aging, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, ALCA Beneifits, Benefits of Geriatric Care Management, Blog, Care Management Products, care management start-up, care manager, case manager, Covid 19, elder care manager, Families, FREE WEBINAR, GCM Start -Up, Geriatric Care Management Business, geriatric care manager, geriatric care manager start up, geriatric social worker, Income inequality, marketing care management, marketing to the top 10$, marketing to upper 10%, nurse advocate, nurse care manager, Selling GCM Business, Universal Precaution, VIP Products, Webinar, Webinar ALCA GCM Tagged With: aging life care start up, Aging Life Or GCM Products, care management products, case manager, Certified Senior Advisors, CMSA, Covid-19, eldercare manager, geriatric social worker, Income Inequality, marketing geriatric care, marketing geriatric care management, Medicare & coronavirus, Medicare non coverage LTC, nurse care manager, pandemic, products vs services

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