Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Who Benefits from Bidens Caregiver Infrastructure Plan ?

April 19, 2021

Who Benefits from Biden’s Infrastructure Bill addressing Caregivers? Three groups

The first and foremost beneficiaries are paid caregivers who serve older people on Medicaid. The problem is they are not paid enough. These caregivers make an average of about 11.50 an hour or $23,920.00 a year, a figure below the poverty line. The goal for the Biden plan is $15.00  an hour which is $31,200 a year. This is above the federal poverty line of 2021 but only if you have 5 people in your family and will in another phase have to go higher.

Biden’s Program Benefits Caregivers Who are Primarily Women of Colorphoto.JPG

Predomitality women and people of color, these caregivers and their families struggle to survive on their present low salaries. In theory, much of the funding for the Biden Plan would be used to improve low-wage caregiving jobs.

Despite this invaluable work, caring mainly for elders and people with disabilities. 1 in 8 of these direct caregivers’ lives in poverty 

 

Why a Caregiver Infrastructure Bill. 

 

This bill repairs the ravaged road to caring for the huge number of elders who need care now and in the future. Why do we need a superhighway to care? The Elderly will grow to

a vast number while caregivers are in decline, leaving a rutted highway that needs major repair- for boomers, elders, retirees, and future older people in the coming to get the care they need 40 years.

Caregivers are hard to recruit because of the low salaries and the pandemic. COVID infected them as they were front-line workers, had to work three jobs to keep financially afloat, and were not in line to get the first shots. So they often became COVID victims and spread it to their own families. The bill will help the salaries of caregivers, which will help rebuild the potholed path to caring for elders now and in the future. The number of Americans ages 65 and older will more than double over the next 40 years, reaching 80 million in 2040. The number of adults ages 85 and older, the group most often needing help with basic personal care, will nearly quadruple between 2000 and 2040.

Why Unionize?

The bill would raise the salary for care providers who are caring for the poorest elders, themselves on Medicaid. It would also give them a right to collectively bargain nationwide through the SEIU. This is why the union needs to be involved. States can randomly lower the $1500.00 an hour plus a union needs to be in place to raise the minimum wage of $15.00 higher in the future to really gets these critical workers out of poverty.

Biden believes Unions Hold up the American Worker

Biden supports unions. They have been decimated over the last three decades. The rejection of the Alabama Amazon union is an example of this.

Not clear yet how the $400 billion would be spent?

Biden’s proposal doesn’t specify how the $400 billion in additional funding would be spent, beyond stating that access to home and community-based care would be expanded and caregivers would receive “a long-overdue raise, stronger benefits and an opportunity to organize or join a union.” The proposal is the second tier of the bill and will be more clearly defined in the next round.

We will look at the next two groups that benefit- senior and aging families -in my blogs in the next few weeks.

JOIN ME FOR MY NEW FREE WEBINAR 

Thursday, May 20th

2 PM- 3:30 PM Pacific Standard Time

Recorded so if you cannot make this will still be sent recording if you do not sign up

 

Successfully Market the safety of your homecare or geriatric care management agency in the Precarious “Semi-Post”- Pandemic Period-When Aging Families Are Still Full of Fear

 

Learn to market the safety of your agency, to overcome hesitation to use homecare as COVID slowly diminishes, vaccination accelerates yet elders are not fully vaccinated, COVID still spikes, variants explode, vaccines are taken off the market, people refuse vaccines, conspiracy theories abound and 8000 American still die each day.

 

Understand how to innovatively sell” trust” in your safe care management services so family caregiver’s & 3rd parties choose you as a safe agency, when family care providers are still hesitant to trust your services because of COVID

 

Learn to Use public relations and marketing to show you are focused on caregiver and care management safety by developed protocols. to  show you do testing, infection control, and procuring the safest personal protective equipment (PPE)

 

 Show you follow the safe new CDC’s leaderships path to safety to overcome the distrust created by the former federal government’s, mixed messaging that left family caregivers confused frustrated, feeling there was no clear path to safety through home care or care management

.

You will learn

 

  • 5 steps to create an e-newsletter with the right copy, to get out the word about your

    safe COVID 19 services

 

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  • 10 steps to set up a Zoom webinar to teach local aging agencies and caregivers about your COVID safe services and other local resources to assist caregivers in the community

  • 7 steps to use social media to alert aging family caregivers to the clear path to your

    GCM agency provides safety from the diminishing but still present virus in the US.

 

  • 5 steps to get local media coverage of your COVID -19 safe services, care providers, and general excellent care management and home care products free PR with radio and TV coverage plus pick local newspapers where ads may pay off to sell your COVID Products

 

  • 5 steps to understand how to generate word of mouth customers for your COVID -19 safe services using your continuum of care in your community

  • 10 steps to use the powerful new tool of Video to market your agency’s COVID safety and excellent services as the pandemic diminishes but is still in your community, state, and country

SIGN UP

 

You are invited to a Zoom webinar.
When: May 20, 2021, 02:00 PM Pacific Time (the US and Canada)

REGISTER NOW

 

After registering, you will receive a confirmation email containing information about joining the webinar.

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, Caregiver Infrastructure bill, Caregiver living wage, Caregiver low salary, caregiver mental health, Caregivers contracting COVId, coaching caregivers, COVID, Covid 19, COVID19 Deaths Essential worker, Essential Workers deaths, Expanding Medicare to Home Care, Families, FOLLOW THE MONEY, FREE WEBINAR, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Home Based Care, Medicaid Caregivers, nurse advocate, nurse care manager, Unionization for caregivers, Woman of color caregivers Tagged With: aging life geriatric care manager, Biden's infrastructure- Caregiver Bill, Caregiver & COVID, caregiver low wage salary, caregiver shortage, caregivers for the elderly, caregivers live in poverty, covid -19 geriatric care manager, improving caregiver wages, Medicaid caregivers, nurse advocate, nurse care manager, problem recruiting caregivers, recruiting caregiver, SEIU and caregivers, unionization of caregivers, Women of color caregivers

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

The Ice Storm Cometh Again This Thanksgiving For Aging Parents

November 22, 2020

The Ice Storm is Coming

 Kids who grew up in the ’70s will soon have Thanksgiving with their 70 or 80-year-old aging parents. Will they recall the ” Ice Storm”?

In the film, it is Thanksgiving weekend in the early 70″s and a boyish Tobey Mc Guire returns home from prep school to a Thanksgiving feast that his angry sister starts with this prayer.

” Dear Lord, thank you for this Thanksgiving holiday. And for all the material possessions we have and enjoy. And for letting us white people kill all the Indians and steal their tribal lands. And stuff us like pigs, even though children in Asia are being napalmed.”

 The Dysfunctional Family’s 70″s Season of Hell

So we begin the descent down the cusp of the 1970s as the nearly normal family shapeshifts into dysfunctional in Ang Lee’s brilliant film The Ice Storm 

Lee’s Thanksgiving classic is the perfect reflection of some family’s plunge into the early 70’s season of hell.

If you’re in your 50’s or 60″s and grew up with parents who went haywire through 70’s social change, you will remember the ice storm.

 Divorce imploded the family, as we knew it. If you were a parent then you may recall,  Key Parties, or Nixon Resigning,   Deep Throat, or hear David Bowie who did the soundtrack to the film.

Some Parents of the ’70s Walked on the Wild Side With Open Marriage

With Lou Reed, you can loop back to his fabulous song that spins the period Walk on the Wild Side and maybe recall the template for it the entire era the -book, Open Marriage.  

 

Children of this 70’s social tumult may now share another Thanksgiving with aging parents who put them through hell. What will they do when they find they have to care for those same parents who did not care for them?

SIGN UP FOR MY WEBINAR

 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

Free Webinar Button, Badge, icon, logo. Vector stock illustration.

 

 

Find out more in the YouTube for My YouTube, Channel  Geriatric Care 1

 

 

Filed Under: Adult children, Aging, aging family crisis, aging life business, Aging Life Care, aging life care manager, Dysfunctional aging family, elder care manager, Geriatric Care Management Business, Holiday Rituals in Aging Family, inquiry call, nurse advocate, nurse care manager, Thanksgiving, Thanksgiving Parent crisis Tagged With: 1970"s, aging family, aging life geriatric care manager, aging parent crisis, aging parent Thanksgiving, care manager, case manager, geriatric care manager, nurse advocate, nurse care manager, Open Marriage, swingers, The Ice Storm

How To Create a Team in the Long Distance Family During Covid 19?

May 16, 2020

 

OFFERING A COVID care plan product with Long Distance Care Providers

The first step for the Long-distance family members (LDF) worried about elder exposure and hospitalization of Covid-19 can be to take a team approach. This can be a call with a geriatric care manager for a consultation that will help long-distance families work as a team to keep elder family member safe while you are at a distance This Care management consultation can be done with a HIPAA-compliant video conferencing services 

 

  • The first thing that the geriatric care manager works on is to find out if the older person has the required legal documents – Advanced directives, POA/HCPOA & GCM HIPAA release because of the risk of both hospitalization and death due to age-related COVID-19. If these documents are not present, the care manager will have a discussion with senior and the long-distance family regarding their wishes, explaining older adults over 65 are at higher risk for severe illness. The care manager will discuss who is to be the health care decision-maker with the older adult and suggest they consult a family attorney or elder law attorney to complete.  If they choose not to use an elder law attorney, as time is of the essence in the pandemic,  they can suggest access AARP advanced directives documents for any state which can be executed quickly.

 

  • If documents are completed, locate in the home and provide explanations to the family that they must give a copy to emergency contacts and physicians as required and place in planning binder. In the planning “Go binder” list all emergency contacts with phone numbers/e-mail addresses – family, friends, physicians, pharmacy, professionals providing in-home services.  Also, list all medications and prescribing physicians in “Go Binder”. Upload documents into caregiving applications like caring village.com  so the long-distance from always has the updated documents.

Other problems that geriatric care managers who offer consultation can solve for  long-distance family members

  • Create a Household plan of action for prevention and possible infection with COVID 19.
  • Identification of technology tools to keep client and LDF in contact
  • Evaluate the presence of required cleaning/safety products as recommended by CDC
  • Evaluate the area of home appropriate for quarantine in the event of suspected COVID infection of client or caregiver
  • GCM can also focus on the quality of life of seniors and provide a comprehensive plan to ensure the individual is living a quality of life while providing consistent communication with the Long Distance family-like Hummingbirdproject.net Thanksgiving-Travel-2_20151119-171457_1.jpg
  • Development of client-specific communication tool for possible hospitalization to individualize client needs, status and care planning post hospitalization

 

Join my new GCM on Line Classes Working on Covid- 19

This research was done by my geriatric care management student GCM Maryann Prudhomme. My students are working on Covid-19 products in both all of my two new online classes in blackboard right now. If you are interested in joining our class and

learning tools to be a geriatric care manager go to cathycress.com online classes

 

 

 

Join Me in My New Free Webinar

Conquer Care Management Sales- 5 Steps Close the Sale on COVID-19 Products

 

Sales have severely declined in COVID_19. Learn how to increase your, clients, through all your products but especially new Covid-19 and telehealth. Sell Successfully

this and any GCM product in a 2-part intake. Closing the sale means the client signing your contract and giving you a deposit. Most care managers are untrained and terrified of this process. They are more terrified of going out of business with COVID 19

Learn the 5 steps to make and close a care management sale to get that contract signed, get a deposit, grow your business, bolster cash flow, make payroll, and stop you from being one of the 50% of new US businesses that fail after five years.

When?

Date Tuesday, June 23

Time 2:00 PM -3:30 PM

 

You will Learn

 

What are Covid-19 GCM Services you can offer

How to make the sale in the inquiry call -with a complimentary consultation

How to ” Identify needs using client” challenge questions” to find the problem you need to solve to make the sale

How to present your offer by selling solutions to the problem with a mini care plan

How to manage objections if the caller has concerns about price or product

 How to close the sale with non-aggressive closing questions to have your contract signed, get a deposit, and grow your business with a new client

SIGN UP FOR FREE 

 

 

 

 

 

Filed Under: Advanced Directives, Advanced Directives and Covid-19, Aging, Aging Family, aging family crisis, Aging Life Care, Aging Life Care Assocaition, Benefits of Care Management, Care Management Products, care manager, CAREGIVER RESOUCES, case manager, CIRCLE OF CARE, coronavirus, Coronavirus emergency plan, coronavirus marketing, coronavirus quality of life virtual program, coronavirus shut down, Covid 19, Long Distance Care, Long distance caregiver Tagged With: ADVANCED DIRECTIVES & COVID-19, aging family, aging life care manager, aging life geriatric care manager, aging parent crisis, care manager, case manager, COVID-19 PRODUCTS, geriatric care manager, long distance families, marketing during COVID-19, nurse advocate, nurse care manager

Want to Make More $ Billing Aging Life-Geriatric Care Management Hours?

July 25, 2019

The financial projection may be mind-numbing to care managers who started an Aging Life or geriatric care management business with an awesome idea and a toolbox of care management skills. But beware– without the tools and skills to make money- your great idea of a private geriatric care management business may end up bankrupt.

Geriatric care managers need to understand revenue- how they make money to be financial to make a profit. Revenue does come from billing – but poor billing is very unprofitable billing. Money-losing billing is anything less than 85% of your client’s time. When you bill less than 85% you actually start losing money. Revenue is the high tide of money and is calculated by the number of client’s you serve, new client’s per month, number of clients canceling service. % of time billed (the goal is 85%) and what you charge for travel time.

Do you want you and your staff to bill more hours doing care management or aging life? Billing is not just getting more clients. You need to understand what stops you and your staff from billing 85% of their time.

Join me at my free webinar.

Learn more about both the ethical dilemma social workers and nurses have about billing- plus

8 critical financial management aging life or geriatric care managers must take to insure a profit .

 

FREE WEBINAR-

Break Through Barriers to Billing & Profit: Financial Management for GCM &Aging Life Care Managers

 

 

 

THIS WEBINAR BEGINS: Wednesday August 21 2 PM PST Ends 3:15PM PST

 

DURING THIS FREE WEBINAR YOU WILL LEARN

How to Give Your Customers Have a Commitment to Pay You

To maintain Cash Flow 

To choose the Right Billing Software  

To develop Financial Literacy  

Why You Must Bill 85%  

Understand How To Hire Care Managers Who Can Bill 85% 

Understand How to train your Staff 85%

How to Thrive financially at ALCA or GCM

 

Sign Up Here 

 

 

 

 

 

 

 

 

 

 

 

Filed Under: Aging, Blog, Geriatric Care Manager Tagged With: aging life geriatric care manager, care manager, geriatric care manager, profit, start a geriatric care manager business

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