Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Well Heeled Seniors Who Bought Payless Shoes Are Concierge Clients Too

April 12, 2023

Do You Need Concierge Clients?

 

Well, Heeled Seniors are a group you should know about Geriatric care managers and home care agencies need inquiries about services from adult children of concierge seniors. But some Concierge seniors will surprise you.  Older adults who can afford long-term geriatric care management and home care include seniors who shop at Grocery Outlet and lived very frugal lives.

Well-Heeled Seniors Who Used to Buy Payless Shoes

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

 

Well-heeled seniors, according to the New York Times, include middle-class retirees who buy shoes from Payless but have a defined pension so they can travel in Europe as retirees and afford care at home care and private care management when they decline

Defined Pensions Directly Affect the Quality of Aging Care

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, and state governments are teachers, truck drivers, social workers, or union members in all trades. They had a career at Xerox, IBM, Campbell Soup, and big Fortune 500 companies.

Well-heeled seniors, these middle-class concierge clients, have adult children who call a geriatric care manager when they visit Mom and Dad and find care problems – or their aging parents have a health crisis. But they will really shop around as they have been raised by frugal parents on limited budgets during their childhood even if their parents now have excellent retirement through defined pensions.

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 private duty home care and long-term geriatric care management when they need it or their adult kids who visit home or the emergency room and know Mom and Dad need help.

New Webinar-Why Merge Home Care and Care Management

FIND OUT MORE 

Webinar-Why Merge Home Care and Care Management

When-May 18, 2023 -2 PM -3:30 PM PST

If you are a home care agency consider merging with a  care management agency. A care manager is a perfect person to introduce home care to family caregivers. Care Managers sit down with the family and go over the geriatric assessment and care plan they created for the client. Last, this 1-1 care manager meeting introduces a concierge guide through the labyrinth of caregiving, showing exactly what homecare plus care management will do to solve the client’s problems, increase their quality of life and offer relief to the sometimes-desperate family members. Find out more by signing up for this free webinar

Learn

 

How this merger creates more Profit for both Care Management and Home Care

The Advantages of Merging Home Care and Care Management

Competition Survey to make third parties and Adult Children Choose you

Co-Branding the merged agencies.

Technology for both home care and care management

Co-Locating both staff.

Marketing Merged care manager home care.

Critical Success Factors for the Success of the Merger

-SIGN UP NOW 

 

 

 

 

 

Filed Under: Aging, Aging Family, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, ALCA Beneifits, Blog, care manager, case manager, Concierge Senior, elder care manager, ETHICAL DILEMMA, Families, FREE MARKETING WEBINAR, FREE WEBINAR, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, Long Distance Care, Long distance caregiver, marketing care management, marketing pitch, marketing to concierge clients, marketing to long distance adult children, nurse advocate, nurse care manager, Webinar Tagged With: affording care management, Aging Concierge client, aging life and geraitric care manager, aging life care manager, aging life or geraitric care manager, black american social workers, black americans, Black Nurse Entrepreneurs, Black RN's, Black start-up geriatric care management, Black travel nurses, care manager, case manager, Concierge Care management, Concierge Care Manager, Concierge Client Sales, Concierge Geriatric care manager, Concierge Home Care, Concierge Senior, Defined pensions, geriatric care manager, geriatric social worker, LCSW aging, nurse advocate, nurse care manager, retire with defined pension, retiree defined pension, well heeled seniors

Merger of Homecare and Geriatric Care Management Makes You a Concierge Agency

April 11, 2023

The merger of homecare & care management gives you a concierge care manager who will serve& draw the top 10% of concierge clients

This merger of homecare and care management gives you the way to position your merged agency as the only home care agency that gives gold-standard exclusive  1-1 services to the top 5 % who demand this entitled level of care – who are the ” Rich and Famous” s (for example, President Reagan), Narcissistic Enrtitles Families ( Example President Trump)

Concierge Client-Teacher with defined pension

The merger of homecare & care management gives you marketing power to sign up the 90-55% 10% “Well Heeled Middle-Class Seniors: who are concierge clients in their retirement as they have defined pensions because they were in a union and never given a 401K. These surprising concierge clients are usually not demanding – they lived frugal work lives without riches, shopped at Payless or grocery outlets- but can afford you now in their generous retirement. They are represented by teachers, nurses, bus drivers, subway drivers, etc.

The lower 90% only call when there is a crisis, and that crisis often leads to home care. Homecare costs between 4000-6000 a month. This is why you need to serve that top 10%. The upper 10% can afford that, according to Pew research, in this nation of broad income disparity, and 90% below cannot.

Demand and not need determine the success of a Homecare or geriatric care manager business. This fundamental fact of life must be taken into consideration when developing a business plan for for-profit, fee-based home care and geriatric care management businesses.

 

Who Can Really Afford Homecare and Care Management?

merger of homecare and care managemeny

The target market for the merger of homecare and care management combined will not serve not the 65 million families who need homecare or management services but the much smaller subset of those families who can afford to hire a geriatric care manager and private duty home care agency or are willing and able to pay for the services that GCMs who can actually find their way to you.

 This subset really represents the top 10% of the economic spectrum and, more precisely, among the rich and famous, the top 1% who actually held onto its share of national wealth in the 2008 economic crisis and  gained quite a bit with Trump’s tax cut in 2019 

Adding geriatric care management with concierge customer services  transforms your  Home Care Agency into a more profitable service.

Why- a geriatric care manager is a powerful health care concierge, just like concierge medical services.

Combing these two services is a highly effective selling point to potential concierge clients who are in the top 10% income brackets.

These clients can afford long-term care geriatric care management and the most costly long-term expense, private duty home care.

 A geriatric care manager is a highly skilled geriatric health care professional who acts as a personal GPS to the concierge aging  family, making your homecare agency more attractive to wealthy clients

GCMs and ALCA members offer home care ultra-personalized aging parent care which Concierge Clients demand.

You build a deep relationship with the client and family by adding a geriatric care manager who creates this

Adding Geriatric Care Management Gives you A GPS through the Journey of Aging

stock-photo-16832488-tense-couple-in-therapy-session.jpg

The care manager who practices as a GPS through elder care helps your concierge clients home care clients step by step through one of the hardest journeys of their life.

A geriatric care manager’s highly personalized service meets all the needs of the concierge’s aging family and the client.

GCMs are like a concierge at a 5-star hotel.  They serve the entitled clients and their family caregivers by solving their health and psychosocial problems as they age, arranging paid care through your agency, and finding many other ways to relieve the caregiving stress problems of their adult children while making elder care more seamless.

New Webinar-Why Merge Home Care and Care Management

When-May 18, 2023 -2 PM -3:30 PM PST

Learn More

The first and most important reason to merge care management &homecare is money. You will be able to capture billable hours that you are now giving away for free. The second reason to add care management to home care is market positioning. Clients will choose your agency if you offer this merger of 2 services key senior services and competitors do not. A third reason is a care manager is a perfect person to introduce home care to the family caregivers. Care Managers sit down with the family and go over the geriatric assessment and care plan they created for the client. Last, this 1-1 care manager meeting introduces a concierge guide through the labyrinth of caregiving, showing exactly what homecare plus care management will do to solve the client’s problems, increase their quality of life and offer relief to the sometimes-desperate family members. Find out more by signing up for this free webinar

 

LEARN

How this merger creates more Profit for both Care Management and Home Care

The Advantages of Merging Home Care and Care Management

Competition Survey to make third parties and Adult Children Choose you

Co-Branding the merged agencies.

Technology for both home care and care management

Co-Locating both staffs.

Marketing Merged care manager home care.

Critical Success Factors for the Success of the Merger

 

SIGN UP NOW 

Sign Up in white background. 3D Illustration.

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What Type of Conceirge Care Providers Do You Recruit for Concierge Clients?

May 2, 2022

Medicare does not fund long term care

Medicare Does Not Fund Long Term Care

Concierge Clients, wanting concierge care providers, are sadly the only clients of GCM or ALCA experts because of income inequity in the US and the fact that Medicare does not cover long-term care,  like home care and geriatric care management.

You Are Only As Strong As Your Weakest Link Especially With Concierge Clients!

 You must serve the top 10%  of aging Americans because those clients make your ALCA business or GCM  business make money and thrive. But to deliver the gold standard services that concierge care demands, let’s take the weakest link in your business- your care staff. You are only as strong as your weakest link these concierge care providers. These incredibly important employees’ skills will measure how concierge clients really rate you.

First and foremost to serve Concierge clients you need highly skilled concierge care providers with a CNA background or years of experience. Older generations, especially entitled clients, are likely to be

less trustful of an individual with numerous visible tattoos and a Mohawk. They would rather have their concierge care providers be a clean-cut employee wearing a uniform. You want background-checked employees with tolerant of demanding clients and willing to be servile and assertive and know when to use either.

Concierge Care Providers for Concierge Clients Should Be:

Concierge Care Provider
  • WELL-GROOMED
  • WELL DRESSED
  • SERVILE
  • GOOD COOK
  • GOOD TABLE SETTERS
  • WILLING TO BE CONFIDANTE but under GCM supervision 

 

Concierge caregiver

For COMPANION CARE hire 

  • Sophisticated employee
  • Can Order Opera theater tickets
  • Accompany to events
  • Drivers Licence

    GCM has to Set Boundaries with concierge clients:

  • Concierge care providers can cook French Cuisine but if the client“Heavy Care-priority -must have transfer skills and CNA or HHA skills not cooking skills
  • Cannot often get a gourmet cook who changes diapers
  • Cannot have careprovider looks like a model who uses Hoyer lift

CONCIERGE Clients-NON-medical

CAREGIVER’S SAMPLE to-do list

  • Doing grocery shopping or grocery home delivery
  • Post office run
  • Pet-care
  • Waiting in line at the DMV
  • Taking the car for Car repairs, oil change, car wash
  • Event planning- GCM
  • Gift-buying
  • Plant care
  • Picking up dry cleaning
  • Running miscellaneous errands
  • Making travel arrangements
  • Mail pickup
  • chef services
  • Dinner reservations
  • What Cannot do
  • Performing bank transactions, such as depositing or withdrawing money, or shopping for the client without pre-arranged payment through the store could pose a liability
  • Assist with finances, online banking, bill paying/tracking
  • pickup of prescription medications -Only GCM to do because of medication abuse and liability
  • Join me in my newest FREE Webinar

    Free Webinar To Find Concierge Clients

     

  • How to Find Concierge Clients Who Can Afford You

  • WHEN  Tuesday, May 17th, 2022

    WHAT TIME_2 PM-3:30 PM Pacific Standard Time

    What we will cover

    • Why only the top 10% can afford private pay care management.
    • Who are the surprising Retired VIP Clients?
    • Who Are the 5 types of VIP/Concierge Clients? 
    • Sales Using Benefits Not Features to ALCA -GCM 3rd PARTIES
    • Understand how to find VIP Concierge Clients Do hot mapping & Market Studies
    • How to Use Free Public Relations ( PR) to Find Adult Children of VIP Clients
    • How to create or revise a Concierge Geriatric Care Management Strategic Marketing Plan

    SIGN UP

    Learn how to maintain  Concierge Clients

     

    REGISTER NOW

    Learn how to keep Concierge Clients

     

     

     

     

     

  • Young woman hugging her mother or grandmother and looking at camera.
       

Filed Under: Aging, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Blog, care manager, caregiver, CAREGIVER RESOUCES, case manager, Concierge caregivers, elder care manager, Families, FREE MARKETING WEBINAR, FREE WEBINAR, Geriatric Care Management Business, geriatric care management emergency proceduress, geriatric care manager, Geriatric Care Manager, geriatric social worker, Marketing Home Care, marketing to the top 10$, marketing to upper 10%, nurse advocate, nurse care manager, Nursing home abuse, paid caregiver, paid caregiver for concierge client, Private Duty Home Care, Webinar Tagged With: aging concierge Clinets, aging life and geraitric care manager, case manager, Certified Senior Advisors, Concierge care givers, concierge care providers, concierge clients, Concierge Home Care, entiled older clients, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, recruit care provders, supervision of in home care staff, training in home care staff

Want to Make a Profit in an Care Management Business Home Care Business ?

April 20, 2022

 

want to make a profit

Do You Want to Make a Profit As a Private Care Manager?

 

Do you want to make a profit in care management or home care you have to learn how you will make money? It must be serving VIP clients. You may start it to reach seniors in need. But, the reality is making a profit comes from serving the upper 10% or Concierge and VIP clients who can afford private pay. If you have a business and you are an entrepreneur, you need to understand” profit” and how to handle money and “like it”. Many GCMs do not understand this.  They end up going out of bankrupt

Do You Know the Customers You Want to Serve?

 

a VIP or Concierge client

To make money you must choose to go after the right customers. To start a Geriatric Care Management business PLUS to write a major section of your GCM business plan,

you must describe ” that customer” you intend to serve -your market assessment or opportunity. It tells you and investors whether you will have enough customers to make money. 

The VIP or Concierge client in the upper 10% is the customer you want. Why – Medicare does not pay for Geriatric Care management or ALCA services or Home Care . Only the top 10% can afford to pay you privately at 4-6 K a month for home care

Do a GUT CHECK

To make money you must choose to go after the right customers. To start a Geriatric Care Management business PLUS to write a major section of your GCM business plan,

you must describe ” that customer” you intend to serve -your market assessment or opportunity. It tells you and investors whether you will have enough customers to make money. 

Start with a definition of your ideal client. Example: A woman, 85 years old with chronic care needs who has an income or liquid assets of $500,000 or more. In other words, you must serve the top 10% to make money and thrive. Are you comfortable with this as an entitled demographic as a social worker or RN? Do a gut check now

You want to list the customers who will reward you the most financially.

 How many of these ideal clients are in the area you wish to serve to make a profit? 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. Your customers are also the local overstressed adult children of clients, long-distance caregivers with family members who need help and live in your community, and third parties like Trust Officers who may hire you as a GCM such as trust officers, attorneys, conservators, or guardians.

 Know how you can make money by doing market research hot mapping & the census

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 or Department of Finance and then find all senior services that may have data on older people in your area.

What is hot mapping?

You can also do hot mapping. A zipcode heat map outlines the boundaries of each zip code in your data set and helps you see the insights buried deep inside your numbers like where people with the highest income live in an area

Join me in my newest FREE Webinar

How to Find Concierge Clients Who Can Afford You

want to make a profit

 WHEN  Tuesday, May 17th, 2022

WHAT TIME_2 PM-3:30 PM Pacific Standard Time

What we will cover

  • Why only top 10% can afford private pay care management.
  • Who Are the 5 types of VIP/Concierge Clients? 
  • Sales Using Benefits Not Features to ALCA -GCM 3rd PARTIES
  • Understand how to find VIP Concierge Clients Do hot mapping & Market Studies
  • How to Use Free Public Relations ( PR) to Find Adult Children of VIP Clients
  • How to create or revise a Concierge Geriatric Care Management Strategic Marketing Plan

SIGN UP

REGISTER NOW TO FIND VIP & Concierge Clients

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

 

Subscribe to my Care Management YouTube Channel to find out about finding & working with VIP  private care management Clients

 

 

 

 

 

 

 

 

 

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Filed Under: Aging, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, ALCA Financial literacy, ALCA sales, ALCA start-up business, Benefits, Benefits of Care Management, Benefits of Geriatric Care Management, Benefits vs Features, billing, Billing 85%, Blog, care management start-up, case manager, cash flow, concierge clients, Concierge Geriatric Care Manager, Concierge Senior, entrepreneur RN, Features vs Benefits, GCM Webinar, Geriatric Care Management Business, geriatric social worker, marketing ALCA /GCM, marketing to concierge clients, nurse advocate, nurse care manager, Profit, profit in ALCA, Sales in geriatric care management, START UP, start up geriatric care management business, VIP Clients, VIP marketing, VIP Marketing Plan, VIP Sales, Webinar, Webinar ALCA GCM Tagged With: adult children of VIP parents, Aging Concierge client, aging life care manager, aging parent crisis, ALCA care Manager, black aging family, black american geriatric care managers, Black Entrepreneurs, Black Nurse Entrepreneurs, Black RN's, Black travel nurses, Business Profit, care manager, case manager, Census, Concierge Aging Client, Concierge Geriatric care manager, Concierge Home Care, Concierge homecare, Concirege, Expanding Home Care, Find VIP CLients, GCM cash flow, geriatric care manager, homecareagency, Hot- Mapping, money, nurse advocate, private diuty home care, profit, start a care management business, VIP, VIP Client Products, VIP homecare, VIP Marketing, webinar concierge care, Webinar VIP Clients

If You are a Concierge GCM -Do You Defer to ALL Your Wealthy Clients Demands?

February 6, 2019

affluentseniors.jpg

 

 

If you are a geriatric care manager serving concierge clients ,do you have to defer to all their needs and be subservient?  Let’s look at the Concierge Physician.
If you are a concierge physician, do you change their practice of medicine?  Quite simply no.

They do not tell the concierge client- what they want to hear. They do not prescribe drugs that the concierge patient wants instead of needs. They do not submit to the VIP syndrome shown by physicians in Joan Rivers, Prince or Michael Jackson’s deaths.They continue to practice as doctors with the same skills, ethics, and tools they have with any patient.

What do they change? The change the way they deliver their medical practice.  They offer personalized care and enhanced service. They take calls swiftly and they make house calls. They resuscitate the patient doctor relationship.

They change their billing model.  They do not bill Medicare or insurance and they do bill the client personally.

They change their client target market. They do not target everyone that needs their skills.  They target a demographic they can pay them privately, the upper 10%, Bob O’Toole Points out in his excellent chapter- Private Revenue Sources for the Fee-Based Care Manager- Need Vs Demand in the Elder Care Market- in The Handbook of Geriatric Care Management- 4th edition

1284078981.jpgThey still practice with the same boundaries, tools, and ethics. They do not let patients set the rules, defer to their defer to their demands.

They practice medicine as they were trained.

As a GCM with a concierge practice, you practice with the same skills, knowledge base and ethics you were trained to deliver.

What you must do though is target clients  in the upper 10% who can pay your hourly fees and home care (As concierge physicians do ), increase the personalized delivery of your GCM business, insuring care is delivered seamlessly by care providers who can meet the high standards of a concierge client under the direction of your care plan.

But you must market differently. You present a marketing pitch to third parties who can refer their clients to you. Part of that pitch is you serve the same demographic and will deliver gold standard service with boundaries to their clients. The other part of your marketing  presentation to those third parties is  telling them what benefits you will bring  to the third party themselves. For example for concierge physicians or elderlaw attorneys who want to refer clients to you- you will send them regular updates, work as a team with them, deal with dysfunctional difficult families issues , to help them deliver better services. 

Learn More

Join me in my new FREE Webinar
Learn to Sell Benefits not Features to Third Parties to Grow Your Care Management Bottom Line


When: MARCH 6, 2019
2PM-3PM PST
Learn

The problems you solve for 3rd parties so they will refer to to you.  

What is a benefit vs a features and how to find benefits for each 3rd party you market to?

What specific problems you solve for wealth managers, elderlaw attorneys and concierge physicians  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

Step by Step how to set up meetings with 3rd parties to make the  sale

  • •Sign -Up –

 

 

 

Filed Under: Aging, aging life care manager, Blog, case manager, elder care manager, Families, Geriatric Care Management Business, Webinar Tagged With: Aging Concierge client, aging life and geraitric care manager, aging life care ethics, case manager, Concierge Aging Client, Concierge Geriatric care manager, Concierge Home Care, concierge physician, geriatric care manager, nurse advocate, nurse care manager

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