It’s That Time of the Year – Income Taxes! for You and Your Clients

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Nothing thought provoking or brain-straining in this week’s post. Instead you may want to bookmark it (favorite it) and come back to it when it’s time to do your taxes, or print it or send a link to clients and former clients to help them with theirs…

Yes – it’s time to look at preparing our income tax statements for Uncle Sam (or even Justin Trudeau!) How does our paid work affect our taxes or our clients’?

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Repeal of the ACA… So Now What Should We Do?

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Last week marked the inauguration of the 45th president of the United States. No matter your feelings about him or his politics, he’s here to stay, presumably for the next four years, alongside a Republican majority in Congress.

The first order of business?  Repealing the Affordable Care Act (ObamaCare), the legislation under which many of us are able to get, and afford, healthcare insurance, and access to the care we need. With the stroke of a pen, the icing on the repeal cake was completed within the first few hours of the new president taking office. Congress had already baked the cake’s layers just a few days before.

The predictions about the effect of this rollback are dire not just for those who depend on ACA insurance, but for all Americans. The non-political Congressional Budget Office estimates 18 million people may lose not just their health insurance, but their ability to get health insurance, too, amid new discussions about pre-existing conditions and high-risk pools.

We hear those politicians say they plan to improve the situation, that insurance will become more affordable, that they won’t take away the ability of Americans to access care. Lots of talk, but so far nothing that looks like a real, implementable plan. Just lots of speculation.

So what are we left with?

The status of healthcare delivery in America has never been in such a state of flux as it is today.

Whether or not you are insured through the ACA yourself, whether or not you have clients who are insured through the ACA, as health and patient advocates we have to ask ourselves, “So what should we do now? How do we help our clients? How does this change our services?”

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When Passion and Reality Collide

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Over the years, I have connected with thousands of people who intend to become independent health advocates and care managers, and 99.9% of them have one thing in common:  their choice of health advocacy as a career is a result of their passion for helping others.

They are caring individuals with skills for navigating some aspect of the healthcare system. They are empathetic, and those they will help recognize their empathy right away.They aren’t looking to make a fortune in business. Instead, their rewards will come from knowing they have helped to improve the quality of other people’s lives.

They probably don’t even realize that their passion can make a huge contribution to their success!  Research results released by Ernst and Young show that companies that operated with a clear and driving sense of purpose, beyond the goal of just making money, outperformed the S&P 500 by a factor of 10 between 1996 and 2011.

That’s the good news. That for those who establish health advocacy / care management practices, their focused passion may increase their chances of success and increased income.

But let’s dwell for a moment on that word “may.”

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The 2017 Advocates’ Challenges

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Since I started this blog, and as each new year begins, I try to think of ways to challenge advocate-readers (and advocate-wannabe-readers) with ways they can improve their work, their results for clients, and their businesses, too.

This year, that task is so very simple.  Unfortunately, that’s not the good news. Sadly, it’s more like the bad news.

Bad news – because this year’s challenges all come from complaints and problems I’ve been asked to respond to – or even fix – in just the past few months. Oh how I dislike this part of my work!  I hate dealing with complaints – hearing them from people who feel they have been wronged, attempting to be reassuring, defending some of the actions they think were wrong….  And I hate fixing problems, no matter whether I caused them myself, or they have to be fixed for someone else. I suspect you feel exactly the same way.

My biggest concern, which you’ll understand as you read this post, is that not attending to these problems may invite even bigger ones.

So today I’m going to address three of them, all of which YOU can pay attention to, and make sure you’re doing them right yourself. They set the stage for this year’s challenges, turning negatives into positives. There are lessons – and challenges – here for us all. Continue Reading →

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2017 State of Patient Advocacy and the Alliance of Professional Health Advocates

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As we kick off 2017, let’s look at the past year in review. What is the status of this profession of health and patient advocacy?  How well is APHA serving the needs of patient-clients and its members?

We began 2016 with a similar reality check.  The bottom line was that our profession is growing, but not nearly fast enough!  The need for our services is so very much larger than the number of people to fill it. That status has not improved; in fact, the need is bigger than ever before.

In that same vein, but without including the more “ancient” history that post included, here are some stats for you to peruse this year, in hopes you’ll see the need to launch your own advocacy practice (if you haven’t already done so) – or expand its scope (if you are already in practice) – in order to be there for the vast numbers of patient-clients and caregivers who need us. Continue Reading →

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Charge More! It’s Good for Everyone (Including Your Clients)!

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It’s the question I’m asked by newbies more frequently than any other:

How much can I charge?  (BTW – what they really mean is – How much can I make?)

To answer those questions in 2014, I posed these questions:

  • What is it worth to find someone who can provide quality to a life that has little or no quality because of health problems?
  • What is it worth to find someone who can save you tens of thousands of dollars, or to prevent you from going bankrupt?
  • What is it worth to find someone who can alleviate your fear and provide peace of mind?

The answers were straightforward:

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Shooting Your Advocacy Practice in the Foot

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Readers of this blog may remember that my husband and I have been in the process of moving – from Upstate NY (where they had 40 inches of snow last week!) to Central Florida. (No, no snow here so far 🙂 )

Moving is a bear – there are no two ways about that. Ours took place in two stages: first to a rental house, putting 75% of our household goods into storage. Then Stage Two, this past week, moving into our newly built home, bringing our goods out of storage. Now, of course, we’re trying to make our way through all those boxes, put everything away into its new place, learn to live in a new space, dig through the chaos that any move entails, all the while wailing “This is the last move! No more! Too much!” 

Many of you have been there, and done that.

As I did during the early part of the move last spring, I’m going to share with you a couple of lessons gleaned along the way of the move because they are about working with people – the bread and butter of any advocacy business. They are so important, they can make or break your business.

The moving business is a service business, just as advocacy is a service business. Moving is extremely stressful just as any healthcare challenge is stressful. That makes it incumbent upon any service provider who supports clients going through stressful events (from advocates and medical providers to movers) to make stress relief part of their jobs.

The basics of stress relief are communications and consistency. You have to do the work, and you have to do it well and correctly, of course. But if you can’t communicate effectively, manage expectations, or be consistent, well – you are shooting yourself in the foot. Lack of those basics will undermine your success.

I would never again hire The Mover who moved us from New York to Florida. The reasons provide some excellent lessons for today’s post.

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What the Presidential Election Results Mean for Patient Advocates

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When President Barack Obama ran for office in 2008, healthcare reform was already an enormous and contentious topic.

In those days, I was invited to speak to dozens of groups of patients and caregivers to help audiences sort out the issues that comprised healthcare reform so they could, on their own, decide which aspects (if any) were important to them. From the concept of “universal” healthcare through a public option, to coverage for pre-existing conditions, to portability, tort reform, free vaccinations to develop “herd immunity,” and many more, we looked at the whole of the topic as objectively as possible.

Before I started each talk, I would challenge audiences to figure out which side I was on by the time we were finished – reform? or no reform? It gave me great satisfaction that a show of hands at the end usually resulted in about a 50-50 split, demonstrating as much neutrality as I had been able to muster. It was somewhat surprising, because I was very much in favor of reform and truly not objective about the subject at all.

What I never mentioned to any of my audiences was this: that the bottom line for patient advocates was that healthcare reform was, simply, job security.

The reason: no matter what became of healthcare reform (and, of course, history tells us it became Obamacare, AKA the Patient Protection and Affordable Care Act or the ACA) – no matter what decisions became the law of the land, Americans were going to be confused by it all. They would be confused about costs, access, costs, access, access, and of course, costs, all of which could have huge detrimental effects on their health and care.

The more confused they became, the more they would need a health or patient advocate to help out.

Thus, job security.

That brings us to the 2016 presidential race, and victory for the candidate who said he will work to repeal the ACA.

No matter what your feelings about the outcome of last week’s presidential election, there are a few things advocates can take to the bank:

  • The healthcare system will go into further upheaval as the ACA is dismantled.
  • Patients and caregivers will find themselves more confused and frustrated than they have ever been.
  • The moneymakers in the system will seek new ways to maintain and grow their own profits, shifting and being shifty, making it even more difficult for patients to get the care they need at a cost they can afford.
  • The demand for private, independent advocates will grow – even more – and there won’t be enough advocates to help the patients and caregivers who need them.
  • Yes – all this adds up to even more job security.

We can’t anticipate exactly what changes will be made, but that doesn’t really matter. People are scared and confused now – today – because they just don’t know what to expect. They didn’t know before the election and they feel even less in control now. Even through the ACA, pricing has gone up in most states, and people feel like they are getting less and less for their money. Their confusion and frustration (and anger) is going from bad to worse.

They need help. They want help.

If you are absolutely serious about growing a successful advocacy practice, then NOW is the time to prepare. There will be no better time in history to establish your practice (if you haven’t already) and to expand it (if you’re already in business.)

Here’s how.

If you are just getting started:

If you’ve been in business for awhile:

For all professional advocates:

riper

What are you waiting for?

LEARN ABOUT APHA MEMBERSHIP | FIND MORE REASONS PATIENTS NEED ADVOCATES

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