Contractors, Kick Backs and Clarity – That’s Why We’re Here for Advocates

Posted by:

(updated January 2017)

We’ve seen fireworks in the APHA Forum before.  And we’ve dealt with them. The beautiful thing about the Forum is that allows free conversations on every topic imaginable. But of course, as with any group of highly intelligent, motivated and capable people, we’re not always going to agree.  We experienced that again this week.

One of our very active and valued members had visited her attorney to work on her contracts. She raised the idea of working with independent contractors, and her attorney immediately advised her against it.  As she reported in the Forum, “He advised me to steer clear due to federal anti-kickback statutes. This is in part because I’m a licensed clinician (NP). But it seems anyone else who is contemplating the use of subcontractors should probably vet it with her or his attorney, especially if you plan on taking a cut.”

Here’s the GOOD and USEFUL part of her report – that she suggests others should discuss and vet the use of subcontractors with their attorneys.  Amen. So right. Great advice.

The problem with her post, however, is that it does not apply to 99.9% of APHA’s members who are working with subcontractors. There are two reasons for that, on which I elaborated in my reply in the Forum. The problem, of course, is that information that doesn’t apply might keep someone from trying a successful approach to business.  Others chimed in with their thoughts on the subject. It became somewhat contentious. And it most definitely required clarification.

Here’s what we can learn from this sort of exchange:

Continue Reading →

0

We Interrupt This Thread for News About a Potential Patient Advocacy Lawsuit

Posted by:

Law gavel on a stack of American money.Last week I shared with you the problems I had with my coffee pot which burned and melted its insides – and then, while shopping for a new one, it reminded me of a lesson in making sure we advocates take care of the little things.

My point was that we get hired for the big, important things that our clients need, but that our relationship with them, and our further ability to market our practices, is often dependent on the little things we take care of during the relationship. If we drop the ball on the little things, then they can have a huge negative impact for us going forward.  Mismanaging our clients’ expectations can spell the end for a practice.

This week I was going to tell you about a way you can get the feedback you need from your clients to be sure you’re meeting / exceeding their expectations…. (and don’t worry – I won’t forget – we’ll catch up to that soon)….

And then, an email exchange this week with a woman who I’ll call Lena, who hired a private, independent patient advocate with whom she is very upset. Even if the story she describes in her email is only half-true, I can see why she would be upset. And – holy cow! – how it proves the point from the “little things” post!

Lena’s first email was one simple question:

Would you know if there is anyone I could contact about a private  advocate who mishandled my case?

Continue Reading →

9

Doing What You Love Right Into a Hole

Posted by:

businessmodelEach week I’m contacted by a handful of people who have just begun thinking about becoming professional patient or health advocates. Often they share long stories – many paragraphs or several minutes long… describing years of advocacy for a loved one, or a resumé full of nursing experience, as if they need to convince me that they would make a good advocate or they run the risk of not hearing back from me.

These long, heartfelt messages are about the intersection of passion for advocacy – and the wish to use that passion to make a living. Advocacy fits them. They love it!  They’ve been doing it for a long time. They have enjoyed their journey as advocates so far, have usually been frustrated in some way by a system that wants to thwart good outcomes for patients, they see how it can improve, and now they want to be advocates in this very different, independent way – and be paid for doing it.

But I worry about most of them.

Continue Reading →

2

Confessions of a Failure

Posted by:

Think of the business people you know to be highly successful. They may represent different kinds of businesses, even non-profits. They probably represent different sizes of businesses – from a one person solopreneurship to multi-national conglomerates. They likely do entirely different things from manufacturing and selling products to offering personal services – and everything in between.

What is the first thing most of them have in common?

Most of them, at one time or another, have failed. Some of their failures are highly visible – and legend (think Donald Trump running for political office.)  Some of their failures are never to be spoken of (meaning we have no idea what they are.) In some cases they lost millions of dollars or years of time.

What is the second thing those who failed have in common?

Continue Reading →

0

Why Being Too Helpful Will Destroy Your Advocacy Practice

Posted by:

cowAs the director of an organization for private, independent patient advocates, this time of year is full of big excitement – and big disappointments, too.

Today is January 12, and I’m excited to tell you that 32 new private advocate wannabes have joined Alliance of Professional Health Advocates just since the first of the year. For each one who eventually goes into business as an advocate, we can anticipate that they will help perhaps 100 client-patients in the next 5 years – potentially 3200 people (plus their families) who will enjoy better medical outcomes, or save plenty of money because they were helped. Remarkable! Especially exciting when you realize that so many people now have the opportunity to succeed at a new career, and so many MORE people will see better outcomes.

( I should mention, however, that the number of advocates needed is ten thousand times that – at least!)

But on the flip side, there’s disappointment, too. The new year always brings some soul searching, and soul searching often produces a handful of folks who decide that they just can’t cut it as private, independent advocates. Their hearts and advocacy abilities are willing and capable, but they just can’t get enough business to keep them in practice. So, sadly, they decide to throw in the towel. They take a job somewhere else or some just retire. Some decide to start a different kind of business for which (I predict) they are also doomed to fail. You’ll understand why in a moment.

Let me emphasize – for these folks, leaving private advocacy is not about being an advocate or love-lost for the profession. They may be no more or less capable of being outstanding advocates than when they got started early in their career exploration.

What they haven’t learned, though, or at least they haven’t embraced, is the fact that being a successful, independent, private patient or health advocate or navigator is less about being a good advocate, and more about being a successful business owner and marketer. No matter what type of business they decide to start, they won’t be successful if they don’t become smart business owners.

In many cases, advocates fail as business owners because they are just too helpful. TOO helpful!  It’s our nature, and it’s often what gets us in trouble. In particular for those new advocates who come from nursing backgrounds or anything bureaucratic in nature, learning that time = money is a tough lesson. It can stand in the way of our abilities to succeed.

Are you too helpful?  Here are three ways that being too helpful will put you out of business:

Continue Reading →

5
Page 7 of 7 «...34567