Changes in risk tolerance felt across elder care industry

As benefits tighten the tolerance for risk changes.  Wisconsin is proactively altering their delivery to better manage the outflow of Medicaid money in the face of an increasing user population.  The Family Care and IRIS public funded programs are being folded in to a more medical focused delivery. 

This change will include the need for an individual to present with a high level of severity and intensity for skilled medical care to be eligible for a service that can be reimbursed.  The community and family will easily recognize the senior needs more help before the elder can be qualified as eligible for public program paid help.  The legislation and regulation is informing families and communities they must participate in more of the needs an aging population can be expected to manifest.

The Deficit Reduction Act of 2005 was to save the Medicaid fund by shifting more of the cost of long term care to families and inpatient (nursing home) providers.  To compensate inpatient providers were raising the cost of their service to off set any non- payment.  Some States have enacted laws making adult children liable for financial support of high medical need parents.  Estate recovery programs now charge families on the back end for required care. Communities and families now share in a greater portion of the risk.

Communities and families are confronted with the need to shop for service delivery in a category - elder health and well being,  we have never shopped in before.  These health care delivery laws create regulations that require communities and families to find pragmatic elder care solutions.  The far end of the undesired outcomes can be listed in the two levels below:

     COMMUNITY                              FAMILY
  population loss                                  division
  no private provision                          litigation
  blighted geographical areas              divorce

Communities and families are being expected to participate in a larger portion of an elder family members needs.  Understanding this new top down expectation can move local planners to embrace the solutions required to maintain the perception of a tolerable level of risk.  The availability of stable support along the continuum of aging will be an essential piece of planning to strengthen local economic outcomes.

Home Care Path is constructing a user friendly solution designed to help communities and families better manage the risk associated with undesired symptoms of dementia.  The help you need when you need it.  Take a sneak peek by clicking the link below-
https://homecarepath.sharepoint.com/Pages/HomeCarePathSharetribeDementiaNetwork.aspx

This is a public health style intervention expected to bolster the community and family's ability to tolerate the risk associated with the fast approaching different course.  Home Care Path leverages technology to assist families to better self direct care in an environment of scarce resources.

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Facebook Stock Soars 2 Please Investors

Facebook stock shares traded on NASDAQ symbol FB is listed about 119.44 today.  The expansion in to mobile has strengthened advertising return across the popular social networking service. 

The founder has retained control and maintained focus on the evolving long term value inherent in user information.  Opportunities to monetize within the aggregate packages of user specific data is where value will continue to emerge.

Facebook  is planning to market a new (non-voting shares) class C share.  This will create money to produce research driven structure capable of increasing per user time on the Facebook platform. 

The staff of Home Care Path would like to take this opportunity to wish Facebook the best of luck and continued success. 

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Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
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- each individual receives their own secure online portal
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email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
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Dementia Prescribing Occurs Post Diagnosis

The medical provider will need a diagnosis documented in the electronic health record to effectively prescribe medication to help lessen the severity of dementia symptoms.  This is communicated in the track memory 2 zero coordinators model
https://homecarepath.sharepoint.com/Pages/TrackMemory2Zero.aspx.

A list of 4 often prescribed medications includes :

- Rivastigmine / Excelon     mild to moderate phases
- Galantamine / Razadyne   mild to moderate phases
- Donepezil / Aricept  all phases
- Memantine / Namenda  approved for prescribing with others

The medication is used in conjunction with the support which manages the elders daily experience and strengthens familiarity minimizing undesired dementia symptoms.  This is transforming the way dementia is being treated with the long term goal of managing symptoms in the home and community setting.

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 https://homecarepath.sharepoint.com/Pages/PrestageStudyWisconsinCreditRepairNerds.aspx

Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/   

Madison WI Entrepreneurs Conference Alliant Energy Center June 7-8

The Alliant Energy Center in Madison Wisconsin will host the 14th Annual Entrepreneurs Conference on June 7-8.  The Kauffman Foundation well be a participating resource.

The Kauffman Foundation was founded back in 1966 by Ewing Marion Kauffman.  The Kauffman Foundation is located in Kansas City, MO.  The Kauffman Foundation has a National reach that focusses on research and grant making as a way to bolster entrepreneurship.

Wisconsin's Home Care Path is a well known participant in the entrepreneurial economy.
https://homecarepath.sharepoint.com/Pages/HomeCarePathSharetribeDementiaNetwork.aspx

This will facilitate the ability of individual service providers to create profit from their efforts and strengthen the capacity of the local economy.  A measurable win for the senior care industry, participating provider and payers, and area residents.

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- each individual receives their own secure online portal
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Wisconsin Family Care IRIS 2.0 A 6 year projected cost reduction

The Wisconsin State Journal Newspaper has reported the Wisconsin Department of Health Services projected the 6 year savings for authorizing Insurance Plans to administer both Medical Treatment and Long Term Care for beneficiaries. 

The new Family Care IRIS 2.0 is estimated to save more than 300 million dollars over a 6 year period.  That translates to about 50 million dollars per year.  The focus, or aim of the changes taking place is to cut costs. 

Wisconsin population forecasts indicate enrollment in the new Wisconsin Family Care IRIS 2.0 will grow about 37 percent in the next 10 years.  The ideal is to keep the beneficiaries healthier reducing the need for more expensive, invasive treatment.

The user populations questioning of how the specifics of the program will work indicates a mass perception shift toward the reality of an eminent change.  With the Joint Finance Committee approval the State will request a Federal Waiver to operate.

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 https://homecarepath.sharepoint.com/Pages/PrestageStudyWisconsinCreditRepairNerds.aspx

Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/   

Steve Case The Third Wave Clear Example In Wisconsin

Steve Case the CEO and Chairman of Revolution has written the informative book -The Third Wave: An Entrepreneur's Vision of The Future.  This book gives understandable structure to the utilization of the unfolding internet technologies.  The Third Wave involves greater opportunity being created by a more diverse population of participants.

A clear example of a Third Wave participant is Home Care Path's Dementia Support Marketplace
https://homecarepath.sharepoint.com/Pages/HomeCarePathSharetribeDementiaNetwork.aspx .

This is a private industry side investment in a progressive public health style intervention designed to assure care for widely dispersed individuals.  The mind set is changing in regard to collaboration across a once fragmented health and wellness delivery system.

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 https://homecarepath.sharepoint.com/Pages/PrestageStudyWisconsinCreditRepairNerds.aspx

Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/   

Home Care Path Stunning Move With Sharetribe

Home Care Path is collaborating with Sharetribe to implement a multi -sided dementia marketplace.  This allows care givers to list availability and families to list need.  The focus is on the non-medical interventions that become important when the senior requires the help of another to perform the (IADL's) instrumental activities of daily living.

Research indicates the senior will need help to perform IADL's shortly after the onset of dementia.  The gap where this service becomes imperative can be seen in the construct below:

DEMENTIA  CONTINUUM
          
              (IADL's)                            (ADL's)
     l--------l--------------------------------l
  onset
                 l-----Gap Being Filled-------l

Public programming and long term care insurance plans do not pay for care till the later phase dementia symptoms require the help of another to perform the (ADL's) activities of daily living.

This expands the definition of dementia support- and facilitates early engagement designed to prevent scary crisis like events.  This is an earth shattering model embedded with the tools to strengthen the families ability to self direct care.

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 https://homecarepath.sharepoint.com/Pages/PrestageStudyWisconsinCreditRepairNerds.aspx

Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/  

Dementia Support Enables Expensive Senior Building Construction Projects

Home Care Path operates a dementia support service which is proven to be beneficial in the earliest phases of symptom development.  This is individualized support focused on achieving Dementia Care Redesign outcomes listed as:

- Early engagement
- Preventing crisis events
- Keeping at home longer

This is a non-medical dementia specific approach to supporting the family and the individual experiencing the undesired symptoms.  The Home Care Path model  will facilitate a rapid response bolstering the delivery of interventions best able to meet the changing needs.

This delivery is described as a community partner collaborating with a medical system implementing treatment regimens to help slow the progression of the disease.  This model values communication, collaboration, and coordination which strengthens the quality of transitions that accommodate the services a dementia residential community adds in to their room and board.

Brookdale Madison West 413 S. Yellowstone Drive Madison Wisconsin has invested 18 million dollars in constructing a residential space to receive family members manifesting undesired symptoms of dementia.  The availability of supportive services with a transition between the senior's familiar dwelling and a newly constructed memory care facility has fostered a greater capacity to plan for more of these buildings.

Families seeking placement in these newly constructed buildings can expect the intake process to include a comprehensive review of the senior's credit report. 

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Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/  

Wisconsin DMS Division of Medicaid Services New Home of Medicaid Fund

The Wisconsin (DHS) Department of Health Services as authorized in the 2015- 17 Budget has created the Division of Medicaid Services.  The Department of Health Services has established an Executive Steering Committee to lead the re-organization.

This effort is to stretch existing resources by eliminating duplication - and streamline administration to put more money in to care.   All programs and functions of the Division of Long Term Care will move to (DMS) the Division of Medicaid Services.

This can be described as early phase implementation of the changes taking place with Family Care, IRIS, and the Wisconsin Partnership Programming.

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Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/  

Dementia Platform Core Interaction Home Care Path

The core interaction is to match the elder support partner with the elder experiencing the undesired symptoms of dementia.  The presentation of the digital applications will provide the user with the most control over their activity.

This is implementing at the community level an intervention designed to strengthen the families ability to self direct their own care.  The identified gap is the early onset of the need for the help of another to productively participate in the (IADL's) instrumental activities of daily living.

IADL's examples:

- with dementia the senior will stop bathing because they do not know how to work the shower long before they are physically functionally unable to bathe.

- with dementia the senior will stop making toast because they do not know how to work the toaster long before they are physically functionally unable to make toast.

- with dementia the senior will stop dressing in laundered varied outfits because they do not know how to choose appropriate wear long before they are physically functionally unable to dress.

- with dementia the senior will stop shaving because they do not know how to work the electric clipper long before they are physically functionally unable to shave.

This is limiting variety to craft a precise, unambiguous approach to creating a match to best solve the well defined need for help managing early phase symptoms of dementia.  Leveraging technology to operate an electronic marketplace will assure access anywhere in the world.

This is an innovative model of delivery that will embed nicely across Federal and State policy upgrades that move the care of the condition of dementia toward a value based effort.

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This simple link facilitates immediate access to a trusted credit repair service
 https://homecarepath.sharepoint.com/Pages/PrestageStudyWisconsinCreditRepairNerds.aspx

Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/  

Home Care Path Creating Online Dementia Marketplace

Home Care Path is creating an online platform- marketplace to strengthen a families ability to self direct more of their care. This is the digital delivery of information to form mutually valuable matches between elder support partners (caregivers) and families (elder with symptoms of dementia).

The multisided economic platform will allow elder support partners to list their availability and families to list their need.  This marketplace is unique in that is solves a yet filled dementia delivery gap.

Understanding the gap in dementia support:


onset----IADL's------------------------------ADL's

Early phase needs communicated as instrumental activities of daily living require the help of another.  Long term care insurance and public programs do not fund supportive care till the later phase dementia symptoms emerge with activities of daily living.  The gap is between (IADL's) instrumental activities of daily living and (ADL's) activities of daily living.

This digital marketplace also accommodates the Federal and State initiatives to keep seniors at home longer.  This addresses the difficulties care coordinators have experienced with hard to serve geographical areas. 

This is private side innovation designed to better meet the caregiver and family needs within the national transition to a value based health care system of delivery. 

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This simple link facilitates immediate access to a trusted credit repair service
 https://homecarepath.sharepoint.com/Pages/PrestageStudyWisconsinCreditRepairNerds.aspx

Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/  

Coming New Dementia Platform Bolsters Federal State Redesign

Home Care Path is constructing a dementia care platform .  The initial plan defines 3 primary implementations to create the network effects that will make the platform valuable. 

- Attract will draw elder support partners and families to the platform to participate in the exchange

- Enable will supply the information and applications to make the mutual exchange easy

- Connect will define a process for hiring elder support partners who can come and help

Families can view the elder support partners listing online.  The family and elder support partners close by can talk on the phone - discuss the senior family members needs.  The family can run a back ground check and schedule a face to face visit.  The elder support partner can come to help on pre-scheduled periods of time.

This is a non-medical service and can be understood as support for the early dementia phase manifestation of needs under the category called Instrumental Activities of Daily Living (IADL's).  This is an essential service which fosters early engagement, prevents crisis like dementia events, and strengthens the families ability to keep their loved one in the home longer.  

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This simple link facilitates immediate access to a trusted credit repair service
 https://homecarepath.sharepoint.com/Pages/PrestageStudyWisconsinCreditRepairNerds.aspx

Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/  

Dementia Platform Will Support Family and Staff Who Care

The Home Care Path Platform is developing infrastructure that participants can plug in to and discover information and a respite service that makes exchanges related to symptoms of dementia mutually rewarding.

The target population is an elder experiencing change that requires the help of another with (IADL’s) instrumental activities of daily living. 

   Early symptoms                                late symptoms

           (IADL’s)                                              (ADL’s)

     I-----I---------------------------------------------I

Onset

             I—Home Care Path Fills Gap--------I

Long term care insurance plans and public programming do not fund care until the senior needs the help of another to perform the later phase dementia symptoms (ADL’s) activities of daily living. 

Platform purpose:  The purpose of our platform is to facilitate the core interaction

Core interaction:  match elder support partner staff with elder experiencing undesired symptoms of dementia

Value Unit: listing information communicates how stable non-medical supportive service is delivered to cover the defined care gap at an affordable price.

Filter: The location of the elder and the time of the need set up the primary filter

Producer: elder support partner who performs the dementia related service

Consumer: Family closest to the elder who needs help caring for their progressing needs

The mutual exchange involves information, service provision, and private family payment.

Wisconsin Credit Repair Nerds delivers a service that fixes an individuals credit report to improve their borrowing outcome.  Wisconsin Credit Repair Nerds works with the information on file to improve the presentation of an individuals credit report.

This simple link facilitates immediate access to a trusted credit repair service
 https://homecarepath.sharepoint.com/Pages/PrestageStudyWisconsinCreditRepairNerds.aspx

Wisconsin Credit Repair Nerds Provides:

- pre-staging process to save consumers time
- incremental pricing to better fit your budget
- each individual receives their own secure online portal
- person to person help from down to earth staff

email: lkutzke.crn@gmail.com

For a blog with free access that delivers credit repair information
http://homecarepathseniorcare.blogspot.com/