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Atlantic Healthcare Consulting, LLC
Introduction to
Personal Care Home Services
Prepared by Rony Delgarde
Does Personal Care Home Apply to You?
• Am I the type?
– Personality?
– Business Skills
• Is my home the right place?
– Separating business and home
– Checking legal requirement
• How big is my market?
– Getting information
• Am I prepared?
– Business plan
– Starting Costs
• What do I do next?
Running a Personal Care Home Business Can Be rewarding?
Advantage• Flexible Income• You are your Own Boss• Greatest Satisfaction• Happiness, passion, Love• Convenience• Leadership
Disadvantage• Long working hours• Disrupt personal and family activities• Your business' success will depend upon your efforts.
– Management skills– Communication skills
Industry Overview• Baby boomers
– Born between 1946 and 1964– In 2006, 700 million people approaching 60 – Today,75 million are between 65 & 80– There will be 1.2 billion by 2020 and 2 billion by 2050
• In the year 2007– 34,800 home health agencies served approximately 18,600,000 clients across USA– Total Revenue $ 24,700,000,000. – Medicare paid 85% to 90% of the total cost.
The U.S. Census Bureau Statistics
MARKET ANALYSIS
• According to CMS– Home care services
expected to grow by significant margin for the next 20 yrs
- Life expectations- Universal Healthcare
• Age groups• Population • Medical issues• Long term care
Source: 2007Statistical Abstract Of The United States
Personal Care Home or Medical Home Health Care Services
• Meal preparation • Administration of medication • surveillance • Secure environment/
Companionship • Grooming and dressing • Recreational activities • Teeth brushing, bathing or
showering• Light housekeeping and laundry• Errands and shopping • Dealing with personal Businesses • Transportation • 24-hour emergency response • family counseling • and much more.
Source: 2007Statistical Abstract Of The United States
Who Pays for the Home Health Services?
Medicare 82%Medicaid 5%Families 4%Private Insurance
4%
Own Pockets 2%Others (churches) 3%
Revenue Summary
Volume/Home Rooms Sales Gain Gross Income
2 Patients 1 $3,000-4,000 $96,000
4 Patients 2 $2,500-3,500 $168,000
8 Patients 4 $2,000-3,000 $288,000
16 Patients 8 $1,500-2,000 $384,000
32 Patients 16 $2,000$768,000
COMPANY START-UP
• Regulations• Business Plan• Funding• Marketing• Management• Strategy and
Implementation
Start-up Requirements
LocationsBusiness sizeName businessObtain an employer's identification number (EIN)Obtain a state seller's permitObtain a state Home Care Agency license &/or certificateObtain a local business license/permitCheck zoning by-lawsSet up a record keeping systemDetermine professional consultations neededDetermine organizational structure
Franchise Cost VS US
• $0 Cash Investment Required• $0 for equipment and more
$50,000$45,000 $52,000
Who are we?• Founded in 2006
– continue to grow for the next 15 years
• An independent Consulting/Operator– We represent the interests of
both• Home owners &• Healthcare institutions
• Provide the fundamentals of home care services, particularly in areas of– sales, research, Planning,
funding, software use, and management.
Program Development Process
Request forservices received
via fax
Request forservices received
via phone
Request forservices received
via mail
Request forservices received
via iExchange
CSR retrieves faxinformation
online and entersinto iExchange
CSR sends case toNR queue and labelsfax file with case ID
NR retrieves &reviews case from
queue and faxinformation if
needed
Can the case beapproved?
NR documents reviewoutcome and posts an
approval note iniExchange
Insufficientinformation?
Yes
Send case toSpecialty match peer
review
Peer reviewerretrieves case fromqueue; reviews info;makes determination
Is recipienteligible?
Case closed out ofsystem - outcome
reject
CSR retrievescaller from phone
queue, entersinformation into
iExchange
CSR retrieveshardcopy
information andenters intoiExchange
No
Request sent toprovider giving 1
business day;outcome pended;next review date
completed
Request forservices received
via 278transaction
CSR retrievescase in
iExchange placesa call to providerand enters into
iExchange
DMASapprovedProvider?
Yes
NR applies InterQualcriteria, supplemental
criteria/DMAS rules
Yes
NR reviewsdetermination and
posts note iniExchange
Case auto closed;removed from work
flow queue
E
C
B
D
A
Yes
No
No
Request foradditional
information sent toprovider giving 1
business day;outcome pended;next review date
completed
No
InformationReceived?
No
Can the case beapproved?
Yes
No
Yes
Insufficient Info
Additional Info
NR applies InterQualcriteria, supplemental
criteria/DMAS rules
Is recipienteligible?
Case closed out ofsystem - outcome
reject
No
DMASapprovedProvider?
Yes
No
Provider EntersiExchange
We work for you so that you can focus on solving your patient needs.
We aim to help you!
• Package your Business Plan• Save time and money• Meet lending and state requirements• Cash flow extension• Built reputation with local health care institutions• No personal credits checks• Affordable programs • No personal guarantees• Our program guarantees referrals for your business.• We get it done!!
Early research shows consumer interests and satisfactions
Consumers who have used us:– 92% satisfied with our convenient approach– 89% Satisfied with our patients referral programs– 97% satisfied with our step by step guidance to build a successful business plan. – 95% satisfied with our corporate funding program
AHC’s Market Populations
• 3% are consumers• 17% are providers • 10% are allies • 18% use more than one AHC service • 85% are women• 15 % are men • 36% are family members/parents• 20% are Charity & local community centers
FAQ
Q: What do I do next?
Q: Is this business a franchise?
Q: Is financing available for initial fees? New House?
Q: Does AHC guarantee two initial sales referrals?
Q: Do I need a website?
Q: What expenses will I have when I launch my Business?
Q: I am interested. What will be the opening process?
Words from the President
I appreciate your interest in our company and possibly becoming a Personal Care Home Owner/Operator. Our consultant team is very comprehensive to help you towards setting up and operating your own home care business. You could spend the next several months researching and compiling the information required and still miss important factors. We do the leg work for you in our one convenient, inexpensive package. Our package contains everything you need to help you establish your business and run its day-to-day operations. Our team is your guide; and is eager to help. Rony Delgarde
Contact InformationRony S. Delgarde, MBA, EHC
Phone: (678) 314-3521
Email: [email protected]
Herb Monford
Phone: (770) 896-7702
Email: [email protected]
We Look Forward to a Long Term Relationship with You!
Our Business packages make the job easy. So you don’t have to worry about the basics.
If you are dedicated and take pride in your work, we will soon
be in touch to discuss your new business ventures.
THANK YOU!
