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EPISODE SUMMARY:
In honor of National Care at Home month, Karen Ross co-hosts this informative session with CEO of the National Alliance for Care At Home to discuss Palliative Care, Hospice Care and other home care alternatives.
Frank About Health continues it's tribute to monthly healthcare issues to be aware of. After last month's successful American Cancer Society presentation with monthly co-host Karen Ross, we introduce Dr. Steve Landers who will discuss the integration of two companies (National Hospice and Palliative Care Organization and the National Association for Home Care & Hospice) to create focus on aligning Palliative care, Hospice care and other health care living alternatives. We will have discussion of the research and the goals for healthcare providers to reach goals and objectives to sustain healthy living.
#Palliativecare
Tune in for this healthy conversation at TalkRadio.nyc
00:00:52.990 --> 00:01:01.350 Frank R. Harrison: Hey? And welcome everybody to a new episode of Frank about health. It is national care at home month, and Karen and I are back
00:01:01.370 --> 00:01:09.149 Frank R. Harrison: this month to really have a special treat for all of you as we meet the CEO of the National Alliance for care at home.
00:01:09.660 --> 00:01:24.759 Frank R. Harrison: Actually, I don't know if you're based in New York or Chicago, but you are national. So that, all being said, you definitely look forward to have a discussion with you about your organization, as well as how all the educational and advocacy
00:01:24.860 --> 00:01:40.009 Frank R. Harrison: services that your organization provides on a national level to the elderly, the disabled. To people who are, you know, in palliative care or hospice care. This is gonna be a very involved conversation over the next hour. So I want to welcome you
00:01:40.010 --> 00:01:57.099 Frank R. Harrison: to Frank about health. And of course, Karen, I'm always welcoming you. I know we said I'd be there in Chicago, but we, you know, as everyone will see later tonight. There's a special reason for us to be in Chicago coming soon, so I think it's best that we save the best for last for the end of the year.
00:01:57.380 --> 00:02:07.750 Karen Ross - KarenRossNow.com: We also thought it would be the 1st of the month which it normally is. And it's not because things happen so, but it's all working out well.
00:02:08.030 --> 00:02:35.739 Frank R. Harrison: Absolutely. Everybody knows that I always issue a disclaimer, just so that everyone knows we're not talking about controversial information or misinformation or information that violates hipaa, so that, all being said, please know that this information is public information that we will learn from the CEO. These are not the thoughts and views of Talkradio, Dot, Nyc. Or of Frank about health. We hope that you out there who are watching on Youtube, Linkedin Facebook or twitch
00:02:35.740 --> 00:02:47.100 Frank R. Harrison: or listening on talkradio, dot Nyc. Have thoughtful questions about what you hear, because we want to provide an interactive discussion, especially to successfully celebrate national care at home month
00:02:47.250 --> 00:02:48.890 Frank R. Harrison: that all being said.
00:02:48.980 --> 00:02:49.990 Frank R. Harrison: welcome
00:02:50.010 --> 00:02:52.289 Frank R. Harrison: Dr. Landers to Frank about health.
00:02:53.120 --> 00:02:54.920 Steve Landers: Thanks so much for having me, Frank.
00:02:55.070 --> 00:02:58.989 Steve Landers: It's a it's an incredible honor to be with you. And
00:02:59.060 --> 00:03:03.880 Steve Landers: actually, we are based in the nation's capital, Washington, DC.
00:03:03.950 --> 00:03:20.419 Steve Landers: And so a big part of what we do is making sure that our policymakers in Washington understand the importance and significance of the work being done by all the incredible organizations in the care at home
00:03:20.500 --> 00:03:25.880 Steve Landers: world. And we focus our efforts in Washington because of that.
00:03:26.900 --> 00:03:33.859 Karen Ross - KarenRossNow.com: Well, Dr. Landers, I know that. There's kind of a new name that we're dealing with.
00:03:33.960 --> 00:03:43.600 Karen Ross - KarenRossNow.com: because there's been a recent merger. So the timing of this show is good in so many ways, and I understand that this month
00:03:43.670 --> 00:03:52.610 Karen Ross - KarenRossNow.com: is the official merging of 2 organizations into what is now known the National Alliance
00:03:52.750 --> 00:03:54.319 Karen Ross - KarenRossNow.com: of Care at home.
00:03:54.360 --> 00:03:58.050 Karen Ross - KarenRossNow.com: So tell us just a little bit about the history of
00:03:58.170 --> 00:04:05.679 Karen Ross - KarenRossNow.com: 2 different organizations. How you came together sounds like a wonderful opportunity to simplify things.
00:04:06.650 --> 00:04:24.300 Steve Landers: Absolutely, Karen, and thanks for bringing that up. Yes. So the National Alliance for care at home is a new organization that has launched from combining 2 legacy organizations that have been very involved for decades in supporting care at home. So.
00:04:24.802 --> 00:04:30.109 Steve Landers: historically, an organization called the National Association for Home care and Hospice
00:04:30.440 --> 00:04:34.880 Steve Landers: and the National Hospice and Palliative care organization.
00:04:35.390 --> 00:05:04.089 Steve Landers: They've contributed mightily over the years to care at home. But the leaders of those organizations, I think, made a very wise choice that our important movement that needs a big, unified voice to support all the incredible caregivers, and certainly the people that need need the assistance of care at home providers. And so, rather than kind of do this separately.
00:05:04.280 --> 00:05:14.699 Steve Landers: we've come together, and we've come together under the name, the National Alliance for care at home. And we're we're the Alliance for short. So if you hear us
00:05:15.029 --> 00:05:36.459 Steve Landers: say the Alliance that, that's our shortened name in the past. The the previous companies had acronyms, and you know, in healthcare, we decided we don't need another acronym right? There's there's so many of them both in in the medical world, in the Health policy world. So we're we're we're the National Alliance for care at home or the Alliance, for short.
00:05:37.300 --> 00:05:56.679 Karen Ross - KarenRossNow.com: When you start talking about care at home that can encompass so many different aspects of care you mentioned palliative care, Hospice care could be temporary care, someone recovering from surgery or a particular condition, and Frank can personally talk to some of that. But
00:05:56.760 --> 00:06:00.670 Karen Ross - KarenRossNow.com: I'm just curious. If you were to bring them all together.
00:06:00.880 --> 00:06:20.300 Karen Ross - KarenRossNow.com: Give us an idea what you think the number might be of people who are impacted either as a caregiver or a patient, but involved in what's required by this alliance, and what the allowance alliance provides information for. How many people are we talking about?
00:06:20.530 --> 00:06:30.830 Steve Landers: Oh, wow! Karen, in in the United States alone. You know, especially since there's such an impact on family and family caregivers. We're talking tens of millions of people every day.
00:06:30.830 --> 00:06:31.340 Karen Ross - KarenRossNow.com: Yeah.
00:06:31.749 --> 00:06:41.569 Steve Landers: And so the impact is is huge and like you said, there are so many different types of care at home services. And
00:06:41.580 --> 00:07:04.719 Steve Landers: it's 1 of the exciting things about what we do, because it's been growing and getting more sophisticated year by year. And at the same time it confuses people, and so some people don't always know exactly what is the right type of care at home for them. And so I know we'll talk about a little bit of that today, just talking about some of the different care models that you mentioned. But yeah, I'm
00:07:04.730 --> 00:07:09.949 Steve Landers: by background geriatric medicine and family doctor. And
00:07:10.270 --> 00:07:28.879 Steve Landers: actually, the way I got involved with care at home is I started out by doing home visits, and I've made thousands of home visits right early on in my medical career, and I fell in love with both what it meant to provide care at home, and also what I learned about
00:07:28.880 --> 00:07:51.330 Steve Landers: the families and my patients, and also the care continuum, all of the nurses and aides and therapists and social workers, and all the community health workers doing that work. And how important what they're doing is. And so, you know, that's my background. And that's a big part of why I'm so passionate about this type of
00:07:51.690 --> 00:08:19.890 Steve Landers: care, because you know, there's a lot of medical care and health care in facilities, in institutions. When we need it. We want it to be great. I. I can't knock any of it, because it's important. And at the same time, if we can be home outside that environment where we're in our comfort zone amongst our family and neighbors and in a familiar environment, you know, even if we're struggling, really serious problems, that that's the place we want to be.
00:08:20.200 --> 00:08:28.270 Karen Ross - KarenRossNow.com: Sure. Well, I know that one of the challenges for people is they don't know where to start, and I know that you'll get into that.
00:08:28.280 --> 00:08:37.540 Karen Ross - KarenRossNow.com: And we want people to leave this show today. If they're involved in any way, they know exactly what their next step should be.
00:08:37.580 --> 00:08:50.109 Karen Ross - KarenRossNow.com: The next person they should talk to the next organization or office they should refer to. But in the meantime, what is the overall mission of the alliance.
00:08:51.120 --> 00:08:55.869 Steve Landers: Yeah. So we're we're all about making sure that all people
00:08:56.130 --> 00:08:58.770 Steve Landers: have access to the highest quality
00:08:59.010 --> 00:09:04.149 Steve Landers: person centered care at home wherever they may call home. And so
00:09:04.230 --> 00:09:25.550 Steve Landers: that's that's the that's what we're trying to accomplish for our country. And we do this, we're a Provider Trade Association, you know. So we're a membership driven organization. We have 1,500 plus members that are providers of care at home in all 50 States
00:09:26.230 --> 00:09:29.650 Steve Landers: that the territories of the United States also.
00:09:29.810 --> 00:09:34.639 Steve Landers: these providers have over 10,000 locations of care
00:09:35.075 --> 00:09:41.239 Steve Landers: throughout the country in terms of their their offices and outposts, and they encompass everything from
00:09:42.172 --> 00:10:04.390 Steve Landers: people in in cities and rural communities, agencies that are based out of hospitals, some that are independent nonprofits, others that are proprietary or even investor backed companies. So we really have the the whole network of care at home within our membership. And so.
00:10:04.390 --> 00:10:15.560 Steve Landers: you know, by supporting these members by advocating for them, and by providing a community for education and professional development in this wonderful field.
00:10:15.560 --> 00:10:20.930 Steve Landers: we are making sure that the public has access to the highest quality, care at home.
00:10:21.210 --> 00:10:22.869 Karen Ross - KarenRossNow.com: Alright, that's critical.
00:10:23.010 --> 00:10:25.740 Karen Ross - KarenRossNow.com: If you were to categorize.
00:10:25.810 --> 00:10:42.159 Karen Ross - KarenRossNow.com: are there a certain, or is there a certain number of categories of care at home that we should. You know we mentioned palliative care, Hospice care, but I know there are others. Is there a specific category or a number of categories?
00:10:42.430 --> 00:10:49.569 Steve Landers: You know what? If we tried to count it, I think we would. We would run out of time, possibly because what's happening
00:10:49.860 --> 00:10:51.879 Steve Landers: is health care
00:10:52.060 --> 00:10:58.337 Steve Landers: really more broadly is becoming care at home, especially if we start to consider things like
00:10:59.290 --> 00:11:10.161 Steve Landers: you know, virtual care and and other concepts. But what I would say is that the big categories, the ones that most people should be familiar with are
00:11:10.550 --> 00:11:30.006 Steve Landers: what we call home care, personal care and custodial care services. So these are are not. They're often more social supports than medical or health services help with the basics of life like safety and companionship. And you know,
00:11:30.470 --> 00:11:48.919 Steve Landers: issues in managing a household like the you know, meals and you know, basic human functions like bathing and feeding. And usually we. We have home health aides, or even you know, family caregivers are are part of the whole personal care at home world.
00:11:48.920 --> 00:12:13.570 Steve Landers: And then another critical part of the care at home world is our services that help people when their medical circumstances are unstable. Maybe they've had surgery and are coming home from the hospital and need extra help. Or maybe they didn't have to go to the hospital, but their medical condition has deteriorated. Maybe they have diabetes that's becoming out of control or
00:12:13.570 --> 00:12:24.760 Steve Landers: respiratory issues, and they need help at home. And in those cases home health agencies these are sometimes called medicare, skilled home health issues. The reason is they're called Medicare.
00:12:24.760 --> 00:12:39.989 Steve Landers: Certified agencies is because Medicare actually covers this type of care. Medicare doesn't typically cover the personal care and the basic you know, social care of people but Medicare does cover health and medical services. So.
00:12:40.340 --> 00:12:50.859 Steve Landers: If you're coming from home, from the hospital or your medical conditions deteriorating, and you need the help of a nurse or a physical or occupational therapist at home.
00:12:51.320 --> 00:12:59.810 Steve Landers: then within the Medicare home health benefit. If you are homebound. This is not for just people's convenience. These are services
00:12:59.810 --> 00:13:24.990 Steve Landers: for people that have trouble getting out. Maybe you need a walker or a wheelchair, or the help of another person to leave the home. If you need that type of help. A Medicare certified Home Health Agency can help you, and that's covered by Medicare with no cost sharing. By the way, there's no no copays for that type of service. So it can be really important and really valuable for people and their families.
00:13:24.990 --> 00:13:26.790 Karen Ross - KarenRossNow.com: Oh, absolutely!
00:13:26.790 --> 00:13:37.030 Steve Landers: And then I'll just mention there's a whole range of like I said, physician home based care Hospice care at home, palliative care which I know we're gonna talk about. And so.
00:13:37.030 --> 00:13:37.410 Karen Ross - KarenRossNow.com: Now.
00:13:37.410 --> 00:13:40.380 Steve Landers: I just want to mention that the list keeps going.
00:13:41.140 --> 00:13:56.359 Karen Ross - KarenRossNow.com: For sure. I'm gonna pass it back to Frank, because I know we're not quite at a break. But we're getting closer. And so I'm gonna pass it back to Frank and let him kind of take over and bring in some of his personal experience to the conversation.
00:13:56.820 --> 00:14:12.950 Frank R. Harrison: But absolutely, which is what we're saving for the next half hour, as we as we were talking prior to our show setup, I mean, I see an wonderful agenda that's happening this month with your organization that I want to cover as well as share my personal experience, and how
00:14:12.950 --> 00:14:29.560 Frank R. Harrison: I'm even interested in joining the National Alliance for care at home, which I want to talk with you about in the next segment. But I also have some questions about your role as CEO, which I think we kind of touched upon. But now we're headed for our 1st break. So when we return.
00:14:29.560 --> 00:14:47.030 Frank R. Harrison: stay tuned right here as we celebrate national care at home, month on Frank, about health, on Talkradionyc, and on all of our social medias, and we'll be back with Dr. Landers as he discusses his role as CEO of the National Alliance for care at home. We'll be back in a few.
00:16:59.430 --> 00:17:10.150 Frank R. Harrison: Hey, everybody, and welcome back. And if you're just joining us, we're here today with Karen Ross and Dr. Steven Landers from the National alliance for care at home, or, as he calls it, the Alliance.
00:17:10.210 --> 00:17:18.109 Frank R. Harrison: We were just talking in the 1st segment about that. It's national care at home month, and the 2 organizations
00:17:18.290 --> 00:17:22.999 Frank R. Harrison: that you already mentioned their names, and how it became the new hybrid that you're CEO of.
00:17:23.050 --> 00:17:37.480 Frank R. Harrison: I ended up having some basic organizational questions. 1st of all, you do already have a passion for being a geriatric physician. You also used to do daycare visits when you started getting involved in in
00:17:37.810 --> 00:17:47.069 Frank R. Harrison: caregiving and and looking at doing what you can for your family and friends and loved ones. My my question is, though, has the CEO role
00:17:47.150 --> 00:17:50.039 Frank R. Harrison: made? You get more involved in the regulatory
00:17:50.150 --> 00:18:01.649 Frank R. Harrison: and legislative actions that you need to do to run this new combined organization kind of taking you away from what your passion is, but at the same time
00:18:01.660 --> 00:18:05.139 Frank R. Harrison: making you have a balancing act between the business of
00:18:05.220 --> 00:18:08.769 Frank R. Harrison: care at home and the medical care at home.
00:18:08.780 --> 00:18:11.955 Frank R. Harrison: I I'd really like you to explain how that's working for you.
00:18:12.220 --> 00:18:14.110 Steve Landers: Yeah, absolutely.
00:18:14.430 --> 00:18:22.940 Steve Landers: So. You know, I fell in love with care at home as a provider out in the out in the community, taking care of people
00:18:22.940 --> 00:18:44.914 Steve Landers: and seeing how all the incredible things you learn about people when you're in their home environment, like the basics like how they manage their medicines and how they're handling. You know their condition and family caregiving circumstances, and also the access that it provides, especially for people that have disabilities, or maybe are living in
00:18:45.685 --> 00:19:04.960 Steve Landers: difficult housing or high poverty areas. You know, there's a lot of barriers sometimes to getting good care. And also I just love the value that it creates, because, you know, when we support people at home, we can sometimes avoid unwanted hospitalizations and unwanted, you know, transitions into facilities
00:19:04.960 --> 00:19:22.350 Steve Landers: which they don't. You know, people don't want, and it's really costly for the system. So I just love it. And at the same time one of the things when you get involved in this every day, and you're, you know, nurses and aides and caregivers out in the field doing this work.
00:19:22.860 --> 00:19:25.700 Steve Landers: you realize so much of what's available
00:19:25.980 --> 00:19:27.910 Steve Landers: or what's not available
00:19:28.290 --> 00:19:54.963 Steve Landers: is impacted by public policy. Right? It's it's a lot of these programs. You know, we were talking earlier are either supported through Medicare. So Medicare policy has so much impact on home health, on hospice, on palliative care services physician and advanced practice nurse care at home. And so, you know, I've
00:19:55.670 --> 00:19:58.810 Steve Landers: I love being a part of the care team.
00:19:59.243 --> 00:20:15.356 Steve Landers: But there's something exciting about the chance to maybe make a difference, for you know, millions of people. And I think that our organization has that chance. So even though I got to admit sometimes being around.
00:20:16.010 --> 00:20:22.591 Steve Landers: you know, administrators and politicians isn't as much fun as being around nurses and families.
00:20:23.050 --> 00:20:38.209 Steve Landers: it's feels like there's a chance to make an impact at a different level. And you know life is short. You want to leave a legacy of of making a difference. And you know of care and love. And that's what our organization is all about.
00:20:39.000 --> 00:20:45.369 Frank R. Harrison: So were you appointed CEO? When the companies merged? Or have you been CEO for several years?
00:20:45.860 --> 00:21:13.840 Steve Landers: I just became CEO of the organization. In September. So just as these changes have been coming to be, I have worked as a CEO in the administrative aspects of of healthcare for over a decade now. So I I've I've both combined you know, medical care. And being an administrative leader in different ways. For quite a while now.
00:21:14.650 --> 00:21:23.949 Frank R. Harrison: That is awesome. And I can see from the the brief that I got from alyssa that essentially.
00:21:24.000 --> 00:21:39.680 Frank R. Harrison: you are involved in a lot of advocacy, education, and and event planning, or at least your organization is, can you? Can you share what's going on? Throughout November? I see national family caregivers. Day was November first.st
00:21:39.790 --> 00:21:43.500 Frank R. Harrison: Palliative and advanced care is November 4th through 8th
00:21:43.880 --> 00:21:54.689 Frank R. Harrison: Hospice Week is this week, as we're doing. The show next week is home health week, and then finally to end the month around Thanksgiving, private duty, home care week.
00:21:54.760 --> 00:22:00.520 Frank R. Harrison: ex, explain how that all comes together, and and what goes into planning it to really make this month.
00:22:00.520 --> 00:22:01.120 Steve Landers: Yeah, so.
00:22:01.120 --> 00:22:01.940 Frank R. Harrison: Tribute.
00:22:02.500 --> 00:22:08.749 Steve Landers: So. You know, it's November. It's a a month of Thanksgiving.
00:22:08.900 --> 00:22:31.839 Steve Landers: and what we're trying to use the month for is to celebrate and raise awareness about care at home. So each of those different days and weeks and events and touch points. Those are all opportunities for us to sort of flood social media and our communities with programming to raise awareness and to create
00:22:33.530 --> 00:22:40.719 Steve Landers: you know, to to create educational materials and to boost our advocacy efforts. So that's crucial.
00:22:41.550 --> 00:22:57.349 Karen Ross - KarenRossNow.com: I just wanted to ask. I didn't mean to interrupt you, Frank, but you mentioned advocacy a couple of times, and how important that is, I'm wondering what are the major areas where we need more advocacy
00:22:57.420 --> 00:23:05.760 Karen Ross - KarenRossNow.com: and need to make changes in the system so that everything you provide is more accessible to people.
00:23:09.735 --> 00:23:10.220 Frank R. Harrison: I.
00:23:10.535 --> 00:23:17.159 Karen Ross - KarenRossNow.com: We just there he is. We thought we lost you. Did you hear my question? Did you hear my question?
00:23:17.160 --> 00:23:19.029 Steve Landers: We had a little tech glitch there. I'm sorry.
00:23:19.381 --> 00:23:22.899 Karen Ross - KarenRossNow.com: Did you hear? Did you hear my question, Dr. Landers?
00:23:22.900 --> 00:23:24.900 Steve Landers: Just repeat the last part. I'm so sorry.
00:23:24.900 --> 00:23:32.950 Karen Ross - KarenRossNow.com: Just wondering about advocacy. What's needed. Where do we really need a voice to be sure that
00:23:33.420 --> 00:23:39.130 Karen Ross - KarenRossNow.com: the services you talk about are indeed made accessible to the people who need them.
00:23:39.270 --> 00:23:42.680 Karen Ross - KarenRossNow.com: Where is advocacy really critical today?
00:23:43.910 --> 00:24:06.420 Steve Landers: Well, you know, the the programs are incredibly popular, right? So especially within, you know, the Medicare programs. Medicaid families depend on these. The public depends on them. They're popular. And so one of the things that the policymakers sometimes worry about is that they're so popular they can get overused, or that there's waste in the system, and
00:24:06.710 --> 00:24:24.180 Steve Landers: which in a lot of ways is not the right focus, because when we support people at home, it actually saves the system money because they avoid unnecessary hospital stays unnecessary nursing home stays which cost the system a lot of money. So actually, it's highly value creating
00:24:24.732 --> 00:24:26.237 Steve Landers: but that said
00:24:27.070 --> 00:24:37.560 Steve Landers: you know the the issues that we're concerned about have to do about whether or not. You know, the providers are able to have staff, you know, available
00:24:37.560 --> 00:25:03.229 Steve Landers: to serve the community, and a lot of that comes down to some of the payment policies that how medicare reimburses, home health agencies. Hospice care providers also what amount of paperwork is involved. You can only imagine that there's a lot of tender, loving care, and the big theme in our world is, you know.
00:25:03.290 --> 00:25:23.815 Steve Landers: great human care. But there's a lot of time spent clicking and checking boxes and filling out forms and getting physician signatures and sign off. And even in some cases we're still, even in 2024 faxing certification forms, you know, back and forth. And so what? And and then also.
00:25:24.320 --> 00:25:34.374 Steve Landers: you know, how do we monitor quality and ensure that quality? Care is being delivered, and to the extent that anybody is trying to abuse the system, if there's any
00:25:34.710 --> 00:26:04.660 Steve Landers: you know, nefarious actors that are trying to, you know, fraud, medicare, or something like that. So we're involved on all those levels. So we're trying to work to make sure that there's adequate reimbursement for these services, so that the providers can provide, you know, great talented staff with the best technology and be available, you know, around the clock for people, we are focused on those regulatory issues trying to balance what's reasonably needed for quality care versus
00:26:04.930 --> 00:26:16.059 Steve Landers: what's overkill in terms of the amount of burden, so that the nurses and caregivers are spending more time taking care of people than you know, filling out forms.
00:26:16.060 --> 00:26:39.209 Steve Landers: And then also, you know, we advise Medicare and the policymakers about quality measurement. And how do we measure and monitor quality? That's really a partnership that we have with the government. And then we know, because home care at home, you don't necessarily need to build a building. It's really about community-based care
00:26:39.250 --> 00:27:07.500 Steve Landers: in some states and places that there's been low barriers to entry, and some people have abused the system. And so we work with the Government to try and root that out and make sure that our incredible movement that's, you know, a highly ethical and caring community isn't smeared by any bad actors. Those are the topics that we're engaged with policymakers on.
00:27:08.090 --> 00:27:18.789 Frank R. Harrison: I. I basically heard you mention a lot about Medicare, but I myself am involved as a caregiver for my father, and we're working with the Medicaid system in New York State.
00:27:18.950 --> 00:27:19.700 Steve Landers: Sure.
00:27:19.700 --> 00:27:26.390 Frank R. Harrison: Can you tell me particularly how your organization works with Medicaid, or is it on state level.
00:27:26.900 --> 00:27:28.179 Steve Landers: Absolutely so.
00:27:29.770 --> 00:27:41.319 Steve Landers: personal care services like we talked about earlier. Often home health aid, or what might be called custodial care or personal care. It's not typically covered by Medicare.
00:27:41.360 --> 00:27:44.238 Steve Landers: And so those type of services, either.
00:27:44.710 --> 00:27:53.219 Steve Landers: people, you know, may have some personal resources or long term care insurance that they have to, you know.
00:27:53.230 --> 00:28:12.700 Steve Landers: dig in to pay for or may qualify for Medicaid and Medicaid is a, you know, State Federal partnership program. It has different characteristics in every State. So when we talk about care at home in the Medicaid system, it's in many respects, it's 50 different conversations, because.
00:28:12.700 --> 00:28:15.912 Frank R. Harrison: And I think I've been. I've been involved in 40 of them.
00:28:16.180 --> 00:28:32.420 Steve Landers: But overarching that you're right, that there are very important services that are supported within the Medicaid system, aid and attendant nursing care at home for people of all ages
00:28:32.420 --> 00:28:58.799 Steve Landers: that need care, you know, in some case, complex pediatric care all the way through late life and elder care. And it's critically important. Yes, and we work at the Federal level on some of the Federal policies that impact Medicaid care at home. And also we collaborate very closely. We actually have 90. I think the numbers 97 of our members of our 1,500 members
00:28:58.870 --> 00:29:01.400 Steve Landers: are actually State associations
00:29:01.690 --> 00:29:09.840 Steve Landers: for home care or hospice. So our. You know there are. There are State associations that are focused at the state level.
00:29:09.990 --> 00:29:37.890 Steve Landers: you know, in the, in their legislatures and their their governors, mansions, if you will. On these issues at a State level for Medicaid, we work very closely. These are some of you know me and my team's closest professional friends and colleagues that work in State associations. So often. The way we, we divide up the duties is they they focus on the the issues in their State, and then we cooperate on the stuff in Washington.
00:29:38.310 --> 00:29:39.679 Frank R. Harrison: Awesome, awesome.
00:29:39.800 --> 00:29:45.209 Frank R. Harrison: Well, basically, we're 1 min to our second break. But that being said.
00:29:45.560 --> 00:29:52.249 Frank R. Harrison: everybody out there who's listening now live. You must have questions and answers. We're going to devote the next section.
00:29:52.600 --> 00:30:13.740 Frank R. Harrison: Well, we would provide the answers. You must have questions that all being said when we return, we're going to have our Q&A session. And then we're also going to discuss more of how I identify with a lot of what you've discussed. Dr. Landers over the last half hour. I want to run through a few scenarios that I've been involved with, and maybe you can help answer some questions
00:30:13.740 --> 00:30:32.640 Frank R. Harrison: that I could take away from. I certainly will join your organization after after our show ends this evening, but that, all being said, everybody, please stay tuned right here on Talkradio, Dot, Nyc. And on all of our socials. As Karen and I celebrate national care at home month with Dr. Steve Landers. We'll be back in a few.
00:32:36.390 --> 00:32:46.300 Frank R. Harrison: Hey, everybody, and welcome back Dr. Landers. You mentioned earlier about social media action day. I see. Thursday, November 21, st which is a week from today.
00:32:46.480 --> 00:32:58.880 Frank R. Harrison: Actually, I'm just thinking that this, podcast this episode could be useful for that day in terms of promoting whatever engagement that you get through your organization's social media planning
00:32:59.251 --> 00:33:04.040 Frank R. Harrison: and I think part of the reason why I believe that is because of the fact that
00:33:04.532 --> 00:33:13.300 Frank R. Harrison: we're on Youtube right now, and I know there's an opportunity for all of you out there who are watching live to ask any questions of Dr. Landers, myself or Karen
00:33:13.698 --> 00:33:27.809 Frank R. Harrison: especially as we're celebrating national care at home month. But I have to say that part of the reason why I do this show is because I was in the most chaotic, caregiving time of my life, and that was keeping my parents
00:33:28.000 --> 00:33:35.329 Frank R. Harrison: safe from Covid. When we were all quarantined together, and my father was recovering from prostate cancer, surgery
00:33:35.510 --> 00:33:42.500 Frank R. Harrison: and dealing with all these new medicines that were trying to reduce the tumor? Can you imagine if he had gotten Covid
00:33:42.570 --> 00:33:46.250 Frank R. Harrison: and it completely went belly up per se.
00:33:46.280 --> 00:34:07.269 Frank R. Harrison: you know. And that was the challenge for me that actually inspired me to actually relaunch this show because I did start it as an epilepsy show about 7 years earlier. But I wanted to do something all about covid and awareness of your own advocacy and healthcare issues, and I think it developed
00:34:08.190 --> 00:34:10.190 Frank R. Harrison: a new profession for me.
00:34:10.340 --> 00:34:21.740 Frank R. Harrison: You know, I became a healthcare advocate that licensed well, not certified by Cornell University for one, but at the same time I started affiliating
00:34:21.810 --> 00:34:40.550 Frank R. Harrison: with medical schools and medical professionals, and then I found 2 real world situations, my cousin with Alzheimer's disease, and then my my father, now in rehab versus what was going to be considered palliative care. So I, my mind, which started
00:34:40.560 --> 00:34:45.469 Frank R. Harrison: with one aim, morphed into something totally unexpected.
00:34:45.760 --> 00:34:46.445 Frank R. Harrison: And
00:34:47.590 --> 00:34:50.030 Frank R. Harrison: I think that the timing is perfect
00:34:50.110 --> 00:34:52.080 Frank R. Harrison: for us to be talking about.
00:34:52.670 --> 00:34:56.730 Frank R. Harrison: Social well, national care at home month, because
00:34:56.840 --> 00:35:02.309 Frank R. Harrison: I now have to engage in decision making for both my father as well as my cousin
00:35:02.560 --> 00:35:04.240 Frank R. Harrison: during the holiday time.
00:35:04.656 --> 00:35:11.479 Frank R. Harrison: But at the same time I'm looking at an organization that I think I'm going to learn a lot from. As I undertake
00:35:11.550 --> 00:35:15.200 Frank R. Harrison: these new directions over the next 60 days, so that all being said.
00:35:15.340 --> 00:35:21.880 Frank R. Harrison: can can you talk further about what your social media action day is going to impact
00:35:21.900 --> 00:35:25.479 Frank R. Harrison: in terms of all your members that are part of your organization?
00:35:26.330 --> 00:35:40.486 Steve Landers: Yeah. So you know our our plan, of course. We'll share the the interview here today and the conversation with people that had didn't have a chance to catch it. Live, and that'll be part of our
00:35:40.850 --> 00:36:00.339 Steve Landers: That'll be part of our planning, and we'll be posting throughout our different accounts, information about care at home, celebrating the different types of providers, and encouraging all our members. Remember 1,500 members that are in every state in the country, and they have their own
00:36:00.670 --> 00:36:17.579 Steve Landers: social media and their own communications programs. And so we're expecting, you know, all sorts of different voices, to talk about what care at home means to them? What care at home is all about in their particular communities? Because there are.
00:36:17.904 --> 00:36:40.909 Steve Landers: some differences across the different provider types and communities. And so you know, we're very much looking forward to it. And, you know, grateful to be able to have this conversation at such a timely moment for for us as we launch our new organization as we celebrate national care at home month, and as we drive towards that you know, day where we're we're gonna
00:36:41.390 --> 00:36:47.250 Steve Landers: jam up the system, you know, and make sure that everybody hears about the great work that's being done.
00:36:47.700 --> 00:36:47.990 Steve Landers: But.
00:36:47.990 --> 00:36:48.969 Frank R. Harrison: Just received.
00:36:49.560 --> 00:37:04.579 Karen Ross - KarenRossNow.com: Frank, you started to talk about your experience. Yes, and being faced with so many challenges, poses another question for Dr. Landers. How does somebody even know what kind of care and what kind of support they need.
00:37:05.590 --> 00:37:26.989 Steve Landers: For sure. Well, I mean one. We're here to help the Alliance for care at home, alliance for care@home.org is our website. And there's information there. There's also caringinfo.org, which provides some different education about different types of
00:37:27.010 --> 00:37:36.830 Steve Landers: of care. And also, you know, unfortunately, what often happens is that people end up realizing they need this type of care in crisis.
00:37:37.110 --> 00:37:50.119 Steve Landers: And so, you know, maybe they're in the hospital, or they've you know, had to go into a rehab facility, because, they couldn't come home from a hospital or need. They're at a doctor's office, and and the thing I will say is that
00:37:50.484 --> 00:38:13.419 Steve Landers: our healthcare professionals or social workers, case managers, hospital discharge planners in these settings are getting better day by day and understanding what's available at home, and you know, certainly, if you're ever in those crisis situations, you know, insist that you have those people come and visit with you, you know, if you're in a hospital or an emergency room or a
00:38:13.852 --> 00:38:29.560 Steve Landers: you know other type of facility there, there absolutely should be case management and discharge planning experts and make sure to speak with them and get their advice. But hopefully, the conversation we're having today and others
00:38:29.690 --> 00:38:33.150 Steve Landers: will help people get educated when they're not in crisis
00:38:33.170 --> 00:38:46.420 Steve Landers: so that they can plan ahead. I actually once wrote an article called Plan Ahead to Age at home, and a lot of that is about, what can we do to learn about what is what things does Medicare cover
00:38:46.820 --> 00:39:10.729 Steve Landers: what is not part of Medicare? What are things that Medicaid, or what do we need private or personal resources to to fund, and also how to find the providers, you know. There? You know, there are on Medicare on Medicare's website. Actually, there are tools that show providers, quality ratings in the Medicare world. This isn't
00:39:10.730 --> 00:39:35.379 Steve Landers: for the Medicaid services that we talked about Frank. But in the Medicare world there are, you know, quality monitoring resources and survey results and star ratings that can help people make decisions. Also, you know, asking your doctor about their opinion, and the reputation of the services in your community can often get get you to the best best type of care.
00:39:35.680 --> 00:39:50.919 Frank R. Harrison: Well, it's kind of been self exploratory, especially in my father's case. I mean, his cancer is actually a 5 year issue. But when we went through all of the doctor systems. I mean the doctors that he was seeing at the Perlmutter Cancer Center of Nyu Langone health.
00:39:51.040 --> 00:40:16.599 Frank R. Harrison: They were finally talking palliative care, Hospice care, and all of the things that we knew that Medicare would cover. But when he actually turned to the better getting the right medication that was genetically engineered for him to shrink that prostate tumor, that cancer tumor and make him have more energy again. I mean side effects. Continue, of course, and he's also 93 years old, so
00:40:16.710 --> 00:40:19.649 Frank R. Harrison: that for him to be what I view.
00:40:20.305 --> 00:40:24.110 Frank R. Harrison: not a miracle patient, but a special case.
00:40:24.160 --> 00:40:27.749 Frank R. Harrison: We go from what looks like palliative care to just rehab
00:40:27.890 --> 00:40:36.910 Frank R. Harrison: and enhancing his quality of life. Now the Medicaid came in, because now they were looking for at home care
00:40:36.930 --> 00:40:40.699 Frank R. Harrison: which would be me because I have this platform, Frank, about health.
00:40:40.820 --> 00:40:49.280 Frank R. Harrison: and the reason for the Medicaid was to establish a professional relationship with my as a caregiver.
00:40:49.817 --> 00:40:58.279 Frank R. Harrison: But it could only be do done, dealt with the Medicaid system because my parents both had to apply for a pooled trust
00:40:58.690 --> 00:41:06.160 Frank R. Harrison: because of their income level which would not qualify them for traditional Medicaid that someone like my cousin, for example.
00:41:06.400 --> 00:41:16.990 Frank R. Harrison: got immediately enrolled into. So can you differentiate that? Because that's definitely a state level issue, and probably more tailor made to my father's circumstance.
00:41:17.010 --> 00:41:32.040 Frank R. Harrison: But like, based on what Karen said, I mean, how do we know what type of care that we need. Well, we got all the information, but Medicare only covered part of it, and Medicaid would only cover it with the Special Pool Trust. So
00:41:32.360 --> 00:41:34.540 Frank R. Harrison: give me some enlightenment on that whole.
00:41:34.540 --> 00:41:38.189 Steve Landers: It can. It can often be very confusing and frustrating.
00:41:39.066 --> 00:41:50.153 Steve Landers: For people. And and you know, often we're having, you know, older people that may have other medical problems trying to navigate these issues. And it's it's it's quite challenging. And
00:41:50.920 --> 00:41:56.119 Steve Landers: you know, I was glad to hear that your father's doing better the the you know.
00:41:56.180 --> 00:42:20.279 Steve Landers: Big picture, the the you know, talk about medicaid eligibility and different types of Medicaid programs. It gets into pretty technical things at a state level. And often, you know, people may even need to consult an elder law attorney in some instances and others are area agencies on aging which are in every community in the country
00:42:20.280 --> 00:42:29.019 Steve Landers: funded through the older Americans act, provide some resources to help, so people can look up their communities area agency on aging
00:42:29.020 --> 00:42:48.490 Steve Landers: and can find some information about Medicaid eligibility. There's also something within those programming called Aging and disability resource centers, and those are in every community in our country and aging and disability resource centers. That's a specific term can
00:42:48.600 --> 00:43:11.819 Steve Landers: be accessed to get some advice and information. But to get into it. It's highly technical. It's different state by state. And for each individual. When we're talking about Medicaid eligibility. Now, once you may have eligible, and you access care at home. The important things are, you know, aid and personal care services. Some places like New York, like you're involved in have a consumer directed option.
00:43:11.920 --> 00:43:38.289 Steve Landers: which can be a really good thing for families that have the wherewithal to participate in the care, and then other people need the support of home care agencies and need those, you know, aides that are hired through the agencies to to provide that help. And you know, and again, I hope that things continue to go well for your father. But I also think, you know, we get
00:43:38.490 --> 00:44:04.549 Steve Landers: to advanced age with serious medical problems. It's incredibly important for people to be aware of resources like you mentioned, palliative care models in hospice care. Those are incredibly important tools to help people stay home. They're wonderful options that provide holistic care, and those are as impactful as any type of care at home. Model.
00:44:05.280 --> 00:44:11.710 Frank R. Harrison: Now we have our final break. But take us out into the break with the answer to the question that came in on Linkedin.
00:44:12.230 --> 00:44:20.299 Frank R. Harrison: Can you explain the difference between home health and hospice care, and who qualifies? And then, Logan, take it away after he answers that question.
00:44:20.910 --> 00:44:30.929 Steve Landers: For sure. So Hospice is a team based care model. That provides a whole range of services, nursing
00:44:30.990 --> 00:44:53.129 Steve Landers: medications and social work, and even chaplain services physician, oversight, medical equipment, just an incredible rate of care. But it's hospice is a care model for people that are nearing the end of life. They're expected to have a prognosis of 6 months or less, and they're in a situation where their goals
00:44:53.130 --> 00:45:08.869 Steve Landers: are not no longer to cure the illness, but to have comfort and dignity. There's nothing about it that would accelerate anybody's illness or their passing. But the care is focused on comfort, and it's for people in the last 6 months of life.
00:45:09.288 --> 00:45:32.019 Steve Landers: If you end up you know, surviving longer than is expected. Like President Carter, for example, has been in hospice for a longer period of time. It's okay. As long as you continue to have that terminal illness and the expectation that you know it will eventually, you know. Take your life home, health care.
00:45:32.400 --> 00:45:57.099 Steve Landers: you know, Medicare, home health care. It's also holistic nursing, therapy, sometimes home health, aid and social work services, and it can be to help people recover from a hospitalization or an illness, or to support them when they have a decline in a chronic illness, and it doesn't have to be at the end of life. It might be part of a journey to recovery
00:45:57.490 --> 00:45:58.210 Steve Landers: right.
00:45:58.510 --> 00:46:10.809 Frank R. Harrison: Okay. When we get back, we're going to learn about what Karen Ross does with Karen Ross. Now in working with caregivers. And we're going to wrap up more events and podcasts and promotions
00:46:10.860 --> 00:46:13.950 Frank R. Harrison: before we wrap up the show for tonight. So please stay tuned.
00:48:17.120 --> 00:48:22.989 Frank R. Harrison: Hey, everybody, and welcome back, Karen, take it away with respect to how you work with caregivers.
00:48:22.990 --> 00:48:28.310 Karen Ross - KarenRossNow.com: And people may be wondering what in the world did she have to do with what we're talking about?
00:48:28.350 --> 00:48:37.710 Karen Ross - KarenRossNow.com: I'm a board certified hypnotherapist and personal coach where I would come in is, I often work with caregivers
00:48:37.730 --> 00:48:44.600 Karen Ross - KarenRossNow.com: to help them through the journey in a more peaceful and effortless manner.
00:48:44.840 --> 00:48:53.009 Karen Ross - KarenRossNow.com: As Dr. Landers has talked about, and Frank has experienced, and I did, to a very limited extent.
00:48:53.190 --> 00:48:56.059 Karen Ross - KarenRossNow.com: It can be such a stressful time.
00:48:56.110 --> 00:49:04.530 Karen Ross - KarenRossNow.com: and it can just throw everybody's life just in a totally different perspective than they ever expected.
00:49:04.590 --> 00:49:17.030 Karen Ross - KarenRossNow.com: and using some hypnosis and some gentle yet powerful coaching, I can help the individual change their perspective about the situation, whether they're the patient or the caregiver.
00:49:17.040 --> 00:49:21.960 Karen Ross - KarenRossNow.com: and it can just make the whole thing so much easier to work through.
00:49:22.030 --> 00:49:38.259 Karen Ross - KarenRossNow.com: And I want to turn it back to Dr. Landers, because there's so much more to talk about, and I know one of the things that I want you to cover. Dr. Landers is the resources that your organization offers. I mean, there are all kinds of webinars and classes, and
00:49:38.260 --> 00:49:57.859 Karen Ross - KarenRossNow.com: I know you touched on Hospice a moment ago I see 2 or 3. The myths and truths about the Hospice benefit the difference between hospice and palliative care, and that's just touching the iceberg of some of the resources that you offer. But can you talk a little bit about that? And
00:49:58.030 --> 00:50:14.310 Karen Ross - KarenRossNow.com: Frank mentioned he was going to join the organization after we hang up, can he join as an individual? And if he can, there have to be thousands of people out there who want to become a member, if that can be, tell them how to make that happen.
00:50:15.290 --> 00:50:29.279 Steve Landers: Yeah, I mean so many, so many things there, Karen, that you know I do want to touch back on finishing the conversation about Hospice. Because I we were coming up on the break, and you know it's such an incredible
00:50:30.680 --> 00:50:40.940 Steve Landers: you know, it's such. It's such an incredible care model that you really can't soundbug other than all I can say about Hospice, the most important thing people can remember
00:50:41.010 --> 00:50:54.659 Steve Landers: is that because it gets so stressful and scary. When you have these type of medical situations right where a terminal illness, just remember that hospice means more care, not less.
00:50:54.760 --> 00:51:07.009 Steve Landers: Hospice is when you're in that moment where other things aren't going to help, you know. Another surgery getting blasted with more medicine. Spending another week in the hospital is only going to hurt you.
00:51:07.320 --> 00:51:33.970 Steve Landers: Hospice provides so much care and support, and also what I didn't mention before is that hospice can be provided in other settings. You know it's largely a care at home model, but also hospice care can be provided in hospitals. It can be provided in nursing homes and assisted livings and many different types of environments. So hospice is incredible. Palliative care.
00:51:34.700 --> 00:51:49.200 Steve Landers: Palliative care is a holistic approach to medical care that really looks at the whole person, tries to manage symptoms, reduce pain and suffering, but it's not necessarily limited to people. At the end of life
00:51:49.200 --> 00:52:12.069 Steve Landers: you can receive palliative care. Maybe at the same time you're receiving medical treatment for cancer treatments like radiation or chemotherapy, or continuing to get dialysis for kidney failure. Palliative care can be provided for people with serious life limiting illness, even if they're not in the last 6 months of life.
00:52:12.690 --> 00:52:27.090 Steve Landers: Or even if their goals are not purely comfort oriented. And it's it's a wonderful field. And it's a wonderful service. And you know, information about these different care models and information about our organization
00:52:27.130 --> 00:52:27.850 Steve Landers: is
00:52:28.700 --> 00:52:32.970 Steve Landers: you know, all at alliance for care at home.
00:52:34.042 --> 00:52:37.010 Steve Landers: Membership! Wise we are.
00:52:37.800 --> 00:53:06.550 Steve Landers: You certainly can follow us, learn from us, be a part of our grassroots, advocacy network, but in terms of true membership. We don't take monies from individual caregivers or you know, family members or community members for our membership. We really the membership is a dues model for providers, for agencies, and that type of organization.
00:53:07.170 --> 00:53:08.729 Frank R. Harrison: Well, we're about to see
00:53:08.740 --> 00:53:11.984 Frank R. Harrison: what I've been creating for the past year.
00:53:12.470 --> 00:53:13.980 Frank R. Harrison: Logan, take it away.
00:53:14.200 --> 00:53:16.670 Frank R. Harrison: It's my way of doing advocacy as well
00:53:24.310 --> 00:53:26.470 Frank R. Harrison: on a day like any other.
00:53:26.770 --> 00:53:36.069 Frank R. Harrison: March 13, th 2024 is the 40th anniversary of my very 1st seizure. Life can completely change its course in the blink of an eye.
00:53:36.110 --> 00:53:48.940 Frank R. Harrison: Because of my epilepsy I had to discontinue the show. The seizures were coming fast and furious. I therefore had to quit my job at Hilton. In a situation like this, most people boil it down to 2 options.
00:53:49.360 --> 00:53:53.649 Frank R. Harrison: They can completely shut down and allow this sudden change to overcome them.
00:53:53.990 --> 00:53:59.489 Frank R. Harrison: I was of that generation that you know. If you're 30 you might as well die because you're old.
00:53:59.690 --> 00:54:00.600 Frank R. Harrison: or
00:54:00.660 --> 00:54:17.219 Frank R. Harrison: they can use it as a learning, experience, and pivot their life into an entirely new direction. You know I was just taken by Frank's courage to talk about his chronic health situation, and again to find a way to live with
00:54:17.220 --> 00:54:43.939 Frank R. Harrison: seizure activities and live with epilepsy. You are not epileptic, you are living with epilepsy and to take that fact and decide. I'm going to thrive in life. This is a part of my life. It's not defining me, it's not who I am. It's a part of me in 2025 you'll hear the story of Frank R. Harrison, a man who looked at his epilepsy and chose option 2.
00:54:44.450 --> 00:54:56.409 Frank R. Harrison: I think Frank R. Harrison is a badass. He's 1 of my heroes creating a phenomenal platform to share healthcare stories, treatments, opinions, and more my academic background.
00:54:56.820 --> 00:55:17.829 Frank R. Harrison: I have a master's degree in neuropsychology, and I did an entire thesis upon graduation that had to do with epilepsy and its relationship to depression and anxiety. So all I learned from the social variables that I could equate, is that an epileptic patient of quality of life is always at risk in a question.
00:55:18.100 --> 00:55:37.349 Frank R. Harrison: You know, there is the industry of health care. And then there is the profession of caring, you know. So the caring professions are always looking to do patient-centered care, and of course, create a sense of well-being, and you know, when we are discharging patients, making sure that they feel empowered and safe enough
00:55:37.470 --> 00:55:41.409 Frank R. Harrison: to take care of themselves once they're home, they may need some support.
00:55:41.590 --> 00:55:49.889 Frank R. Harrison: We live in a world that is, I don't know if it's always been very stressful, but it's definitely gotten more stressful. I think
00:55:50.030 --> 00:56:00.090 Frank R. Harrison: they say, what like 80% of illnesses and disease and mental health stuff results as a result, direct result of stress or is caused by stress
00:56:05.790 --> 00:56:06.960 Frank R. Harrison: being frank
00:56:06.980 --> 00:56:08.619 Frank R. Harrison: for a healthy future
00:56:14.760 --> 00:56:17.449 Frank R. Harrison: that will be released in 2025.
00:56:17.690 --> 00:56:26.590 Frank R. Harrison: But overall that involves creating an organization similar to what you have just done with the merging of these 2 companies. It's called Healthy media.
00:56:26.690 --> 00:56:50.109 Frank R. Harrison: It's going to be an Llc. In the State of New York. But there'll be a.com. It'll be a portal of content, providing for caregivers, for anyone who's advocating for other kinds of illnesses, especially whether they're mental health or otherwise. And it's just showing how I like, I said earlier, I evolved from one condition that I've learned to sustain my life with.
00:56:50.150 --> 00:56:57.789 Frank R. Harrison: and found myself just spreading that knowledge and advocacy around to everyone, especially when my father and my cousin needed it.
00:56:57.820 --> 00:57:18.380 Frank R. Harrison: the support that is, and after having you on the show today with Karen. I mean, I think I've come full circle. And I think, Karen, we've come full circle because this is the direct one year anniversary of when we did the 100th show together. So I guess I wanted to thank you for being on this show today and showing all the differences of
00:57:18.480 --> 00:57:28.172 Frank R. Harrison: Hospice care and palliative care, and looking at the differences between how Medicare and Medicaid coordinate with both programs on the Federal or State levels.
00:57:28.920 --> 00:57:44.299 Frank R. Harrison: obviously having a good primary care physician or or geriatric physician, such as yourself, is going to be a guide for all the individuals to know what they really need when they reach the point of quality of care that they're looking for or seeking
00:57:44.636 --> 00:57:51.590 Frank R. Harrison: and, like, Karen said, I do want to join your organization, but I gather it's like you said through the website, correct.
00:57:51.590 --> 00:57:56.450 Karen Ross - KarenRossNow.com: But we sure are glad to know you're out there. Thank you so much for all you do.
00:57:56.450 --> 00:58:04.380 Steve Landers: Thank you. It's been incredible honor to speak with you and Frank. You're an inspiration. And looking forward to learning about all of the
00:58:04.400 --> 00:58:07.419 Steve Landers: the great impact that you have with this new venture, as well.
00:58:07.820 --> 00:58:25.189 Frank R. Harrison: Awesome, and thank you again behind the scenes to the people that have asked the questions during the hour as well as to our Engineer Logan right there. Thank you again. I'd like to thank Sam Lebowitz, the executive producer of Talkradio, Dot, Nyc.
00:58:25.260 --> 00:58:29.680 Frank R. Harrison: For being an inspiration for me to come back during Covid, and to continue on.
00:58:29.720 --> 00:58:32.849 Frank R. Harrison: especially through 2025.
00:58:32.940 --> 00:58:38.242 Frank R. Harrison: I think we're about to wrap up. So stay tuned for tomorrow's shows.
00:58:39.010 --> 00:58:41.470 Frank R. Harrison: and I'll be back again next week.
00:58:41.650 --> 00:58:44.300 Frank R. Harrison: Alright. Thanks again. Bye, Bye
00:58:44.700 --> 00:58:45.800 Frank R. Harrison: Signing off.
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