By Steve Moran
With rare exception, A Place for Mom is the vendor to hate above all vendors. They don’t bring more consumers into the marketplace and instead are a slow-flowing, clogged up conduit that costs operators and ultimately consumers tens of millions of dollars each year. They also create an uneven playing field for operators and confusion for consumers.
Last week, the Senate Special Committee on Aging launched an investigation of APFM because of accusations that they are in effect steering consumers to senior living communities that have documented severe safety and regulatory problems. All in the name of making a profit.
All appearances are that APFM leadership only cares about profits. The few conversations I have had with APFM staff at trade shows have done nothing to change my impressions, with one mid-level leader telling me she had no idea that anyone in senior living was unhappy with them.
Is It Fixable?
The big question I have been pondering is whether or not APFM is fixable. Could they change the way they do business that would allow them to maintain or improve profitability and at the same time become the hero of the industry?
I think so …
Some Big Ideas
The details are still pretty fuzzy, but conceptually, here are some possible big ideas:
- The fees they charge should be big enough to keep them going but not so big as to crush operators. The fee schedule for small homes is terribly punishing. Perhaps they could create a system where, if a resident moves out in 30 days, nothing is owed, and if they move out in the first 90 or 120 days, the fee is reduced by 50%.
- They could offer an alternative fee schedule that would be a monthly fee rather than commissions for move-ins. This would take some serious thought so that those paying on a subscription basis were not discriminated against.
- They need to do more to qualify prospects. Right now they ask a bunch of questions that people may or may not answer and then pass that info on to the communities for further follow-up. Community salespeople end up dialing for dollars over and over again, with the prospects simply ignoring those calls, wasting vast amounts of time, energy, and enthusiasm.
- They need to look at how they can substantially support local salespeople to help them be more successful closing more sales and work smarter not harder.
- They need to do something for people who do not have private pay resources. Refer them out; have a directory of communities and resources for those who don’t have sufficient assets.
I would love to hear your ideas that go beyond “I hope they go out of business.”
I would like to think that they are able to redeem themselves. We are fooling ourselves if we honestly believe that they are the only ones who do this. We can weed them out on our own and yes, these policies start from the top down! Management plays a big part in this and should be subject to questioning but to wish for any company to close makes me pause. I believe that agencies that represent the aging population should all look at the way that they conduct business.
I actually think it is unlikely they will go out of business or disappear. They have created a business that has a massive barrier to entry for any other competitor.
I also wonder why it is that Caring.com which I consider to be a more human friendly organization, has never been able to catch-up with or push pass APFM.
I believe that the geographical area and financials are not screened enough, and their needs, time frame and circumstances have created more work in any CRM for the Community Relations/ Marketer.
The residents, spouse or family is hopeful for the best quality of life with the level of care needed, but generate a shorter length of stay when placed inappropriately for the move-ins, and the community being upside down financially, if not reconciling timely or resident decline and not being able to take care of him/her.
Like you briefly mentioned, by the time a community reaches out, the APFM team has also tried to contact them with their “quota-ed” number of times. This really turns the consumer off to any additional communication from ANYONE. Even when they really need someone to provide them with services or even just local advice and community resources.
What is frustrating to me and we see this in many organizations is that they are so big, that they see themselves as too smart to learn from anyone.
I appreciate your post Steve, couldn’t agree more. This was the actually the fuel that led to the start of the company I work for, CareAvailability.com, founded by my boss that has endless experience in the senior industry as the former manager of assisted living communities. We started this company on the premise that we couldn’t stand the predatory practices of companies like A Place for Mom or Caring.com. We are simply a directory, free to use, don’t collect or sell seniors’ information, aren’t a referral service, and get no kick backs from communities for move ins or whatever the hell else goes on. Providers can pay for an annual “premium profile” that is super cheap, but that’s about it. Your comment above was what really drove me to leave this comment, mentioning the idea of competitors trying to enter this field with the stranglehold that APFM has on the industry. And that’s a great question, we’re steadily growing, but we’re trying to figure out the best ways to actually grow this business in an ethical fashion, without people being harassed by phone calls or collecting kick backs. We hope there is room to compete, and that an ethical approach can be valued.
I’m a Certified Senior Advisor with CarePatrol and their model is quite different than ours. I like your suggestions. Sometimes, we ask of companies to care and have a soul. But this requires people who actually care for our vulnerable population. Does each consultant spend 8-15 hrs per case, spending time with the family or client to get to know them, do the research for the most appropriate communities, tour with them, surround them with the right resources to help with the move and follow-up after they move? Has any of their consultants spend 10-12 hrs physically setting up the toiletries, arranging the apartment, and sorting clothes during move in? What happens if there is no family who can help? My team and I had to step up and do that sometimes. Do these online companies step up and do the hard labor we do? OR are they just there for a quick buck?
The engine that drives the online entities which rely on analytics and software infrastructure, that may be expensive, is impersonal at best. I pray there will be legislature in each state to make the online agencies’ jobs harder. Getting to know the older adult, reading their medical records, investing in their health and care, passing the tissue box and consoling a family who is in crisis is not something AI or analytics or any money-hungry companies can do. Serving our elderly is hard work and requires a lot of patience. As for me and my team, we will keep doing the right thing.
i agree with all you said. I am a big fan of local referral agents and agencies. They solve big problems for people.