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#430005 - 03/20/17 12:48 PM
Re: Medicaid and music
[Re: guitpic1]
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Senior Member
Registered: 12/08/02
Posts: 15560
Loc: Forest Hill, MD USA
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Wrong - medicaid only funds a small portion of the patients in long term care facilities. Most are covered by a combination of medicare and private, supplemental insurance. And, some pay the difference in cost directly to the facility from their savings and retirement accounts. In my part of the world, as I believe in most areas of the US, musical entertainment is mandated. Now, I'm not sure about the constraints of this mandate, and what the ADs are required to do. Most have a specific budget just for activities, and it is usually left up to the AD as to how those funds are distributed. Personally, I would worry too much about it. If I had my health back and were 20 years younger, I could easily perform 500 jobs a year here and never travel more than 30 miles from home to get to the most distant of them. Assisted Living Centers, Retirement Communities, and Long Term Care facilities are a huge, highly profitable business in the United States. New facilities are opening constantly in my area, many of which would easily house 500 or more residents. Some, are huge campuses, and I know of one complex that has Independent Living, Assisted Living and Long Term Care all on the same 125-acre campus. It also has a huge church, funeral parlor, a couple dozen staff physicians and huge nursing staff. All of the buildings are connected through underground corridors so you never have to go outdoors when the weather is bad. It also has a huge pond that is stocked with largemouth bass, channel catfish, bluegill, and pickerel where residents can just sit on a bench and watch the world go by in good weather, or pick up their fly rod and cast to a variety of exceptionally large, freshwater gamefish. Of course, all of this comes at a price, which ranges from $4,000 to $7,500 a month, including all meals and housekeeping. Some services, such as laundry, are extra. Now, there will always be budget cuts, which are usually the result of some pencil pushing geek at the corporate level that thinks he or she will make points with the CEO or Chief Administrator and get a raise for saving them a few bucks by slicing the budget where they think they can get away with it. When this happens, which is usually every couple years, one of the first things to get the budget axe is the activities department. It has happened to all of us at one time or another. The secret to success is knowing how to handle it. In most instances, I was usually not effected at all, while some performers who charged less than half what I made were the first to go. Of course, the old say holds true "You only get what you paid for!" If you could provide the goods, as DNJ always said, you usually kept your job at the same rate of pay. When some told me they could no longer pay my rate, I told them that I would not play for less than that amount, however, we could offset this by just cutting back the number of performance dates from monthly to bi-monthly. After a while, the bi-monthly schedule usually reverted back to monthly. Additionally, during the cut back schedule, I was always the first person that was called for special events, mainly corporate open house parties at that particular facility. Those parties were usually 2 to 3 hours, which meant I was able to pick up a fairly hefty paycheck for that job. And, more often than not, it was the corporate folks that put me back on the monthly schedule, and still insisted that I perform for the corporate parties, both at that facility and many others within an hour or less drive time. Like I said, I wouldn't worry too much about it. All the best, Gary
Edited by travlin'easy (03/20/17 01:00 PM)
_________________________
PSR-S950, TC Helicon Harmony-M, Digitech VR, Samson Q7, Sennheiser E855, Custom Console, and lots of other silly stuff!
K+E=W (Knowledge Plus Experience = Wisdom.)
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#430065 - 03/24/17 07:38 AM
Re: Medicaid and music
[Re: guitpic1]
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Senior Member
Registered: 12/08/02
Posts: 15560
Loc: Forest Hill, MD USA
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Bachus, here in the US, the avergage working stiff pays aboout 65 percent of their income in various taxes.
Mark, I believe the mandate is for musical entertainment, mainly because of it's theraputic action. There have been several, double-blind studies on this that have clearly shown where music has an incredibly postive effect on the patient's overall health and longevity.
All the best,
Gary
_________________________
PSR-S950, TC Helicon Harmony-M, Digitech VR, Samson Q7, Sennheiser E855, Custom Console, and lots of other silly stuff!
K+E=W (Knowledge Plus Experience = Wisdom.)
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#430080 - 03/24/17 03:31 PM
Re: Medicaid and music
[Re: guitpic1]
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Member
Registered: 03/22/17
Posts: 449
Loc: Mountain Home, AR
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Gary,
I just found this thread and will be pursueing the local market in the next couple of weeks.
BTW. If I remember we used to have discussions back on the yamaha pages. Good to see you're still around doing your thing.
Earl
_________________________
PSR 740,PSR 3000, Mirage, tx7, mp32, Pro Tools 10,11 SONAR, Reaper, BIAB 2020 and a pile of Computer Music mags w/disks College student was working on Doctoral, Education Now just doing courses to do courses
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#430086 - 03/24/17 06:34 PM
Re: Medicaid and music
[Re: guitpic1]
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Senior Member
Registered: 12/08/02
Posts: 15560
Loc: Forest Hill, MD USA
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John, I have always been proud of ya! As I have stated many times in the past, not everyone is comfortable with a headset mic, no matter how high the quality of the mic. I feel fortunate in that I have always been comfortable with a headset mic, but that may be a factor of my longtime association with that particular type of mic. Many years ago, I was a newscaster for a local radio station, and also did live sportscasts for the local community college's football games. I wore a headset mic for both jobs because it provided me with two free hands to do other things, such as cue up the commercial and interview tapes (yes we used tapes back then), and at the football games, go through pages of names and playing history of each player when a play was made. No PCs or Laptops available back then at the games, either. Earl, several years ago I posted a link on this forum, and the PSR Tutorial site, to finding retirement communities, assisted living centers and nursing homes in each area. You can probably Google the same information now, though. That link really opened a lot of eyes on the sites, mainly for entertainers that thought there were none of those facilities near where they live. Most were utterly amazed at the number they discovered, and also that those same facilities were always looking for new entertainers. I also posted a step by step on how to connect with the ADs and how to sell your product (musical entertainment) to them at top dollar. The list I generated off that site for my area was 10 pages long. Good luck, Gary
Edited by travlin'easy (03/24/17 06:42 PM)
_________________________
PSR-S950, TC Helicon Harmony-M, Digitech VR, Samson Q7, Sennheiser E855, Custom Console, and lots of other silly stuff!
K+E=W (Knowledge Plus Experience = Wisdom.)
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#430106 - 03/25/17 08:28 AM
Re: Medicaid and music
[Re: travlin'easy]
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Member
Registered: 03/22/17
Posts: 449
Loc: Mountain Home, AR
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hey Gary, I tried the Google search and found hundreds of entries for retirement homes ect. Didn't see any links to your post concerning how to contact AD's and what to charge. I am very interested in getting that info if possible. I live in Norh Central Arkansas and the area if filled with Nursing homes and retirement centers, both private and governmental. Do you receive same respones from governmental centers?
Earl
_________________________
PSR 740,PSR 3000, Mirage, tx7, mp32, Pro Tools 10,11 SONAR, Reaper, BIAB 2020 and a pile of Computer Music mags w/disks College student was working on Doctoral, Education Now just doing courses to do courses
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#430116 - 03/25/17 05:15 PM
Re: Medicaid and music
[Re: guitpic1]
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Senior Member
Registered: 12/08/02
Posts: 15560
Loc: Forest Hill, MD USA
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Not many from the government operated centers, mainly because they have lots of folks that volunteer and play for free. Here's a link to the article I wrote in 2009 that may be of some assistance. Unfortunately, the link for the centers is out of date and no longer valid. Good luck, Gary
_________________________
PSR-S950, TC Helicon Harmony-M, Digitech VR, Samson Q7, Sennheiser E855, Custom Console, and lots of other silly stuff!
K+E=W (Knowledge Plus Experience = Wisdom.)
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#430135 - 03/26/17 05:48 PM
Re: Medicaid and music
[Re: travlin'easy]
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Member
Registered: 03/22/17
Posts: 449
Loc: Mountain Home, AR
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hey Gary,
Sorry, but I don'tsee a link in the post.
_________________________
PSR 740,PSR 3000, Mirage, tx7, mp32, Pro Tools 10,11 SONAR, Reaper, BIAB 2020 and a pile of Computer Music mags w/disks College student was working on Doctoral, Education Now just doing courses to do courses
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#430143 - 03/27/17 08:11 AM
Re: Medicaid and music
[Re: travlin'easy]
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Member
Registered: 03/22/17
Posts: 449
Loc: Mountain Home, AR
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Thank you Gary. Good info there.
Earl
_________________________
PSR 740,PSR 3000, Mirage, tx7, mp32, Pro Tools 10,11 SONAR, Reaper, BIAB 2020 and a pile of Computer Music mags w/disks College student was working on Doctoral, Education Now just doing courses to do courses
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