advocate finances

The Advocacy Liability Insurance Conundrum

upset and worried

Once in awhile a topic in the APHA Connect! Discussion Forum takes on a life of its own. The recent conversation regarding liability / professional / E&O (errors and omissions) insurance for advocates is one of them. I’m going to share part of the conversation with you, then provide some perspective, too. The Conversation Trigger Recently, the company that has provided business liability insurance to the majority of professional advocates during the past few years has decided to stop covering advocacy practices. APHA’s insurance advisor* has explained that the insurer has decided instead to focus on different kinds of insurance. …

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Are You the Chicken? or the Pig?

If you consider a bacon-and-egg breakfast, what is the difference between the chicken and the pig? It’s a question that determines commitment. While the chicken can produce many eggs over a lifetime, the pig can produce bacon only once. The chicken may be involved in the breakfast, but the pig is totally committed. So what does that have to do with independent advocacy?

Charging on a Sliding Scale Just Creates a Can of Worms

sliding scale can of worms

Most advocates and care managers I know have huge hearts. They want to help everyone who needs help! They truly dislike having to charge money for their services (because many have done this work for free for friends and loved ones for a lifetime). Further, in many cases, they don’t give themselves credit for being as capable as they are. So they struggle. They ask themselves how on earth they are going to ask for money from these (possibly desperate) people who contact them, especially when: They are new, and haven’t worked in private practice for very long (if at …

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Assessing Value: The Cost of Meat and Potatoes

An Open Letter to an Advocate Who Questions Her APHA Membership Received last week from Esther (not her real name): If you would please clarify a few things I’d really appreciate it.It’s time for my PACE membership to renew and I am trying to decide whether to spend that money. I want to have my name listed in your directory in the future, but your Premium membership is quite out of my budget. . Do you not offer beginner discounts? Secondly, I currently am an unemployed family caregiver and have no income. A basic renewal at $49, which is more …

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Atychi-what? Overcoming Atychiphobia


Over the years, dozens of professional advocate wannabes have talked to me about fear, including Fear of failure Fear of doing the wrong thing for a client Fear of failure Fear of losing their savings Fear of failure Fear of making a mistake in their work Fear of failure Fear of standing up to authority Fear of failure If your fears stand in the way of your success, then you have only two choices:

Starting Out? Why a Non-Profit Practice Is NOT the Right Answer for You

This is a question – or a statement – I hear frequently from those who wish to be independent health or patient advocates who are considering which business formation they need to set up to be independent.* After considerations of LLCs, or S-Corps or others, they tell me they want to establish a non-profit, then ask me if we offer resources to help them. Fay is one such advocate wannabe. She asked, “Do you have any advice for establishing a non-profit or not-for-profit agency to help patients?” Unfortunately, her question was being asked for the wrong reasons. Why?

How Does a Patient Choose the Best Advocate to Hire?

I’ve been working on updating the AdvoConnection Directory website because it was time, because search engines look favorably upon updates. And because my not-frequent-enough review of the site’s analytics produced a big surprise! A surprise I’ll share with you here today. To be clear – no changes were made to the actual search and profile areas – those all belong to our listed advocates who make those changes themselves. Instead, I edited and updated the support pages – everything from the homepage, to the About Us page, to the “how to choose and interview an advocate” page. For some background: …

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