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美国投资移民 New Life 纽莱芙养老院-EB-5投资移民项目

回复: New Life 纽莱芙养老院-EB-5投资移民项目

老人每月交的钱是固定的,但是照顾老人每月的费用却是不固定的,老人越老,单位费用越高。老人院在确定价格时,是按老人的平均寿命预期来计算的,超过平均寿命的人越多,亏损越厉害。

这个观点很新鲜。老人不是按月交钱的吗?
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

老人每月交的钱是固定的,但是照顾老人每月的费用却是不固定的,老人越老,单位费用越高。老人院在确定价格时,是按老人的平均寿命预期来计算的,超过平均寿命的人越多,亏损越厉害。

这位“土鳖”是国内民政局的吧,该好好研究一下美国的养老福利政策。

知道美国的medicaid吗?Wisconsin的FAMILY CARE和COPP WAIVER。这里给你上上课。学完了,就明白我们为什么要做养老院项目,为什么在WISCONSIN 做养老院。养老院的低收入的老人,是有政府掏钱养老的。所以我们希望老人长寿。 我的几个新雇员的家人就是享受政府补贴的,等我们项目开业,他们从另一家养老院转过来。:wdb9:

Overview of Managed Care Organizations (MCOs) and the Flexible Family Care Benefit

[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]Family Care improves the cost-effective coordination of long-term care services by creating a single flexible benefit that includes a large number of health and long-term care services that otherwise would be available through separate programs. A member of a MCO has access to a large number of specific health services offered by Medicaid, as well as the long-term care services in the Home and Community-Based Waivers and the very flexible state-funded Community Options Program. In order to assure access to services, MCOs develop and manage a comprehensive network of long-term care services and support, either through contracts with providers, or by direct service provision by MCO employees. MCOs are responsible for assuring and continually improving the quality of care and services consumers receive. MCOs receive a monthly per person payment to manage and purchase care for their members, who may be living in their own homes, group living situations, or nursing facilities. Some highlights of the Family Care benefit package are: [/FONT]


[FONT=Times New Roman,Times New Roman] [/FONT]
[/FONT]
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive Services Where They Live[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]. MCO members receive Family Care services where they live, which may be in their own home or supported apartment, or in alternative residential settings such as [/FONT][/FONT][/FONT][/FONT][FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]
[FONT=Times New Roman,Times New Roman]Residential Care Apartment Complexes, Community-Based Residential Facilities (我们的养老院是这种), Adult Family Homes, Nursing Homes, or Intermediate Care Facilities for people with developmental disabilities. [/FONT]
[FONT=Times New Roman,Times New Roman] [FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive Interdisciplinary Case Management[/FONT][/FONT]. Each member has support from an interdisciplinary team that consists of, at a minimum, a social worker/care manager and a Registered Nurse. Other professionals, as appropriate, also participate as members of the interdisciplinary team. The interdisciplinary team conducts a comprehensive assessment of the member’s needs, abilities, preferences and values with the consumer and his or her representative, if any. The assessment looks at areas such as: activities of daily living, physical health, nutrition, autonomy and self-determination, communication, and mental health and cognition. [/FONT][FONT=Times New Roman,Times New Roman]
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Participate in Determining the Services They Receive[/FONT][/FONT]. Members or their authorized representatives take an active role with the interdisciplinary team in developing their care plans. MCOs provide support and information to assure members are making informed decisions about their needs and the services they receive. Members may also participate in the Self-Directed Supports component of Family Care, in which they have increased control over their long-term care budgets and providers.
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive Family Care Services that Include: [/FONT][/FONT]
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]Long-Term Care Services [/FONT][/FONT]that have traditionally been part of the Medicaid Waiver programs or the Community Options Program. These include services such as adult day care, home modifications, home delivered meals and supportive home care.
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]Health Care Services [/FONT][/FONT]that help people achieve their long-term care outcomes. These services include home health, skilled nursing, mental health services, and occupational, physical and speech therapy. For Medicaid recipients, health care services not included in Family Care are available through the Medicaid fee-for-service program.
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive Help Coordinating Their Primary Health Care[/FONT][/FONT]. In addition to assuring that people get the health and long-term care services in the Family Care benefit package, the MCO interdisciplinary teams also help members coordinate all their health care, including, if needed, helping members get to and communicate with their physicians and helping them manage their treatments and medications.
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive Services to Help Achieve Their Employment Objectives[/FONT][/FONT]. Services such as daily living skills training, day treatment, pre-vocational services and supported employment are included in the Family Care benefit package. Other Family Care services such as transportation and personal care also help people meet their employment goals.
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive the Services that Best Achieve Their Outcomes[/FONT][/FONT]. The MCO is not restricted to providing only the specific services listed in the Family Care benefit package. The MCO interdisciplinary care management team and the member may decide that other services, treatments or supports are more likely to help the member achieve his or her outcomes, and the MCO would then authorize those services in the member’s care plan.

[/FONT]
[/FONT]
[/FONT]
[/FONT]
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]As of June 1, 2009, Family Care is available to nearly 60 percent of Wisconsin residents that qualify for publically funded long-term care. Thirty-two ADRCs are operational, serving 55 counties and 1 Tribe, accounting for over 70 percent of the state’s population. [/FONT]
[/FONT]
[/FONT]
[/FONT]
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

我讲的和你讲的风马牛不相及,问题不是谁付钱,和有没有人付钱。而是你每月收老人的钱是预先确定的,而且是长期的,甚至是终身的合同。但是每个老人的护理费用睡着年龄的增大会变多,当超过一定标准线时,你就是在赔本做生意。而初始确定你每月每个老人收多少钱的重要依据之一就是平均寿命预期,你也不可能过高的去定价,这样就失去竞争力。这个是行业特点问题,并非你一家独有,你自己对要组织的投资显然没经验。

这位“土鳖”是国内民政局的吧,该好好研究一下美国的养老福利政策。

知道美国的medicaid吗?Wisconsin的FAMILY CARE和COPP WAIVER。这里给你上上课。学完了,就明白我们为什么要做养老院项目,为什么在WISCONSIN 做养老院。养老院的低收入的老人,是有政府掏钱养老的。所以我们希望老人长寿。 我的几个新雇员的家人就是享受政府补贴的,等我们项目开业,他们从另一家养老院转过来。:wdb9:

Overview of Managed Care Organizations (MCOs) and the Flexible Family Care Benefit

[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]Family Care improves the cost-effective coordination of long-term care services by creating a single flexible benefit that includes a large number of health and long-term care services that otherwise would be available through separate programs. A member of a MCO has access to a large number of specific health services offered by Medicaid, as well as the long-term care services in the Home and Community-Based Waivers and the very flexible state-funded Community Options Program. In order to assure access to services, MCOs develop and manage a comprehensive network of long-term care services and support, either through contracts with providers, or by direct service provision by MCO employees. MCOs are responsible for assuring and continually improving the quality of care and services consumers receive. MCOs receive a monthly per person payment to manage and purchase care for their members, who may be living in their own homes, group living situations, or nursing facilities. Some highlights of the Family Care benefit package are: [/FONT][/FONT]​
[FONT=Times New Roman,Times New Roman]


[/FONT]
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive Services Where They Live[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]. MCO members receive Family Care services where they live, which may be in their own home or supported apartment, or in alternative residential settings such as [/FONT][/FONT][/FONT][/FONT][FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]
[FONT=Times New Roman,Times New Roman]Residential Care Apartment Complexes, Community-Based Residential Facilities (我们的养老院是这种), Adult Family Homes, Nursing Homes, or Intermediate Care Facilities for people with developmental disabilities. [/FONT]
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive Interdisciplinary Case Management[/FONT][/FONT]. Each member has support from an interdisciplinary team that consists of, at a minimum, a social worker/care manager and a Registered Nurse. Other professionals, as appropriate, also participate as members of the interdisciplinary team. The interdisciplinary team conducts a comprehensive assessment of the member’s needs, abilities, preferences and values with the consumer and his or her representative, if any. The assessment looks at areas such as: activities of daily living, physical health, nutrition, autonomy and self-determination, communication, and mental health and cognition. [/FONT][FONT=Times New Roman,Times New Roman]
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Participate in Determining the Services They Receive[/FONT][/FONT]. Members or their authorized representatives take an active role with the interdisciplinary team in developing their care plans. MCOs provide support and information to assure members are making informed decisions about their needs and the services they receive. Members may also participate in the Self-Directed Supports component of Family Care, in which they have increased control over their long-term care budgets and providers.
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive Family Care Services that Include: [/FONT][/FONT]
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]Long-Term Care Services [/FONT][/FONT]that have traditionally been part of the Medicaid Waiver programs or the Community Options Program. These include services such as adult day care, home modifications, home delivered meals and supportive home care.
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]Health Care Services [/FONT][/FONT]that help people achieve their long-term care outcomes. These services include home health, skilled nursing, mental health services, and occupational, physical and speech therapy. For Medicaid recipients, health care services not included in Family Care are available through the Medicaid fee-for-service program.
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive Help Coordinating Their Primary Health Care[/FONT][/FONT]. In addition to assuring that people get the health and long-term care services in the Family Care benefit package, the MCO interdisciplinary teams also help members coordinate all their health care, including, if needed, helping members get to and communicate with their physicians and helping them manage their treatments and medications.
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive Services to Help Achieve Their Employment Objectives[/FONT][/FONT]. Services such as daily living skills training, day treatment, pre-vocational services and supported employment are included in the Family Care benefit package. Other Family Care services such as transportation and personal care also help people meet their employment goals.
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]People Receive the Services that Best Achieve Their Outcomes[/FONT][/FONT]. The MCO is not restricted to providing only the specific services listed in the Family Care benefit package. The MCO interdisciplinary care management team and the member may decide that other services, treatments or supports are more likely to help the member achieve his or her outcomes, and the MCO would then authorize those services in the member’s care plan.
[/FONT]
[FONT=Times New Roman,Times New Roman]
[/FONT]
[/FONT]
[/FONT]
[/FONT]
[FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman][FONT=Times New Roman,Times New Roman]As of June 1, 2009, Family Care is available to nearly 60 percent of Wisconsin residents that qualify for publically funded long-term care. Thirty-two ADRCs are operational, serving 55 counties and 1 Tribe, accounting for over 70 percent of the state’s population. [/FONT]
[/FONT]
[/FONT]
[/FONT]
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

美国养老业来讲,你的商业常识少得有点可怜了。养老院有不同的商业模型。你说的那种是CCRC, 要交ENTRANCE FEE外加月费,服务包括independent living, assisted living, and nursing. 这种养老院希望老人死越早越好,20来万的ENTRANCE FEE可以放自己的腰包了。

我们的养老院只提供assisted living. 没有entrance fee. 只是月费,包括食宿费和个人护理费。

你我谈的不是一个概念。你说的那种都是自费的。我们的是半公费半自费。
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

都是高手!:wdb23::wdb17:


美国养老业来讲,你的商业常识少得有点可怜了。养老院有不同的商业模型。你说的那种是CCRC, 要交ENTRANCE FEE外加月费,服务包括independent living, assisted living, and nursing. 这种养老院希望老人死越早越好,20来万的ENTRANCE FEE可以放自己的腰包了。

我们的养老院只提供assisted living. 没有entrance fee. 只是月费,包括食宿费和个人护理费。

你我谈的不是一个概念。你说的那种都是自费的。我们的是半公费半自费。
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

同意你的观点,我讲得的确和你的不是一种模式,致歉!

美国养老业来讲,你的商业常识少得有点可怜了。养老院有不同的商业模型。你说的那种是CCRC, 要交ENTRANCE FEE外加月费,服务包括independent living, assisted living, and nursing. 这种养老院希望老人死越早越好,20来万的ENTRANCE FEE可以放自己的腰包了。

我们的养老院只提供assisted living. 没有entrance fee. 只是月费,包括食宿费和个人护理费。

你我谈的不是一个概念。你说的那种都是自费的。我们的是半公费半自费。
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

而是你每月收老人的钱是预先确定的,而且是长期的,甚至是终身的合同。。

我们的月费,除了食宿部分,个人护理的费用不是固定的。一般是3个等级。有的养老院按点(point)收护理费。

入住养老院也不是终身合同,month-to-month。随时可以换养老院。比如,本地的另一家养老院由于人事变动,服务水平下降,一部分员工和老人在我们这登记,我们开业,他们就搬过来。
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

你的项目缺点和难点都是就业,还有不知已经解决了TEA,政府经营许可没有,另外就是以后经营的意外法律责任。

526是第一个考验,没有明确的就业计划和确定的TEA,就可能通不过。

还有就是因就业产生的亏损问题,意外事故的赔偿等(保险费少不了),如果撑不到829,现金流枯竭,是否要追加投资的问题。

做生意总有风险,不会因为直投就一定成功的。


我们的月费,除了食宿部分,个人护理的费用不是固定的。一般是3个等级。有的养老院按点(point)收护理费。

入住养老院也不是终身合同,month-to-month。随时可以换养老院。比如,本地的另一家养老院由于人事变动,服务水平下降,一部分员工和老人在我们这登记,我们开业,他们就搬过来。
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

你的项目缺点和难点都是就业,还有不知已经解决了TEA,政府经营许可没有,另外就是以后经营的意外法律责任。--我们是农村地区,TEA的问题比较容易。直投项目当然重点在直接就业,所以我们控制投资人的名额。养老院行业是WISCONSIN政府鼓励行业,许可比较容易拿。

526是第一个考验,没有明确的就业计划和确定的TEA,就可能通不过。--- 我们也是拭目以待。就业计划按LINCOLN律师的指导细分了。这方面,我们在LINCOLN那里过了3关。该可以了。

还有就是因就业产生的亏损问题,意外事故的赔偿等(保险费少不了),如果撑不到829,现金流枯竭,是否要追加投资的问题。
这些都是商业风险,我们在立项前都考虑了。

做生意总有风险,不会因为直投就一定成功的。

EB-5项目没有完美的,实践中会有不可预测的风险。想想South Dakota区域中心的奶牛场项目,有投资人血本无归,又没得到绿卡。CANAM费城区域中心的几个项目,投资人也没有拿到绿卡。

直投和区域中心的风险,半斤pk八两。 看项目方和投资人的爱好吧。
 

写在墙上的脸

想当厨子的司机
回复: New Life 纽莱芙养老院-EB-5投资移民项目

这位“土鳖”是国内民政局的吧,该好好研究一下美国的养老福利政策。

知道美国的medicaid吗?Wisconsin的FAMILY CARE和COPP WAIVER。这里给你上上课。学完了,就明白我们为什么要做养老院项目,为什么在WISCONSIN 做养老院。养老院的低收入的老人,是有政府掏钱养老的。所以我们希望老人长寿。 我的几个新雇员的家人就是享受政府补贴的,等我们项目开业,他们从另一家养老院转过来。:wdb9:

我记得你说过因为当地人口和竞争关系需要从芝加哥等地招募老人入院。那么Illinois的老人是否享受Wisconsin的政府补贴等福利?
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

我记得你说过因为当地人口和竞争关系需要从芝加哥等地招募老人入院。那么Illinois的老人是否享受Wisconsin的政府补贴等福利?

因为WALWORTH County 与Illinois 相邻,有些住在walworth county 的人在Illinois 上班。很多Illinois的老人在这里买别墅养老。

从芝加哥搬来,住在WINSCONSIN的养老院,就成为当地的居民,就不再是ILLINOIS的居民,除非他/她的PRIMARY HOME 在ILLINOIS. 这么有钱的老人,这里也有很多。他们不到享受福利的资格。低收入的老人是指资产在2000美金以下的。囊中空空的那种才享受福利。资产在2000 美金以上的要自己掏钱,直到花光了,政府才接过来账单。
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

New Life of Crivitz 项目已经达到一个新的里程碑。今天刚收到Wisconsin政府发来的项目工程设计的批准函。这样,我们工程完工,验收通过后,就可以拿到养老院开业的执照了。
 

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回复: New Life 纽莱芙养老院-EB-5投资移民项目

New Life of Crivitz 项目已经达到一个新的里程碑。今天刚收到Wisconsin政府发来的项目工程设计的批准函。这样,我们工程完工,验收通过后,就可以拿到养老院开业的执照了。

刚刚才有图纸啊

小心哦,等你有了license,再出来宣传。
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

刚刚才有图纸啊

小心哦,等你有了license,再出来宣传。

你对Wisconsin州的养老院建设的操作是一无所知,就不要在这瞎掰了。

养老院建造,事先有DHS审查图纸,是申请LICENSE的第一步,比LICENSE 还难。建好后,工程审查合格就批license.

我们CRIVITZ项目是前期的改建工程都是有小酒店的卖方承担。我们指定养老院的模式,建好后,拿到DHS的开业许可,才交割。投资人的钱一直都存在监管账户里,养老院建好,可以开业,投资人的钱统一交付给卖方,交割后,项目有LP共同拥有。
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

无照经营,还叫投资人给你打款?
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

不要恼羞成怒,都是你自己说的。
 
回复: New Life 纽莱芙养老院-EB-5投资移民项目

刚刚才有图纸啊

小心哦,等你有了license,再出来宣传。

你对Wisconsin州的养老院建设的操作是一无所知,就不要在这瞎掰了。

养老院建造,事先有DHS审查图纸,是申请LICENSE的第一步,比LICENSE 还难。建好后,工程审查合格就批license.

我们CRIVITZ项目是前期的改建工程都是有小酒店的卖方承担。我们指定养老院的模式,建好后,拿到DHS的开业许可,才交割。投资人的钱一直都存在监管账户里,养老院建好,可以开业,投资人的钱统一交付给卖方,交割后,项目有LP共同拥有。

你脑袋灌水了,养老院还没建呢?

问题1 你是不是还没有执照?
问题2 客户是不是在你没有执照的时候,就被要求完成不可撤销的投资--打款到监管账户?
 

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