Entrepreneur Hub General
This community space is for discussing patient advocacy entrepreneurship topics that are broader, more general, or do not fit into the other categories.
WELCOME to PA360! Please introduce yourselves!
Karen Bartrom
12 days ago
I am a career nurse case manager with the last 20 years in hospital case management leadership. Retiring in December!
I owned an independent advocate business from 2019-2025. In 2026, I founded The American Senior Citizen, LLC to focus on written and video content expanding the reach for patients, families and caregivers who are seeking real-world solutions quickly.
I look forward to connecting, collaborating and celebrating the wins with all of you 👏
Lisa McLendon
20 days ago
I’m Lisa Jo McLendon, a registered nurse with over 30 years of experience, primarily in CVICU and Geriatric Behavioral Health. About five years ago, I transitioned into healthcare advocacy, and I couldn't be happier! It is becoming the most meaningful chapter of my career.
I’m a lifelong learner at heart. Along the way, I obtained my Life & Health Insurance License and Long‑Term Care Certification so I can better support seniors and families planning for the cost of aging. Long‑term care planning has become a true passion of mine, and I’m actively expanding my expertise to best help clients meet the cost of their long‑term care.
I’m grateful to be part of this community of advocates who are committed to raising the standard of care.
I’m always happy to connect, collaborate, or support in any way I can.
Warmly,
Lisa Jo
ShaTonga Ramirez
25 days ago
My name is ShaTonga, and I come from a mental health and social services background with over 25 years of experience. I’ve worked with youth, families, adults, and the elderly, mainly in case management, care coordination, and intensive family-based work. A lot of my experience has been supporting individuals with complex needs, helping them stay stable in the community, and working with families to navigate systems that can feel overwhelming.
My interest in patient advocacy also comes from personal experience. Supporting my mother through her healthcare journey really showed me how challenging it can be to navigate care, even with a background in this field. That experience pushed me to move more into advocacy and focus on helping individuals and families better understand and manage their care.
I’m currently working toward my certification in patient advocacy and building my own practice. I’m looking forward to connecting with others here and continuing to grow in this work.
Legal protections on privacy? How to shield clients?
Val Barschaw
29 days ago
First allow me to preface that I am not giving legal advice — that is for attorneys only. But I have a healthy background in the legal system and my belief is that you can be deposed...period. You do not have doctor/patient protection, clergy/congregant protection or attorney/client protection.
Here's what I would do, if it were me and I truly believed the client and I are a good fit: Find a good attorney to represent you (not your prospective client) and ask them to advise you if a «Non-Disclosure Agreement» (NDA) could be executed between you and the prospective client such that you would have the ability to refuse to answer any questions posed in a deposition based on the NDA. You would still have to appear if you get a subpoena (and they «should» provide a stipend for your trouble if you have to travel over a certain number of miles...at least that's the case in my State).
So, bottom-line is — ask an attorney and go from there.
Best wishes. Let me know how this turns out for your.
Val Barschaw
Author/Speaker/Advocate… and former Superior Court Clerk
Question for Fellow Independent Advocates: How Long Do You Maintain Client Files?
So Many Types of Patient Advocates, So Little Understanding of Why We All Matter
Avrom Fox
1 month ago
My core philosophy remains unchanged: to be a true champion for patients and their families as they navigate an increasingly complex healthcare system. Many who need advocacy simply cannot access it due to cost. For me, the greatest reward has always been human, not financial, and I do everything I can to work with Medicare clients and expand access for those who might otherwise go without support.
I also believe our services should not be excessive. I can not relate to fees of even 200.00 or more. At the same time, I respect advocates for whom this is their primary profession—they must charge fair, realistic, and justifiable rates.
I am encouraged that Umbra is helping create pathways for Medicare reimbursement. While modest, it represents an important step forward—one we should all support.
Jeff Byars
1 month ago
I had to Etch-a-Sketch my business model almost immediatly when I opened my independent advocacy practice. My LLC was formed in February 2020 and the world closed down in March due to Covid. But the changes I made allowed me to serve clients all over the USA remotely. Over the years my business has evolved. The unforseen changes I had to implement early, have benefited throughout the years. Being able to adapt to client's needs is something I continue with to this day.
Leona Wells
1 month ago
The more I explored advocacy, the more I realized how broad our work truly is. We can support almost anyone, in so many different situations, and I worried that defining my services too narrowly might limit how clients see their own needs.
That’s why I offer a short, free consultation. It gives me space to ask questions clients may not think to ask, listen to their concerns, and highlight support they may not realize an advocate can provide. That brief conversation often brings clarity for both of us.
Elder Attorney's
Val Barschaw
1 month ago
If you have a know someone who works at a law firm you want to approach, take them to coffee or lunch and ask what the firm needs most? Listen to what pain points they have that you can help fix and begin there.
Having worked in law firms, I tried to imagine what would happen if someone come into the office seeking referrals. The only thing I could envision is if you have a professional brochure of your services (you know the kind you can put in a little display) that you may be able to set that in a waiting room area where one of their clients may pick it up and reach out to you. But only after you have shown the firm — it will help the firm.
Many lawyers are hesitant to make referrals...period. (But they love receiving them.)
Not meaning to sound negative, but until you can show them how you can help them, there is little reason to have a relationship.
A good relationship will lead to good referrals. Best wishes.
AnnMarie Cross
1 month ago
Taking the BCPA Certification Exam?
Val Barschaw
2 months ago
Business Model & Awareness Challenges
Morgan Kelley
2 months ago
I do this part time, about 10 hours a week for context. My business is 3.5 years old. My clients mainly find me through GNA and word of mouth/referrals.
I offer a free inital consultation to make sure it's a good fit for everyone. There have been a few times where the free consut doesn't lead anywhere for me, and that's okay.
I do know some folks have built referral channels through building relationships with proivders direclty, or through marketing to care facilities.
AnnMarie Cross
3 months ago
As we move from 'pre-launch' to really driving traffic to the site, I so hope you get a TON of response. I'm certainly eager to see it.
Let’s Talk Entrepreneurship
Victoria Killian
4 months ago
Melina Oien
4 months ago
I opened an LLC. Although I am not actively building out my client list, as most of my time is spent working for GNA, but I often have kept a small client list.
The best resources along the way have been fellow advocates, who generously have shared their «what worked for me, what didn't»s, encouraged me to keep going and not be intimidated by the business aspect of ..well, running a business, and who willingly have shared their professional expertise when a case felt too big, or perhaps had an aspect I wasn't as comfortable with as the rest of the case. It gave me lived experiences that showed me just how invaluable having a community of advocate colleagues can be.
Icu helper!
AnnMarie Cross
4 months ago
Thank you so much for sharing this incredibly compelling story. I'm so very sorry for that patient; I can imagine that terror she was feeling, and am heartbroken for her.
Thank you so much for the work that you do in the county hospital.
Thinking of you, and that patient, today,
AnnMarie






