Today’s Healthcare Advisory
FAQs
Our Services
What exactly do you do?
We provide proactive clinical oversight and guidance for families supporting aging loved ones at home. Rather than stepping in only after something goes wrong, we continuously assess and identify subtle changes early, helping families understand what is happening so they can make informed decisions before situations escalate.
We coordinate care, communicate with providers, and guide families through complex situations with clarity. This is not task-based care. It is experienced clinical judgment applied consistently, so your family has clear clinical guidance when it matters most.
How is this different from home health?
Home health is Medicare-funded, short-term care for homebound patients who need skilled nursing after hospitalization. Today’s Healthcare Advisory is private-pay, proactive, and ongoing. We work with people across the aging spectrum, whether mobile or not, who benefit from consistent clinical oversight to reduce the risk of crisis rather than responding after one occurs.
What's the difference between your services and hospice?
Hospice serves people with terminal diagnoses and a prognosis of six months or less, with a focus on comfort care. We work across the entire aging journey, including early concerns, chronic illness management, and end-of-life planning. Many of our clients are not hospice-appropriate. We help families understand when hospice is the right next step and coordinate that transition when the time comes.
Do you provide hands-on personal care like bathing or dressing?
No. We are registered nurses providing clinical oversight, not personal care. If your loved one needs bathing, dressing, or household assistance, we can coordinate with the appropriate home care agencies. Many families use both services together, and we work well with personal care teams.
What is The Last Gift Annual Review?
The Last Gift Annual Review™ is a proprietary process developed from the philosophy of The Last Gift: The Conversation That Prevents Family Trauma, making end-of-life planning a structured, annual conversation rather than a crisis-driven one. Similar to how families review finances each year, we guide families through reviewing and updating:
- Advance directives, including living will and healthcare power of attorney
- Care preferences as health changes over time
- End-of-life wishes and values
- Legacy considerations and what matters most to preserve or pass on
This conversation is included in the Premium Concierge package and is also available as a standalone service for $450.
Getting Started
How quickly can we get started?
Most families transition from first call to active service within one week. Initial assessments are typically scheduled within 24 to 48 hours of your decision to move forward.
What's the first step?
Schedule a free 15-minute discovery call. We will talk through what is happening, whether our services are the right fit for your situation, and the next steps. No pressure and no sales pitch. Just an honest conversation.
What if my parent doesn't think they need help?
This is one of the most common concerns families raise. We approach initial visits gently, framing them as regular nurse check-ins rather than as needing help. Many families find that once their loved one experiences a visit, resistance fades. We are experienced in navigating this with care and without making anyone feel that their independence is being challenged.
Do we have to commit to a long-term contract?
No. All services are month-to-month. You can adjust your package level at any time or discontinue with 30 days’ notice, which is waived if your loved one passes away or transitions into a care facility. Package levels can also be adjusted upward if your loved one’s needs increase. We will flag this proactively if we see it coming.
Costs & Payment
How much does this service cost?
Most families invest between $695 and $2,495 per month, depending on the level of support needed. Every client begins with a comprehensive in-home assessment at $295, which is credited toward the first month of service.
We offer three monthly packages: Essential Oversight at $695, Comprehensive Care at $1,495, and Premium Concierge at $2,495, plus a range of additional services available as needed. Full pricing details and package descriptions are available on our Services page.
Do you accept Medicare or insurance?
No. We are private-pay only. This is intentional. It allows us to provide truly proactive, continuous care rather than reactive, post-crisis care. Our clinical judgment is never shaped by insurance coverage decisions.
What about long-term care insurance?
Some long-term care insurance policies reimburse for private nursing oversight and care management services. Whether yours does depends on how your policy defines covered services and the level of care required to trigger benefits.
We recommend contacting your insurance carrier directly to provide a description of our services and to ask whether private-pay clinical oversight qualifies under your specific policy. We are happy to provide a written description of our services to support that conversation if needed.
What payment methods do you accept?
We accept credit and debit cards, Zelle, and ACH transfers. Automatic monthly billing is available to all package clients.
Are there hidden fees?
No. Package prices are all-inclusive for what is listed. Any additional services, such as extra visits, appointment accompaniment, or extended family meetings, are clearly priced upfront on our Services page before you commit to anything.
Service Details
Who will be coming to my parent's home?
Your dedicated primary nurse concierge. Consistency is a core value of this service. The same experienced registered nurse who conducted your initial assessment will be your ongoing primary clinical contact, building familiarity with your loved one over time. In the rare instance that your primary nurse is unavailable, a qualified registered nurse will step in with full access to your loved one’s care history to ensure continuity is never compromised.
What areas do you serve?
We serve Metro Atlanta, including North Fulton (Alpharetta, Roswell, Johns Creek, Milton), DeKalb (Dunwoody, Decatur, Tucker), Cobb (Marietta, Smyrna, Kennesaw), Gwinnett (Lawrenceville, Duluth, Buford), and Forsyth (Cumming) counties. If you are just outside these counties, contact us anyway. We consider nearby areas on a case-by-case basis.
What if I live out of state?
Distance caregiving is one of the primary reasons families come to us. We serve as your on-the-ground clinical presence, providing detailed updates, video family briefings, and immediate notifications when anything changes. Many family members who coordinate care with us live out of state and rely entirely on our updates and calls to stay informed and confident about their loved one’s situation.
What happens in an emergency?
For true emergencies, such as chest pain, difficulty breathing, or loss of consciousness, call 911 first. We are most valuable in the moments of uncertainty before you know whether something is an emergency. Clients contact us when they are unsure: “Dad seems more confused today. Should I call 911, call his doctor, or wait and watch?” We help you make that clinical judgment call clearly and quickly so the right action happens at the right time.
Working Together
What if my parent has dementia?
We work with families at every stage of dementia, from mild memory loss to advanced disease. We assess cognition at each visit, help families distinguish between normal decline and concerning changes, coordinate with neurologists and specialists, and provide guidance on safety and care planning as the disease progresses.
Do you work with patients already enrolled in hospice?
Yes. Some families want additional clinical oversight beyond what hospice visits provide or need help coordinating care among the hospice team and other providers. We work collaboratively with hospice teams and focus on filling gaps rather than duplicating their work.
What if siblings disagree about care decisions?
Family disagreements about care are more common than most people realize, and they are rarely about a lack of care. They usually stem from fear, distance, and differing levels of information. As a neutral clinical third party, we can provide objective assessments, clarify medical realities, and help families reach consensus. Many families find this one of the most valuable aspects of working with us, especially when emotions are running high and decisions cannot wait.
Can we try it for one month?
Yes. The natural starting point is our comprehensive in-home assessment for $295, a one-time fee credited toward your first month of service. It provides a complete clinical picture of your loved one’s situation and a written care plan with our recommendation before you commit to anything ongoing.
All monthly services are month-to-month with no long-term contract. Many families find that after the assessment, the next step becomes obvious.