#home buy and sell burlingame

[gwenrealtyofficial]

5 Tips and Tricks for First Time Home Sellers

Selling a home for the first time can be an overwhelming experience. 

However, by following some simple tips and tricks, you can make the process smoother and less stressful. 

Here are some things to keep in mind when selling your home for the first time:

1. Hire a great real estate agent: A reliable and experienced real estate agent can help you navigate the selling process, provide valuable insights, and help you get the best price for your home.

2. Price your home correctly: Setting the right price for your home is crucial. You don't want to overprice it and scare off potential buyers, but you also don't want to sell it for less than it's worth. 

Your real estate agent can help you determine the right price based on the current market conditions and the condition of your home.

3. Make your home look its best: First impressions are everything. Make sure your home is clean and clutter-free. Consider staging your home to make it more appealing to buyers.

4. Be flexible with showings: Buyers may want to see your home at all hours of the day, so be prepared to be flexible with showing times.

5. Be prepared for negotiations: Most buyers will try to negotiate the price, so be prepared to counteroffer. Your real estate agent can help you navigate this process and help you get the best deal.

Selling your home for the first time can be a daunting task, but with the right preparation and mindset, you can make it a successful and worthwhile experience. 

If you are looking to find a great real estate agent who will be with you every step of the way, Gwen Chua of GwenRealty | Intero Real Estate Services San Mateo CA is your best choice. With his expertise and innate knowledge of the Bay Area market, you can rest all your worries and anxieties and just let him do what he does best. 

Call him at 650-255-1511 or book an appointment with him now. 

Related Article: Are You Thinking About Selling Your House Soon? 

[fredandrewus]

California Real Estate Agent Guide: Specialization And Work Areas

Real estate agents are licensed professionals who specialize in buying and selling properties. They play an important role in helping buyers and sellers navigate the complex process of buying or selling a home in California. A real estate agent can provide valuable guidance, expertise, and support throughout the buying or selling process, helping to ensure a successful transaction and peace of mind. Here are some of the key reasons why a real estate agent can be important:

They can assist you in understanding market trends, property valuations, and the legal requirements of buying or selling a home, locating the perfect property that suits your needs and budget, advising you on what to offer or counter-offer, and navigating any potential bottlenecks.

A real estate agent can help you save time by managing many of the intricacies and logistics for you, freeing up your time to focus on other things.

Real estate brokers frequently have a network of specialists, such as attorneys, home inspectors, and contractors, to whom they can recommend you if necessary. This can contribute to a smooth and successful sale.

Realtors to Consider for Homes Buying and Selling

Sharad Gupta

He is a well-known entrepreneur in the bay area, California’s growing real estate market. With years of experience, he has developed a solid reputation in the market with a wide range of clients and earned them exceptionally attractive deals. His reputation precedes him as the fastest realtor in San Jose and nearby areas, as one of the founding members of Your Home Sold Guaranteed Realty, and as the major founder of TradeMyHome.com.

His exceptional leadership abilities enabled him to establish practical workplace ideals that prioritize efficiency for the team, facilitating the operation of his brainchild company. With his attention-to-detail-centric approach, he is noted for the small ways he guarantees that his clients benefit from a terrific opportunity.

Service Cities:

Belmont, Burlingame, Campbell, Castro Valley, Cupertino, Daly City, Danville, Mountain View, Newark Palo Alto, Pleasanton, Portola Valley, Redwood City, San Bruno, San Carlos, San Francisco, San Jose, and many more.

To know more about Sharad Gupta visit

Tom Liu

Tom Liu is your one-stop real estate agent which can provide you with world-class services that make your home buying and selling process hassle-free, regardless if you are a first-time home buyer, investor,  or Foreigner.  

He is an expert on foreign national buyers. If you are a foreigner who wants to purchase or sell your home in California, He is your go-to guy.  He dedicated his services to helping people find and sell their homes and provided 5-star services throughout the process, so all his clients feel hassle-free. This is the reason he has earned 5-star reviews on Zillow for many years.

Service Cities:

Arcadia, Baldwin Park, Covina, Diamond Bar, Hacienda Heights, La Puente, Monrovia, Monterey Park, Pasadena, Rosemead, Rowland Heights, San Gabriel, Temple City, West Covina

To know more about Tom Liu visit

Alejandro Martinez

He assists numerous local charities in need of financial assistance. He donates a portion of his proceeds from each home sale to people in most need! His skills include Buyer's Agent, Listing Agent, and Consultation.

Reasons to call Alejandro to sell your home:

He sells homes in an average of 29 days, when the typical area realtor sells in 87.9 days.

He sells his clients' properties for 3.5% higher than the typical local realtor. For a $500,000 home, that's an extra $17,500 in your pocket.

He has 25,267 buyers in his database who are looking for a home in the neighborhood. Your home may already be sold if the buyer is already on his database.

Because of our unique and exclusive consumer programs, your house will be exposed to buyers from a far greater area, both nationally and globally. Your home will sell quickly and for top dollar.

Service Cities:

Azusa, Claremont, Covina, Duarte, Glendora, La Verne, Monrovia, Pomona, San Dimas, Upland

To know more about Alejandro Martinez visit

David Delgado

David Delgado's family has been in the real estate business for over 30 years. David was inspired at a young age and has made it his mission to serve people. He and his family's foundation is built on helping others.

Whether you are a first-time buyer, moving up to that dream house, or making your first real estate investment, he and his family have helped hundreds of people make smart and savvy real estate decisions. He has pioneered numerous unique and innovative marketing techniques geared to sell homes quickly, for a top price, and with the fewest hassles.

Numerous programs are currently in use by other agents in the area who have attempted to replicate his systems, but his unique sales team provides customer service that cannot be replicated.

Service Zip Codes:

90601, 90602, 90603, 90605, 90606, 90640, 92835

To know more about David Delgado visit

Sean Noonan

He is an investor, flipper, and California Realtor. He grew up in Coachella Valley, where his family ran the real estate business Desert Gold Realty. He received his license at a young age in 2007 and began his real estate profession, and he has been serving Orange County since 2016. It has always been his ambition to guide and support his clients on their journey to homeownership and wealth creation.

Sean's business partner (Amber) is also a Realtor who has strong ties to China and assists international clients with their real estate needs. They work as a team to provide constant support and assistance to their clients.

Service Cities:

Dana Point, Irvine, Laguna Niguel, Lake Forest, Mission Viejo, Newport Beach, Newport Coast, San Clemente, San Juan Capistrano, Tustin

To know more about Sean Noonan

Hunter Matthew Thompson

Hunter Matthew Thompson is an Inland Empire native and real estate agent, acknowledges and values the trust his customers invest in him, and he strives every day to surpass their expectations. 

Hunter is a seasoned entrepreneur who has honed his communication, leadership, and management, as well as his people abilities. Also, encourage Hunter to always endeavor to ensure that his clients are well-cared for. Hunter has opted to completely utilize his abilities as well as his passion for real estate in order to provide you with the best service possible.

Service Cities:

Costa Mesa, Irvine, Laguna Beach, Mission Viejo, Newport Beach, San Clemente, San Juan Capistrano

To know more about Hunter Matthew Thompson visit

[nickgerlich]

Meta Analysis

I have long been enamored of the Apple Store. They are sleek. They are sexy. And it is hard to walk in without buying something very expensive. It is an interactive experience of the highest order, and completely by design. Apple wants you to play with everything. That’s the whole idea.

Check your email. Surf the web. Watch some videos. If you don’t drink some Kool-Aid along the way, it’s only because you have more resolve than most of the folks who cross the threshold.

Never mind that Apple really does not have all that many different products to sell us, even though the product line is considerably larger than when these stores—of which there are now more than 500—started appearing in 2001. If you feel like the laptops, tablets, and phones start repeating every 10 feet or so, you would be right. But then again, think of all of those display tables as play stations of a different sort.

Now comes news that Facebook has opened its first Meta Store in Burlingame California, yet another immersive experience kind of store like Apple, but with far fewer products, which are limited to a VR headset and the Portal video calling device. While demo units of the Ray-Ban smart glasses they partnered on will be available, you’ll have to go to the Ray-Ban website to order yours.

Aside from Apple, technology companies have had a tough go in retail. Google has only two of its eponymous Google Stores, where it showcases phones, digital assistants, and home security systems. Microsoft permanently closed its 83 stores in 2020. And based on my experience at one years ago at the Mall of America, you could hear a pin drop on the carpeted floor. I couldn’t even hear crickets.

And we all know that Amazon, first a foremost a retailer but also a dabbler in its private label tech products, has not done well.

That leaves Apple, a hardware company first and foremost that also developed proprietary software and operating systems. Microsoft did not have the hardware, at least when it came to computers. Google is still primarily a search engine and advertising agency, but with some hardware. Facebook? Social media site writ large trying desperately not to suffer from FOMO.

While I agree with Facebook’s emphasis on an immersive experience, it simply does not have the products to keep many people interested. There are fears the Portal device may be just a little too invasive at home, not to mention duplicative of other devices we already have for doing face time chats. While VR is very cool and all that, it has been slow to find traction.

All of which means that, while Facebook might get people through the door if only because of curiosity, sales might be less than stellar.

Which raises the more important question: Should a company venture out from its mainstay product or service category into uncharted waters? Yes, there are profits to be made by anyone with the right product at the right time, but just because you can does not always mean you should.  Why haven’t Amazon retail stores been successful? Because we view them as an e-commerce site. Yes, Alexa devices have been hugely popular, and their Kindle tablets beat everyone else to market, but both are examples of a company that did not have any competition in those products early on.

I have mixed emotions at best about Facebook’s store, which sounds more like a showcase than anything. Yes, I would go in, but I teach this stuff. I have a reason. I’m just not so sure that many other people have one.

Dr “Watching Closely, But Not Hopeful“ Gerlich

Audio Blog

[stargategarageblog]

Is An Electric Gate A Good Investment?

Introduction

Everyone has seen an electric gate - and if you have the land, the majority of people have considered purchasing one. They look great, save you getting out the car to get onto your driveway, and add some extra security to your property. Some models even feature an intercom system - so you do not even have to leave the house to open the gate. With all these amazing features, is an electric gate right for you?

Advantages

The advantages of an electric gate are obvious, the ability to stay in your car when it's raining or cold could seem like a large enough advantage alone to warrant the purchase. Another main advantage is the security they offer to a home. It could also add value to your house when you decide to sell it.

Disadvantage

The real disadvantage is the cost. Having a gate fitted can be very expensive, depending on the style, make, and requirements. If there is no electric running to the bottom of your garden, a cable will need to be put in, and buried. This can add additional costs. Repairs can also be expensive. Depending on the gate model you buy - will also change the way you can enter your grounds. Insure to buy a gate with a radio frequency key fob system - as a keypad on the gate itself means you will still need to leave the car to enter the code and open the gate. This eliminates a major benefit of the new installations.

Conclusion

The decision to buy an electric gate will be down to the home owner - and if they have the money to have the installation completed. The maintenance should also be a consideration. Always read reviews of the gates available, and buy the best one you can afford. Think of features that could be a real benefit - security lighting, multiple key fobs, with the ability to add additional items, and an intercom system all improve the usefulness, and justify the price of having the gate installed.

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[gordonwilliamsweb]

Alzheimer’s Inc.: Colleagues Question Scientist’s Pricey Recipe Against Memory Loss

This story also ran on Daily Beast. It can be republished for free.

When her husband was diagnosed with early-stage Alzheimer’s disease in 2015, Elizabeth Pan was devastated by the lack of options to slow his inevitable decline. But she was encouraged when she discovered the work of a UCLA neurologist, Dr. Dale Bredesen, who offered a comprehensive lifestyle management program to halt or even reverse cognitive decline in patients like her husband.

After decades of research, Bredesen had concluded that more than 36 drivers of Alzheimer’s cumulatively contribute to the loss of mental acuity. They range from chronic conditions like heart disease and diabetes to vitamin and hormonal deficiencies, undiagnosed infections and even long-term exposures to toxic substances. Bredesen’s impressive academic credentials lent legitimacy to his approach.

Pan paid $4,000 to a doctor trained in Bredesen’s program for a consultation and a series of extensive laboratory tests, then was referred to another doctor, who devised a stringent regimen of dietary changes that entailed cutting out all sugars, eating a high-fat, low-carbohydrate diet and adhering to a complex regimen of meditation, vigorous daily exercise and about a dozen nutritional supplements each day (at about $200 a month). Pan said she had extensive mold remediation done in her home after the Bredesen doctors told her the substance could be hurting her husband’s brain.

But two years passed, she said, and her husband, Wayne, was steadily declining. To make matters worse, he had lost more than 60 pounds because he didn’t like the food on the diet. In April, he died.

“I imagine it works in some people and doesn’t work in others,” said Pan, who lives in Oakton, Virginia. “But there’s no way to tell ahead of time if it will work for you.”

Bredesen wrote the best-selling 2017 book “The End of Alzheimer’s” and has promoted his ideas in talks to community groups around the country and in radio and TV appearances like “The Dr. Oz Show.” He has also started his own company, Apollo Health, to market his program and train and provide referrals for practitioners.

Unlike other self-help regimens, Bredesen said, his program is an intensely personalized and scientific approach to counteract each individual’s specific deficits by “optimizing the physical body and understanding the molecular drivers of the disease,” he told KHN in a November phone interview. “The vast majority of people improve” as long as they adhere to the regimen.

Bredesen’s peers acknowledge him as an expert on aging. A former postdoctoral fellow under Nobel laureate Stanley Prusiner at the University of California-San Francisco, Bredesen presided over a well-funded lab at UCLA for more than five years. He has been on the UCLA faculty since 1989 and also founded the Buck Institute for Research on Aging in Marin County. He has written or co-authored more than 200 papers.

But colleagues are critical of what they see as his commercial promotion of a largely unproven and costly regimen. They say he strays from long-established scientific norms by relying on anecdotal reports from patients, rather than providing evidence with rigorous research.

“He’s an exceptional scientist,” said George Perry, a neuroscientist at the University of Texas-San Antonio. “But monetizing this is a turnoff.”

“I have seen desperate patients and family members clean out their bank accounts and believe this will help them with every ounce of their being,” said Dr. Joanna Hellmuth, a neurologist in the Memory and Aging Center at UCSF. “They are clinging to hope.”

Many of the lifestyle changes Bredesen promotes are known to be helpful. “The protocol itself is based on very low-quality data, and I worry that vulnerable patients and family members may not understand that,” said Hellmuth. “He trained here” — at UCSF — “so he knows better.”

The Bredesen package doesn’t come cheap. He has built a network of practitioner-followers by training them in his protocol — at $1,800 a pop — in seminars sponsored by the Institute for Functional Medicine, which emphasizes alternative approaches to managing disease. Apollo Health also offers two-week training sessions for a $1,500 fee.

Once trained in his ReCODE Protocol, medical professionals charge patients upward of $300 for a consultation and as much as $10,500 for eight- to 15-month treatment packages. For the ReCODE protocol, aimed at people already suffering from early-stage Alzheimer’s disease or mild cognitive decline, Apollo Health charges an initial $1,399 fee for a referral to a local practitioner that includes an assessment and extensive laboratory tests. Apollo then offers $75-per-month subscriptions that provide cognitive games and online support, and links to another company that offers dietary supplements for an additional $150 to $450 a month. Insurance generally covers little of these costs.

Apollo Health, founded in 1998 and headquartered in Burlingame, California, also offers a protocol geared toward those who have a family history of dementia or want to prevent cognitive decline.

Bredesen estimates that about 5,000 people have done the ReCODE program. The fees are a bargain, Bredesen said, if they slow decline enough to prevent someone from being placed in a nursing home, where yearly costs can climb past $100,000 annually.

Bredesen and his company are tapping into the desperation that has grown out of the failure of a decades-long scientific quest for effective Alzheimer’s treatments. Much of the research money in the field has narrowly focused on amyloid — the barnacle-like gunk that collects outside nerve cells and interferes with the brain’s signaling system — as the main culprits behind cognitive decline. Drugmakers have tried repeatedly, and thus far without much success, to invent a trillion-dollar anti-amyloid drug. There’s been less emphasis in the field on the lifestyle choices that Bredesen stresses.

“Amyloids sucked up all the air in the room,” said Dr. Lon Schneider, an Alzheimer’s researcher and a professor of psychiatry and behavioral sciences at the Keck School of Medicine at USC.

Growing evidence shows lifestyle changes help delay the progress of the mind-robbing disease. An exhaustive Lancet report in August identified a long list of risk factors for dementia, including excessive drinking, exposure to air pollution, obesity, loss of hearing, smoking, depression, lack of exercise and social isolation. Controlling these factors — which can be done on the cheap — could delay or even prevent up to 40% of dementia cases, according to the report.

Bredesen’s program involves all these practices, with personalized bells and whistles like intermittent fasting, meditation and supplements. Bredesen’s scientific peers question whether data supports his micromanaged approach over plain-vanilla healthy living.

Bredesen has published three papers showing positive results in many patients following his approach, but critics say he has fallen short of proving his method’s effectiveness.

The papers lack details on which protocol elements were followed, or the treatment duration, UCSF’s Hellmuth said. Nor do they explain how cognitive tests were conducted or evaluated, so it’s difficult to gauge whether improvements were due to the intervention, to chance variations in performance or an assortment of other variables, she said.

Bredesen shrugs off the criticism: “We want things to be in an open-access journal so everybody can read it. These are still peer-reviewed journals. So what’s the problem?”

Another problem raised about Bredesen’s enterprise is the lack of quality control, which he acknowledges. Apollo-trained “certified practitioners” can include everyone from nurses and dietitians to chiropractors and health coaches. Practitioners with varying degrees of training and competence can take his classes and hang out a shingle. That’s a painful fact for some who buy the package.

“I had the impression these practitioners were certified, but I realize they all had just taken a two-week course,” said a Virginia man who requested anonymity to protect his wife’s privacy. He said that he had spent more than $15,000 on tests and treatments for his ailing spouse and that six months into the program, earlier this year, she had failed to improve.

Bredesen said he and his staff were reviewing “who’s getting the best results and who’s getting the worst results,” and intended to cut poor performers out of the network. “We’ll make it so that you can only see the people getting the best results,” he said.

Colleagues say that to test whether Bredesen’s method works it needs to be subjected to a placebo-controlled study, the gold standard of medical research, in which half the participants get the treatment while the other half don’t.

In the absence of rigorous studies, said USC’s Schneider, a co-author of the Lancet report, “saying you can ‘end Alzheimer’s now and this is how you do it’ is overpromising and oversimplifying. And a lot of it is just common sense.”

Bredesen no longer says his method can end Alzheimer’s, despite the title of his book. Apollo Health’s website still makes that claim, however.

This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

USE OUR CONTENT

This story can be republished for free (details).

Alzheimer’s Inc.: Colleagues Question Scientist’s Pricey Recipe Against Memory Loss published first on https://nootropicspowdersupplier.tumblr.com/

[stephenmccull]

Alzheimer’s Inc.: Colleagues Question Scientist’s Pricey Recipe Against Memory Loss

This story also ran on Daily Beast. It can be republished for free.

When her husband was diagnosed with early-stage Alzheimer’s disease in 2015, Elizabeth Pan was devastated by the lack of options to slow his inevitable decline. But she was encouraged when she discovered the work of a UCLA neurologist, Dr. Dale Bredesen, who offered a comprehensive lifestyle management program to halt or even reverse cognitive decline in patients like her husband.

After decades of research, Bredesen had concluded that more than 36 drivers of Alzheimer’s cumulatively contribute to the loss of mental acuity. They range from chronic conditions like heart disease and diabetes to vitamin and hormonal deficiencies, undiagnosed infections and even long-term exposures to toxic substances. Bredesen’s impressive academic credentials lent legitimacy to his approach.

Pan paid $4,000 to a doctor trained in Bredesen’s program for a consultation and a series of extensive laboratory tests, then was referred to another doctor, who devised a stringent regimen of dietary changes that entailed cutting out all sugars, eating a high-fat, low-carbohydrate diet and adhering to a complex regimen of meditation, vigorous daily exercise and about a dozen nutritional supplements each day (at about $200 a month). Pan said she had extensive mold remediation done in her home after the Bredesen doctors told her the substance could be hurting her husband’s brain.

But two years passed, she said, and her husband, Wayne, was steadily declining. To make matters worse, he had lost more than 60 pounds because he didn’t like the food on the diet. In April, he died.

“I imagine it works in some people and doesn’t work in others,” said Pan, who lives in Oakton, Virginia. “But there’s no way to tell ahead of time if it will work for you.”

Bredesen wrote the best-selling 2017 book “The End of Alzheimer’s” and has promoted his ideas in talks to community groups around the country and in radio and TV appearances like “The Dr. Oz Show.” He has also started his own company, Apollo Health, to market his program and train and provide referrals for practitioners.

Unlike other self-help regimens, Bredesen said, his program is an intensely personalized and scientific approach to counteract each individual’s specific deficits by “optimizing the physical body and understanding the molecular drivers of the disease,” he told KHN in a November phone interview. “The vast majority of people improve” as long as they adhere to the regimen.

Bredesen’s peers acknowledge him as an expert on aging. A former postdoctoral fellow under Nobel laureate Stanley Prusiner at the University of California-San Francisco, Bredesen presided over a well-funded lab at UCLA for more than five years. He has been on the UCLA faculty since 1989 and also founded the Buck Institute for Research on Aging in Marin County. He has written or co-authored more than 200 papers.

But colleagues are critical of what they see as his commercial promotion of a largely unproven and costly regimen. They say he strays from long-established scientific norms by relying on anecdotal reports from patients, rather than providing evidence with rigorous research.

“He’s an exceptional scientist,” said George Perry, a neuroscientist at the University of Texas-San Antonio. “But monetizing this is a turnoff.”

“I have seen desperate patients and family members clean out their bank accounts and believe this will help them with every ounce of their being,” said Dr. Joanna Hellmuth, a neurologist in the Memory and Aging Center at UCSF. “They are clinging to hope.”

Many of the lifestyle changes Bredesen promotes are known to be helpful. “The protocol itself is based on very low-quality data, and I worry that vulnerable patients and family members may not understand that,” said Hellmuth. “He trained here” — at UCSF — “so he knows better.”

The Bredesen package doesn’t come cheap. He has built a network of practitioner-followers by training them in his protocol — at $1,800 a pop — in seminars sponsored by the Institute for Functional Medicine, which emphasizes alternative approaches to managing disease. Apollo Health also offers two-week training sessions for a $1,500 fee.

Once trained in his ReCODE Protocol, medical professionals charge patients upward of $300 for a consultation and as much as $10,500 for eight- to 15-month treatment packages. For the ReCODE protocol, aimed at people already suffering from early-stage Alzheimer’s disease or mild cognitive decline, Apollo Health charges an initial $1,399 fee for a referral to a local practitioner that includes an assessment and extensive laboratory tests. Apollo then offers $75-per-month subscriptions that provide cognitive games and online support, and links to another company that offers dietary supplements for an additional $150 to $450 a month. Insurance generally covers little of these costs.

Apollo Health, founded in 1998 and headquartered in Burlingame, California, also offers a protocol geared toward those who have a family history of dementia or want to prevent cognitive decline.

Bredesen estimates that about 5,000 people have done the ReCODE program. The fees are a bargain, Bredesen said, if they slow decline enough to prevent someone from being placed in a nursing home, where yearly costs can climb past $100,000 annually.

Bredesen and his company are tapping into the desperation that has grown out of the failure of a decades-long scientific quest for effective Alzheimer’s treatments. Much of the research money in the field has narrowly focused on amyloid — the barnacle-like gunk that collects outside nerve cells and interferes with the brain’s signaling system — as the main culprits behind cognitive decline. Drugmakers have tried repeatedly, and thus far without much success, to invent a trillion-dollar anti-amyloid drug. There’s been less emphasis in the field on the lifestyle choices that Bredesen stresses.

“Amyloids sucked up all the air in the room,” said Dr. Lon Schneider, an Alzheimer’s researcher and a professor of psychiatry and behavioral sciences at the Keck School of Medicine at USC.

Growing evidence shows lifestyle changes help delay the progress of the mind-robbing disease. An exhaustive Lancet report in August identified a long list of risk factors for dementia, including excessive drinking, exposure to air pollution, obesity, loss of hearing, smoking, depression, lack of exercise and social isolation. Controlling these factors — which can be done on the cheap — could delay or even prevent up to 40% of dementia cases, according to the report.

Bredesen’s program involves all these practices, with personalized bells and whistles like intermittent fasting, meditation and supplements. Bredesen’s scientific peers question whether data supports his micromanaged approach over plain-vanilla healthy living.

Bredesen has published three papers showing positive results in many patients following his approach, but critics say he has fallen short of proving his method’s effectiveness.

The papers lack details on which protocol elements were followed, or the treatment duration, UCSF’s Hellmuth said. Nor do they explain how cognitive tests were conducted or evaluated, so it’s difficult to gauge whether improvements were due to the intervention, to chance variations in performance or an assortment of other variables, she said.

Bredesen shrugs off the criticism: “We want things to be in an open-access journal so everybody can read it. These are still peer-reviewed journals. So what’s the problem?”

Another problem raised about Bredesen’s enterprise is the lack of quality control, which he acknowledges. Apollo-trained “certified practitioners” can include everyone from nurses and dietitians to chiropractors and health coaches. Practitioners with varying degrees of training and competence can take his classes and hang out a shingle. That’s a painful fact for some who buy the package.

“I had the impression these practitioners were certified, but I realize they all had just taken a two-week course,” said a Virginia man who requested anonymity to protect his wife’s privacy. He said that he had spent more than $15,000 on tests and treatments for his ailing spouse and that six months into the program, earlier this year, she had failed to improve.

Bredesen said he and his staff were reviewing “who’s getting the best results and who’s getting the worst results,” and intended to cut poor performers out of the network. “We’ll make it so that you can only see the people getting the best results,” he said.

Colleagues say that to test whether Bredesen’s method works it needs to be subjected to a placebo-controlled study, the gold standard of medical research, in which half the participants get the treatment while the other half don’t.

In the absence of rigorous studies, said USC’s Schneider, a co-author of the Lancet report, “saying you can ‘end Alzheimer’s now and this is how you do it’ is overpromising and oversimplifying. And a lot of it is just common sense.”

Bredesen no longer says his method can end Alzheimer’s, despite the title of his book. Apollo Health’s website still makes that claim, however.

This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

USE OUR CONTENT

This story can be republished for free (details).

Alzheimer’s Inc.: Colleagues Question Scientist’s Pricey Recipe Against Memory Loss published first on https://smartdrinkingweb.weebly.com/

[nancypalmer]

Truth: Buying a home in California may not always feel easy, and the real estate market in the SF Peninsula is even more fast-paced. The key to working in a market such as this is knowledge and information, and I rely on all 25+ years of my own experience working in this market when helping clients find their house. And they do! Take a look at some stats on the many buyers who found their new homes along the SF Peninsula last month.

October Stats

*  Atherton - 11 sales, 98% to list price, 56 average DOM

*  Belmont - 13 sales, 103% to list price, 26 average DOM

*  Burlingame - 20 sales, 103% to list price, 27 average DOM

*  Foster City - 10 sales, 103% to list price, 12 average DOM

*  Hillsborough - 9 sales, 100% to list price, 11 average DOM

*  Menlo Park - 29 sales, 102% to list price, 21 average DOM

*  Palo Alto - 31 sales, 106% to list price, 38 average DOM

*  Redwood City - 55 sales, 102% to list price, 18 average DOM

*  San Carlos - 23 sales, 105% to list price, 17 average DOM

*  San Mateo - 58 sales, 104% to list price, 18 average DOM

*  Woodside - 5 sales, 93% to list price, 51 average DOM

IMHO*:   I’ve learned in the past 25 plus years of selling houses to take each bit of news as it comes.  October brought signs that it is still a seller’s market along the SF Peninsula.  Give me a call and let me help you with a strategy that is right for you.  (*In My Humble Opinion – which I’m always happy to share.)

Nancy Palmer, CRS Broker Associate REALTOR® DRE #00525350 Compass | Woodside D 650.492.0200  |  O 650.529.1111 www.NancyPalmer.com

[rocklandhistoryblog]

#TBT The Windmill, Route 9W, Western side of Rockland Lake, C. 1926. From the Postcard Collection of Robert Knight.

The Nyack Evening Journal published an article on September 7, 1932 which featured this Miss Dycker's Tea-Room & Gallery and noted that it was "perhaps the first Wayside Art Gallery in America--possibly in the whole world."

___

GIRL ARTIST FOUNDS COUNTRY'S FIRST WAYSIDE ART GALLERY

The first Wayside Art Gallery perhaps in America -- possibly in the whole world -- has been opened by a slip of a Nyack girl at the edge of Rockland Lake beside Highway 9-W over which, as everybody knows, winds a practically uninterrupted stream of motorists.

The girl is Miss Lucie Dycker of Cedar Hill Ave., herself an artist whose work is known as well in France where she was a student, as it is in America, particularly since she originated an interesting and beautiful “line technique.”

The gallery, where only work by Rockland County artists is on exhibition, is an adjunct of the Windmill-at-Rockland Lake, the bright little tea room which perches on the shore of the lake under the whirling arms of a huge windmill.

Not so many years back Miss Dycker was busily engaged in painting, giving all her time to it and making a not so arduous way toward the recognition all artists covet when it became necessary for her to devote at least part of her effort to something more immediately practical.

Accordingly, with her family, she opened the Windmill which soon became popular. And it wasn’t long before one reason for the tea room’s popularity became very apparent: this being Miss Dycker’s paintings which she had hung about the walls for decorations.

Every day motorists stopped for waffles and a cup of tea and lingered to inspect her pictures, invariably insisting upon purchasing one before going on.

Eventually all that she cared to sell were sold and it was then that she began to wonder if other Rockland County artists wouldn’t be interested in a possible gallery which would bring to the evidently art hungry public an opportunity to purchase authentic art at reasonable prices.

The result was a burlap covered screen under a protecting visor on the grounds beside the Windmill and upon the screen each fair day at least a dozen oils, water-colors or hand-printed lithographs are thumbtacked in such a way that motorists can’t help seeing them and stopping.

There are several highly atmospheric paintings by the late C. A. Burlingame; Marie Hagman has contributed some glimpses of Rockland County with which every resident is familiar as well as some marvelously life-like flower canvases; and John Kellogg Woodruff has placed on display a number of his famous water colors together with several hand-printed lithographs.

“And the pictures do sell,” Miss Dycker declared with enthusiasm. “It is surprising how man motorists have time to look them over and when they find out how reasonable the prices are to buy.

“I am sure,” she added, “that people want more pictures – good pictures, that is – but they don’t know just how to get them. They don’t go to the galleries where prices are prohibitive anyway and if places like this were opened all over America it would mean a great advance in education for the public.”

The paintings range in price from five dollar up, thirty-five dollars being the maximum, these prices having be placed on the pictures by the artists themselves.

Interest is added to the gallery by a note inviting the visitor to arrange for the painting of some scenic spot about the county or some cherished garden corner.

This, Miss Dycker explains, will be done at small cost and in a manner that cannot fail to bring lasting joy to the owner of the painting.

“Too often there are four blank walls to our room,” she said. “How much pleasanter if a painting here and there carries one beyond the walls to some lovely spot cherished in memory! While American homes are reflecting the growing interest in all that is artistic, the importance of beautiful pictures should not be lost sight of.”

Mis Dycker is eager to have all artists of Rockland County represented by their work in her galley. Anyone with oils, water colors or similar work to place on sale is invited to communicate with her.

___

www.RocklandHistory.org

[gwenrealtyofficial]

Pre-Approval in Real Estate: What You Need to Know

Pre-approval is an important step in the home buying process that can save home buyers time and money. 

In real estate, this means that a lender has reviewed a buyer's financial information and has determined that they are eligible for a mortgage loan up to a certain amount.

One of the benefits of pre-approval is that it gives home buyers a more accurate idea of what they can afford. 

This can help buyers narrow down their search and focus on properties that are within their budget. 

Additionally, pre-authorization can give home buyers an advantage in a competitive market as it shows sellers that the buyer is serious and has already taken the necessary steps to secure financing.

To get pre-approved, home buyers will need to gather financial documents such as tax returns, pay stubs, and bank statements. 

They will then need to submit an application to a lender who will review the information and determine if the buyer is eligible for a mortgage loan.

It's important for home buyers to remember that pre-approval is not a guarantee of a loan. Once a buyer has found a property they wish to purchase, the lender will need to conduct a more thorough review of the buyer's financial information and the property before finalizing the loan.

Overall, pre-approval is an important step in the home buying process that can help buyers save time and money. 

By knowing what they can afford, buyers can focus on properties within their budget and avoid wasting time on properties that are out of their reach.

If you need help or if there are questions about this topic that bothers you. please don't hesitate to reach out to Gwen Chua of GwenRealty. He is the best real estate agent San Mateo CA and he is more than willing to guide you with everything you need to know about real estate in the Bay Area. 

[gatesandgarage]

Questions To Ask In Researching Automatic Gate Options

When making a purchase that is not common and ordinary but requires a larger than normal outlay of money the best option is to research first, buy later. This is true when it comes to homeowners and the purchase of automatic gates operated with the use of a gate operator controlled by an access control system. First it is not something an individual can run out and abstractly purchase. There needs to be much thought given to the homes style to determine the fence style and the occupants needs in security and convenience. Important questions need to be asked before purchasing the fence and gate system will save frustration later. If a fence and automatic gate systems has never been in need of purchase before it is important that some guidelines are laid out to help them. Here are some things to think about when the prospect awaits of an automatic gate. 1) How many entrance and exits points are there to the property? This is important because systems can be sold in packages that involve single gates or a pair of gates. 2) Is a swing gate or sliding gate the best option for the property? This will be based upon the length and widths of the driveway and of course the homeowner's personal preference. 3) If a swing gate, is it better to open in or out? Most commonly gates will swing inwards. However, not all driveways work with this option. If a homeowner has an increased slope in the driveway they may only be able to have it swing out. 4) What is the width of the gate and how heavy will it be? This question is more geared when the fence and gate choices have been narrowed down as this deals more with the type of gate operator needed to operate the fence. Gate operator manuals will give you specs on what weight a gate can cope with over the width of the gate. 5) Is there enough room for the installation of the gate and gate operating system? Many of these questions are better suited to be answered by the company that is selling the gate to the homeowner. It is important that adequate space is available for the installation of the post and pivot point in relation to the opener and hinges. 6) How will access be gained through the gate? Will the homeowner want a key pad, a remote controlled system or automatic sensors? This is decided based upon the ease and convenience the gate is to offer for the family. It is also important to decide how visitors are gaining access to the home and how the homeowner wants visitors to be allowed to enter into the space.

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[siliconevalleyelectricgate]

Questions To Ask In Researching Automatic Gate Options

When making a purchase that is not common and ordinary but requires a larger than normal outlay of money the best option is to research first, buy later. This is true when it comes to homeowners and the purchase of automatic gates operated with the use of a gate operator controlled by an access control system. First it is not something an individual can run out and abstractly purchase. There needs to be much thought given to the homes style to determine the fence style and the occupants needs in security and convenience. Important questions need to be asked before purchasing the fence and gate system will save frustration later. If a fence and automatic gate systems has never been in need of purchase before it is important that some guidelines are laid out to help them. Here are some things to think about when the prospect awaits of an automatic gate. 1) How many entrance and exits points are there to the property? This is important because systems can be sold in packages that involve single gates or a pair of gates. 2) Is a swing gate or sliding gate the best option for the property? This will be based upon the length and widths of the driveway and of course the homeowner's personal preference. 3) If a swing gate, is it better to open in or out? Most commonly gates will swing inwards. However, not all driveways work with this option. If a homeowner has an increased slope in the driveway they may only be able to have it swing out. 4) What is the width of the gate and how heavy will it be? This question is more geared when the fence and gate choices have been narrowed down as this deals more with the type of gate operator needed to operate the fence. Gate operator manuals will give you specs on what weight a gate can cope with over the width of the gate. 5) Is there enough room for the installation of the gate and gate operating system? Many of these questions are better suited to be answered by the company that is selling the gate to the homeowner. It is important that adequate space is available for the installation of the post and pivot point in relation to the opener and hinges. 6) How will access be gained through the gate? Will the homeowner want a key pad, a remote controlled system or automatic sensors? This is decided based upon the ease and convenience the gate is to offer for the family. It is also important to decide how visitors are gaining access to the home and how the homeowner wants visitors to be allowed to enter into the space.

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When you should buy a timeshare?

Timeshare vacation plans have been around in the U.S. since 1969 — the first opened in Kauai, Hawaii — and they generated $8.6 billion in annual sales in 2015, up 9% from a year ago, according to the American Resort Development Association, or ARDA, which represents many timeshare developments.

For some people, timeshares are a good option, and about one out of every 12 Americans (7.9%) owned one in 2014, up from 7.2% in 2012, ARDA says. Timeshares can guarantee you vacation time since they often come with fixed annual dates for right-of-use. On top of that, timeshare resorts typically offer larger accommodations (often two bedrooms or more) and more in-room amenities, such as kitchens and washing machines, than a hotel room. Timeshare owners can also “exchange” their shares for accommodations at other resorts around the world. sample letter to cancel timeshare contract http://www.timesharerelease.com/cancel-timeshare-contract-sample-letter-that-works

ARDA says that the image of timeshare owners as elderly seniors playing shuffleboard has changed too, with timeshare owners becoming younger and more ethnically diverse with a median age of 39 for owners, and more than 40% of U.S. owners either African-American or Hispanic. Nearly three-quarters of owners have college degrees and 23% have graduate degrees, and have a median income of nearly $95,000, ARDA says.

Timeshares have also been huge profit centers for hotel companies. Before it agreed to be bought by Bethesda, Md.-based Marriott MAR, +0.83%  , Starwood Hotels & Resorts Worldwide had sold more than $6 billion in vacation timeshare properties to more than 220,000 owners over the past 30 years.

Shortly before the merger with Marriott, Starwood planned to spin off its timeshare business with more than $923 million in annual revenue as a separate company to be known as Vistana, but it was bought by Miami-based Interval Leisure Group US:IILG for $1.5 billion in October 2015. Interval Leisure Group said in the announcement it had more than 280,000 timeshare owners and annual revenue of more than $670 million.

But timeshares are also associated with high-pressure sales tactics that get mocked relentlessly in pop culture and they’re often sold at a loss when it comes time to unload one. Plus, they come with annual maintenance fees that can easily top several thousand dollars and which often increase each year whether you use the timeshare or not. timeshare release http://www.timesharerelease.com/

“You were told to close the deal and tell them whatever you had to tell them,” said Dana Micallef, a former timeshare salesman who spent a week in 2000 in Orlando selling before quitting in what he said was disgust at the process. “Dress it up (as an investment) and promise them world that they can resell it, when the chances of selling it are slim to none.”

Micallef, 40, now runs a company called American Consumer Credit in Ormond Beach, Fla. which he started in 2004 to help people get out of their timeshare obligations. Now that he’s on the other side of the table, he “was finally able to tell (timeshare owners) the truth,” he said.

Here are some things experts say to keep in mind before you buy a timeshare: Don’t pay full price

Like most real-estate transactions (even hotel stays), the price is usually negotiable. Timeshare initial prices typically average almost $16,000. The timeshare industry likes to point out that over a 20-year period, a family of four could save over $25,000 on accommodations by staying in a timeshare compared with what they would pay for hotel stays.

Nevertheless, considering how many options you have when it comes to vacations, you’ve got the leverage when it comes to price. As such, timeshare companies like to offer free gifts like dinners and show tickets, or free “try-it-out” rentals to prospective buyers. cancel timeshare after rescission period http://www.timesharerelease.com/how-to-cancel-timeshare-after-rescission-period

Andy Doran, a now 44 year-old scientist at the Lawrence Berkeley National Laboratory in Berkeley, Calif. recalls taking a timeshare company up on its offer for a free Las Vegas vacation if he and his fiancée attended a presentation across the Bay from their Berkeley home in Burlingame, a San Francisco suburb. “It was a traumatic couple of hours of hard, hard, hard sell,” he said in an interview. “We managed to exit with the coupon and no timeshare but we never cashed it in,” he said.

Often the “hard-sell” approach from some timeshare companies is because they have so much competition and sales and marketing costs are so high, sometimes as high as 55%, says Gary Prado, director of marketing and business development for RedWeek.com, a timeshare sales and rental site. “The reason why timeshares continually get mocked is the way they get sold,” he said. “People don’t go out and say ‘I want to buy a timeshare today’, it’s sold as a heavy impulse buy,” he said. how to cancel westgate timeshare http://www.timesharerelease.com/how-to-get-out-of-a-westgate-timeshare-mortgage

Moreover, single site resorts have to spend more to attract buyers than name brands like Marriott (which recently bought the Starwood brands), Hyatt and Hilton. “We’re a sold good, not a sought good,” said Howard Nusbaum, the president of ARDA says. “People love the product but hate the (sales) process.”

Micallef, however, disagrees, saying his experience is that about eight of every 10 clients he sees looking to unload their property have actually never used their timeshare.

[chrisburns733-blog]

How many options you have in timeshare?

Timeshare vacation plans have been around in the U.S. since 1969 — the first opened in Kauai, Hawaii — and they generated $8.6 billion in annual sales in 2015, up 9% from a year ago, according to the American Resort Development Association, or ARDA, which represents many timeshare developments.

For some people, timeshares are a good option, and about one out of every 12 Americans (7.9%) owned one in 2014, up from 7.2% in 2012, ARDA says. Timeshares can guarantee you vacation time since they often come with fixed annual dates for right-of-use. On top of that, timeshare resorts typically offer larger accommodations (often two bedrooms or more) and more in-room amenities, such as kitchens and washing machines, than a hotel room. Timeshare owners can also “exchange” their shares for accommodations at other resorts around the world.

ARDA says that the image of timeshare owners as elderly seniors playing shuffleboard has changed too, with timeshare owners becoming younger and more ethnically diverse with a median age of 39 for owners, and more than 40% of U.S. owners either African-American or Hispanic. Nearly three-quarters of owners have college degrees and 23% have graduate degrees, and have a median income of nearly $95,000, ARDA says.

Cancel timeshare contract http://www.timesharerelease.com/cancel-timeshare-contract-sample-letter-that-works

Timeshares have also been huge profit centers for hotel companies. Before it agreed to be bought by Bethesda, Md.-based Marriott MAR, +2.37%  , Starwood Hotels & Resorts Worldwide had sold more than $6 billion in vacation timeshare properties to more than 220,000 owners over the past 30 years.

Shortly before the merger with Marriott, Starwood planned to spin off its timeshare business with more than $923 million in annual revenue as a separate company to be known as Vistana, but it was bought by Miami-based Interval Leisure Group US:IILG for $1.5 billion in October 2015. Interval Leisure Group said in the announcement it had more than 280,000 timeshare owners and annual revenue of more than $670 million.

But timeshares are also associated with high-pressure sales tactics that get mocked relentlessly in pop culture and they’re often sold at a loss when it comes time to unload one. Plus, they come with annual maintenance fees that can easily top several thousand dollars and which often increase each year whether you use the timeshare or not.

Cancel timeshare after rescission period http://www.timesharerelease.com/how-to-cancel-timeshare-after-rescission-period

“You were told to close the deal and tell them whatever you had to tell them,” said Dana Micallef, a former timeshare salesman who spent a week in 2000 in Orlando selling before quitting in what he said was disgust at the process. “Dress it up (as an investment) and promise them world that they can resell it, when the chances of selling it are slim to none.”

Micallef, 40, now runs a company called American Consumer Credit in Ormond Beach, Fla. which he started in 2004 to help people get out of their timeshare obligations. Now that he’s on the other side of the table, he “was finally able to tell (timeshare owners) the truth,” he said. Here are some things experts say to keep in mind before you buy a timeshare:

Don’t pay full price

Like most real-estate transactions (even hotel stays), the price is usually negotiable. Timeshare initial prices typically average almost $16,000. The timeshare industry likes to point out that over a 20-year period, a family of four could save over $25,000 on accommodations by staying in a timeshare compared with what they would pay for hotel stays.

How to get rid of timeshare without ruining http://www.timesharerelease.com/how-to-get-out-of-timeshare

Nevertheless, considering how many options you have when it comes to vacations, you’ve got the leverage when it comes to price. As such, timeshare companies like to offer free gifts like dinners and show tickets, or free “try-it-out” rentals to prospective buyers.

Andy Doran, a now 44 year-old scientist at the Lawrence Berkeley National Laboratory in Berkeley, Calif. recalls taking a timeshare company up on its offer for a free Las Vegas vacation if he and his fiancée attended a presentation across the Bay from their Berkeley home in Burlingame, a San Francisco suburb. “It was a traumatic couple of hours of hard, hard, hard sell,” he said in an interview. “We managed to exit with the coupon and no timeshare but we never cashed it in,” he said.

Often the “hard-sell” approach from some timeshare companies is because they have so much competition and sales and marketing costs are so high, sometimes as high as 55%, says Gary Prado, director of marketing and business development for RedWeek.com, a timeshare sales and rental site. “The reason why timeshares continually get mocked is the way they get sold,” he said. “People don’t go out and say ‘I want to buy a timeshare today’, it’s sold as a heavy impulse buy,” he said.

Cancel timeshare within 5 days http://www.timesharerelease.com/how-to-cancel-timeshare-after-rescission-period

Moreover, single site resorts have to spend more to attract buyers than name brands like Marriott (which recently bought the Starwood brands), Hyatt and Hilton. “We’re a sold good, not a sought good,” said Howard Nusbaum, the president of ARDA says. “People love the product but hate the (sales) process.”

Micallef, however, disagrees, saying his experience is that about eight of every 10 clients he sees looking to unload their property have actually never used their timeshare.

Know what you are actually buying

Because timeshare companies know that you can likely find cheaper options from existing buyers, often from websites such as Timeshare Users Group and RedWeek.com, where all you pay is a small listing fee, they usually offer closing incentives and other perks. But those perks don’t usually recoup the money you would save from buying from an existing owner.

It’s also important to know what kind of real estate interest you actually own when you purchase a timeshare. In about 95% of timeshare sales in the U.S. you’ll actually get a deed to a property, called a “timeshare estate” under state law, which often means you can rent the share out, sell it or exchange it, and pass it on to your heirs. “It’s like any other deed in real estate,” says ARDA’s Nusbaum. “You can hold it in perpetuity,” he said, though you have to pay the maintenance fees each year, just like property taxes. In addition, if you don’t make your payments, the timeshare company can foreclose, Nusbaum warns.

Most others outside the U.S. (such as in Mexico) are simply known as “timeshare licenses” or “memberships” which typically only give you a “right-to-use” for only as long as the contract permits and can have other restrictions. In addition, if you sign a contract outside the U.S. for a timeshare in another country, you will not be protected by U.S. laws.

Finally, if you are buying a timeshare in an unfinished property, the Federal Trade Commission recommends that money should be placed in an escrow account registered to a local bank until the property is completed, and include a “non-performance” clause in the sales contract. That way, the timeshare developer goes bankrupt or defaults before the property and unit are finished, you can get your money back, the FTC says.

In addition, besides the regular maintenance fees each year, there can be often special assessments. One shocked group of several thousand timeshare owners in Kauai, Hawaii found themselves on the hook for nearly $5,800 in special assessment maintenance fees one year, on top of their $1,400 in annual fees, when the resort owner, Diamond Resorts International, said in 2011 the resort on Poipu Beach would have to be virtually rebuilt for $65 million because of water damage.

Timeshare cancellation letter sample http://www.timesharerelease.com/cancel-timeshare-contract-sample-letter-that-works

Know your state’s right of refusal on timeshare contracts

Because of many documented cases of abuse on timeshare sales and resales, most states have put in fairly generous opt-out clauses for consumers, known as the “right of rescission.” Typically consumers can have up to a week to rescind a sales contract for a timeshare, for any reason. In Florida, for example, where nearly 25% of U.S. timeshares are located, it is 10 days, and money must be refunded back to the consumer within 20 days after receiving a cancellation notice.

In addition, if you do buy a timeshare, be aware that some states have stronger rights of rescission than others, and timeshare companies are well aware which are weaker. Be wary of any company that requires you to sign the contract documents in a different state than where you plan to buy as you may be entering into a contract in a state that has fewer protections.

If you opt out, the FTC recommends you send a letter via certified mail or hand-delivered with a signed receipt. In addition, be sure to keep records of any correspondence and who you talked with, the FTC says. If you want to trade to another resort, you have to know how to do so. Often a trade can be made internally if your resort is part of a larger group or resort. Otherwise, you’ll have to go through an exchange company — RCI is the most prominent — where you’ll have to pay additional membership and exchange fees. And even then, you’re not guaranteed of getting the exchange you want.

Even booking time at your own timeshare can be difficult since many timeshare resorts are moving away from fixed times. “If you call a year in advance, you’ll be fine,” said Jeff Weir, a spokesman for RedWeek.com. “If you call four months in advance, there’s usually no room at the inn,” he said. Weir says however if you’re willing to pack up and go within 30 to 60 days, you can often get the slot of your choice.

[carolwchapa85]

CareLinx Buys ‘Optimal Aging’ Platform from Providence St. Joseph Health

CareLinx is making moves to further appeal to potential payer partners by beefing up its ability to address social determinants of health and reduce hospital readmissions for at-risk patients.

Burlingame, California-based CareLinx announced Thursday it has acquired the Optimal Aging platform from Providence St. Joseph Health (PSJH), one of the country’s largest health systems and a current participant in the accountable care organization (ACO) model. Developed by PSJH’s digital innovations department, Optimal Aging is a transitional care platform built to seamlessly bring together non-clinical partner services such as home care, transportation and meals delivery.

Financial terms of the deal — effective Feb. 5 — were not disclosed.

“We’ve been working closely with [PSJH] for a little over three years now,” CareLinx CEO and President Sherwin Sheik told Home Health Care News, adding that the technology-driven in-home care network worked closely with PSJH in building the Optimal Aging platform. “This was actually one of our first B2B relationships.”

PSJH is a national, not-for-profit health system with more than 50 hospitals, 16 supportive housing facilities and 829 physician clinics. In addition to those facilities, the West Coast-based health system also boasts a substantial home-based care presence, providing more than 1.2 million home health visits annually.

So far, PSJH’s Optimal Aging platform has helped coordinate in-home care services for more than 6,700 older adults. The platform first launched in the Seattle market in February 2016, later expanding into the tri-county region of central Oregon.

In general, Optimal Aging has helped solve a major problem for PSJH: letting its older patients age in a healthy way at home, Sara Vaezy, chief digital strategy and business development officer for PSJH, told HHCN. The time was right for the health system to consider selling the platform, Vaezy said, so that Optimal Aging can grow and continue to serve older adults elsewhere in the U.S.

“We’ve seen a reduction in readmissions and patients who not only get essential services that they need, but also support and just someone to talk with,” she said. “We had built a robust services business that needed a strong technology platform to power it and help it scale.”

Optimal Aging and Medicare Advantage

CareLinx, which has a nationwide network of more than 300,000 tech-enabled caregivers, has remained the main tech and service partner of Optimal Aging since its initial launch, Sheik said.

By acquiring the platform directly, CareLinx gains access to Optimal Aging’s intellectual property (IP) rights, allowing the company to efficiently scale the platform throughout its current operations and existing offerings.

That includes CareLinx’s Medicare at Home offering, which it launched in December as a turnkey solution for Medicare Advantage (MA) plans looking to incorporate non-medical home care as supplemental benefits.

“What we wanted to do was take lessons learned, some of the IP that was generated through this work and apply it to all of our other customers in other markets,” Sheik said. “It’s really giving us the ability to provide the right resources behind this program.”

CareLinx has already been in talks with several big payers, he said. Conversations have noticeably picked up as MA plans seek to differentiate themselves by capitalizing on the newfound flexibilities the Centers for Medicare & Medicaid Services (CMS) have started to throw their way.

CMS first announced in April last year that certain in-home care services would be allowed as supplemental benefits for MA plans in 2019. Policymakers have since made multiple follow-on moves as well.

“MA plans and payers are looking at trying to figure out how to incorporate non-skilled home care to reduce 30-day readmission rates,” Sheik said. “We’ve talked extensively about how we’re already being leveraged on chronic care management programs, but what we see in 2019 and 2020 is plans now looking at testing how non-skilled home care can be leveraged as part of transition programs. These transition programs are different in flavor and design than the chronic disease management programs we’ve been running in the past.”

Customers previously served through PSJH Optimal Aging platform will continue to be served via CareLinx. Under PSJH, Optimal Aging was a self-pay service, meaning patients paid for it themselves.

Curbing hospital readmissions

Optimal Aging is essentially a one-stop shop for the coordination of services focused on aging in place. Those services include cleaning, laundry, pet care and transportation, as well as assistance with bathing, dressing, medication reminders and nutrition through grocery shopping or meal delivery.

Its effectiveness was recently put to the test during a seven-month pilot last year.

As part of the pilot, Optimal Aging was used as PSJH’s choice post-discharge readmissions-reduction partner as a way to better target social determinants of health and understand what’s going on in patients’ homes. The pilot followed 100 PSJH Medicare Advantage members with similar admission diagnoses, including sepsis, COPD and heart failure.

CareLinx caregivers made in-home visits during the pilot, while patients also received regular check-in calls coordinated through the Optimal Aging platform.

Overall, participating patients saw a decrease in hospital readmissions over a 30-day episode post-discharge by roughly 43%, though the pilot did not allow for statistical significance. About 16% of participants were readmitted during the Optimal Aging pilot; a similar period in 2017 with a comparable patient mix had a hospital readmissions rate of 23%.

“All smart payers and providers are really looking at how they design programs where they can get into patients homes and get actionable data while addressing real-life needs, social determinants of health,” Sheik said. “That’s exactly what this acquisition is about.”

The post CareLinx Buys ‘Optimal Aging’ Platform from Providence St. Joseph Health appeared first on Home Health Care News.

from Home Health Care News https://homehealthcarenews.com/2019/02/carelinx-buys-optimal-aging-platform-from-providence-st-joseph-health/ from Simple Steps Mobilty https://simplestepsmobility.tumblr.com/post/182967181329

[simplestepsmobility-blog]

CareLinx Buys ‘Optimal Aging’ Platform from Providence St. Joseph Health

CareLinx is making moves to further appeal to potential payer partners by beefing up its ability to address social determinants of health and reduce hospital readmissions for at-risk patients.

Burlingame, California-based CareLinx announced Thursday it has acquired the Optimal Aging platform from Providence St. Joseph Health (PSJH), one of the country’s largest health systems and a current participant in the accountable care organization (ACO) model. Developed by PSJH’s digital innovations department, Optimal Aging is a transitional care platform built to seamlessly bring together non-clinical partner services such as home care, transportation and meals delivery.

Financial terms of the deal — effective Feb. 5 — were not disclosed.

“We’ve been working closely with [PSJH] for a little over three years now,” CareLinx CEO and President Sherwin Sheik told Home Health Care News, adding that the technology-driven in-home care network worked closely with PSJH in building the Optimal Aging platform. “This was actually one of our first B2B relationships.”

PSJH is a national, not-for-profit health system with more than 50 hospitals, 16 supportive housing facilities and 829 physician clinics. In addition to those facilities, the West Coast-based health system also boasts a substantial home-based care presence, providing more than 1.2 million home health visits annually.

So far, PSJH’s Optimal Aging platform has helped coordinate in-home care services for more than 6,700 older adults. The platform first launched in the Seattle market in February 2016, later expanding into the tri-county region of central Oregon.

In general, Optimal Aging has helped solve a major problem for PSJH: letting its older patients age in a healthy way at home, Sara Vaezy, chief digital strategy and business development officer for PSJH, told HHCN. The time was right for the health system to consider selling the platform, Vaezy said, so that Optimal Aging can grow and continue to serve older adults elsewhere in the U.S.

“We’ve seen a reduction in readmissions and patients who not only get essential services that they need, but also support and just someone to talk with,” she said. “We had built a robust services business that needed a strong technology platform to power it and help it scale.”

Optimal Aging and Medicare Advantage

CareLinx, which has a nationwide network of more than 300,000 tech-enabled caregivers, has remained the main tech and service partner of Optimal Aging since its initial launch, Sheik said.

By acquiring the platform directly, CareLinx gains access to Optimal Aging’s intellectual property (IP) rights, allowing the company to efficiently scale the platform throughout its current operations and existing offerings.

That includes CareLinx’s Medicare at Home offering, which it launched in December as a turnkey solution for Medicare Advantage (MA) plans looking to incorporate non-medical home care as supplemental benefits.

“What we wanted to do was take lessons learned, some of the IP that was generated through this work and apply it to all of our other customers in other markets,” Sheik said. “It’s really giving us the ability to provide the right resources behind this program.”

CareLinx has already been in talks with several big payers, he said. Conversations have noticeably picked up as MA plans seek to differentiate themselves by capitalizing on the newfound flexibilities the Centers for Medicare & Medicaid Services (CMS) have started to throw their way.

CMS first announced in April last year that certain in-home care services would be allowed as supplemental benefits for MA plans in 2019. Policymakers have since made multiple follow-on moves as well.

“MA plans and payers are looking at trying to figure out how to incorporate non-skilled home care to reduce 30-day readmission rates,” Sheik said. “We’ve talked extensively about how we’re already being leveraged on chronic care management programs, but what we see in 2019 and 2020 is plans now looking at testing how non-skilled home care can be leveraged as part of transition programs. These transition programs are different in flavor and design than the chronic disease management programs we’ve been running in the past.”

Customers previously served through PSJH Optimal Aging platform will continue to be served via CareLinx. Under PSJH, Optimal Aging was a self-pay service, meaning patients paid for it themselves.

Curbing hospital readmissions

Optimal Aging is essentially a one-stop shop for the coordination of services focused on aging in place. Those services include cleaning, laundry, pet care and transportation, as well as assistance with bathing, dressing, medication reminders and nutrition through grocery shopping or meal delivery.

Its effectiveness was recently put to the test during a seven-month pilot last year.

As part of the pilot, Optimal Aging was used as PSJH’s choice post-discharge readmissions-reduction partner as a way to better target social determinants of health and understand what’s going on in patients’ homes. The pilot followed 100 PSJH Medicare Advantage members with similar admission diagnoses, including sepsis, COPD and heart failure.

CareLinx caregivers made in-home visits during the pilot, while patients also received regular check-in calls coordinated through the Optimal Aging platform.

Overall, participating patients saw a decrease in hospital readmissions over a 30-day episode post-discharge by roughly 43%, though the pilot did not allow for statistical significance. About 16% of participants were readmitted during the Optimal Aging pilot; a similar period in 2017 with a comparable patient mix had a hospital readmissions rate of 23%.

“All smart payers and providers are really looking at how they design programs where they can get into patients homes and get actionable data while addressing real-life needs, social determinants of health,” Sheik said. “That’s exactly what this acquisition is about.”

The post CareLinx Buys ‘Optimal Aging’ Platform from Providence St. Joseph Health appeared first on Home Health Care News.

from Home Health Care News https://homehealthcarenews.com/2019/02/carelinx-buys-optimal-aging-platform-from-providence-st-joseph-health/

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15 Thoughts You Have As Design For Homes Approaches | design for homes

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