{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Build Your Own Boat","title":"How Do Family Caregivers Build the Business That They Need? Anne Patton on Founding A Better Life and Our Back Office Colorado","html":"","width":"100%","height":180,"duration":1991,"description":"Episode SummaryWhen the school and disability-services systems couldn't give her son Chris — now 42 and living with autism — the life he deserved, Anne Patton built the infrastructure herself. In 2013 she founded A Better Life, a state-approved Program Approved Service Agency (PASA) that lets her bill Medicaid directly for Chris's residential, community, and employment supports, cutting out the 30–50% overhead that traditional agencies charge. Years later, realizing she wasn't the only aging mother running one of these agencies solo, she co-founded Our Back Office Colorado, a shared-infrastructure organization giving families of adults with disabilities peer support, succession planning, and collective bargaining power. This episode is a practical roadmap for any caregiver who has quietly been running a \"business\" — budgets, staff, compliance, hiring and firing — without ever calling it entrepreneurship.\nKey TakeawaysA Program Approved Service Agency (PASA) lets family caregivers become direct Medicaid providers — after background checks and state approval through Colorado's Department of Public Health and Environment, families can bill Medicaid directly for a disabled family member's care, avoiding the 30–50% cut that large agencies take.Caregivers of adults with disabilities are, in practice, running small businesses — payroll, hiring and firing staff, compliance, billing, and navigating shifting regulations (including COVID-era changes) — even when no one, including themselves, ever labels it \"entrepreneurship.\"Shared infrastructure solves the aging-caregiver crisis — Our Back Office Colorado gives families of adults with disabilities pooled resources (succession planning, peer coaching, potential shared payroll/billing services) so aging parents aren't solely responsible for what happens to their adult children when they're no longer able to provide care.Succession planning is the missing piece for most caregiving families — most families never document a...","thumbnail_url":"https://img.transistorcdn.com/bQsbNia0IsmMmK-_EAZWTPLH0_5ooXLhZABkhXi9Cis/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS8zMjY3/NTllZmQ4ZTljNzVj/NTZmNzZiZTMzMmIy/ODBlNC5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}