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Solutions for Today’s Changing Market in Long Term Care






Kathleen Collins Pagels

Kathleen thought aging was “all academic" but now that she qualifies for Medicare it all seems pretty real. Like many other Americans, Kathleen is a card carrying baby boomer. She fell in love with the study of gerontology in college and was one of the first post graduates of the University Of Michigan School Of Gerontology in 1981, following the award of her Masters in Social Work Degree.  She soon moved west where aging services were being pioneered. She and her husband Don have happily lived in Scottsdale, Arizona for the past 35 years and there they raised three daughters, Shannon, Bridget and Meagan. Kathleen has been a radio talk show host, a college professor, a published author, a national presenter, a program evaluator, and a director of public policy. She has been a member, and often chair, of countless national boards, commissions, task forces, work groups, and committees- you can check out a partial list below. Kathleen was especially proud to be appointed to represent Arizona in three White House Conferences on Aging. Over the path of her career she worked for the Isabella County Commission on Aging, the Midland County Commission on Aging, the Foundation for Senior Living, the Area Agency on Aging Region I, the Desert Southwest Alzheimer’s Association, and has served as a registered lobbyist and advocate in Arizona for more than two decades. A highlight of Kathleen’s career was the honor of being the Executive Director of the Arizona Health Care Association, a state affiliate of the American Health Care Association,  leading the ranks of dedicated owners, operators and care providers serving Arizona’s long term care and senior living population from 2002- 2018. She is also grateful to currently be a daily caregiver for her 95 year old mother, Pat, who lives independently with her support and assistance right next door. Kathleen’s hobbies are reading, Amazon shopping, and collecting the latest technology.



Boards and Commissions

·     State Medicaid Advisory Council, Arizona Health Care Cost Containment System

·     Skilled Nursing Facility Assisted Living Workgroup, Arizona Health Care Cost Containment System

·     Arizona Health E-Connection Board of Directors/

      Health Current, Board of Directors and  Executive Committee

·     Governors Roadmap to E Health Technology Taskforce

·     National Association of Health Care Assistants (NAHCA) Board of Advisors.

·     Coyote Crisis  Coalition Board of Directors

·     National Center for Assisted Living (NCAL) Board of Directors

·     Bridgeway Health Solutions, Centene Corporation, Community Board of Advisors

·     Governor’s Advisory Council Legislative Coordinating Committee

·     Maricopa Elder Abuse Alliance

·     American State Health Care Executive Association

·     Behavioral Health and Aging Coalition

·     Governor’s Ad Hoc Committee on Long Term Care Workforce Development


  • Managed care coaching for skilled nursing facility administrators and assisted living managers

  • Strategic dialogue with managed care owners and operators to assess market opportunities for managed care partnerships and payment reform opportunities​

  • Managed care leadership development programs for long term care administrators in training


  • Preparation and implementation of Value Based Purchasing models- on-going consulting to assess your company’s readiness for payment reform opportunities

  • Leadership mentoring, guidance and support


  • State association redesign for best practices in managed care service development


  • Education for vendor partners working in long term care managed care states- understanding the marketplace to better serve your client

  • Dementia Program Development

  • Dementia Care Training programs for Assisted Living, Memory Care and Skilled Nursing Staff

  • Dementia Friendly Design and Wayfinding Consultation

  • Family Support Programming


  • Advocacy consulting and public policy coordination


  • Consultation on designing services to meet market needs,  with a focus on high acuity and  specialty care


  • Support in RFP development and grant writing

  • Workforce development support and redesign

  • Support to states in development of managed care, long term care, service delivery models


  • Consultation with managed care organizations and health plans to enhance long term care partnerships and expertise in the long term care management space


  • Association state executive mentoring


  • Support in new purchases and ownership changes

  • Disaster preparedness and emergency readiness for long term care providers, including the frontline



"The long term care arena is a dynamic marketplace serving a compelling demographic segment of our population. Over the past several decades I have had the opportunity to work with elders, consumers, public policy leaders, visionaries, advocates and stakeholders of all kinds in designing and shaping services to serve the changing needs of America’s aging population. It has been beyond rewarding.  

KC Pagels & Associates is my way of paying it forward, working with some of my most talented colleagues to serve you in new and creative ways. In the last twenty years of my career, my professional focus has been association leadership. During that time, I developed a special talent in adapting long term care services to the culture of managed care, finding the sweet spot of aligned incentives to ensure both high caliber care for residents and successful partnerships between managed care organizations and long term care companies. Having seen the value of that, I now look forward to helping companies across the country forge such strategic partnerships, and developing the next generation of long term care managed care leaders.

KC Pagels & Associates is available to offer diverse subject matter expertise and consult on public policy and managed care on the national level. Our team will work with state associations on implementation of managed care service membership portfolios, and will work with managed care organizations to provide skilled nursing and assisted living expertise.


Because managed care does not exist in a vacuum, but rather in a highly regulated, competitive and crisis-oriented environment, KC Pagels & Associates will bring to you a ‘bench’ of experts that will also provide you with top notch support and assistance in a range of scenarios-  a one stop shop across the senior living continuum…"

-Kathleen Collins Pagels


Jan Dougherty, MS, RN, FAAN
Linda Doescher

Jan Dougherty, MS, RN, FAAN

Jan is passionate about ensuring that people living with dementia and their care partners can have a good quality of life no matter where they live – at home or in residential settings. This passion has driven her vision and leadership in crafting some of the most innovative and award-winning dementia care programs being used in Arizona, nationally and internationally. Her 25+ years of work spans the continuum of dementia care from community based to long term care programs. Described by colleagues as a “nurse’s nurse,” Jan is sensitive to the demands put on professionals in the field with a changing and shrinking workforce. Her programs reflect “can do” methods that can be adopted as professionals learn and practice skills that she brings to each of her programs. If innovation and training in dementia care is needed, Jan is the go to girl! Beyond her work, Jan loves her family, trying new recipes, enjoying a glass of Chardonnay and planning her next travel adventure.

Linda Doescher

Linda serves as Director of Finance  at KC Pagels & Associates  and provides top notch leadership in management and financial oversight. She offers administrative support and additional resources in education and grant management. Linda also worked as Director of Finance and Operations at the Arizona Health Care Association for 20 years and brings unique and diverse experience to her role. Linda is passionate about perfection and can often be found pouring over an excel spreadsheet! Her family is her focus and she and her husband Tom love traveling the country to visit their grandchildren and enjoy new adventures.



KC Pagels & Associates

Telephone:  602-920-9035


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