Caroline Pearson | Nexus Insights

If You Hated 2020, You’re Going to Despise Old Age: A Nexus Op-Ed

April 21, 2023

It’s safe to say that none of us want to experience life as it was lived in 2020 ever again.

We missed our friends and family during the era of “social distancing.” In the short term, most of us could handle the loneliness. But as the pandemic wore on, we found that Zoom meetings and virtual happy hours, at first novel and fun, were a very poor substitute for authentic human connection and became tiresome and annoying. We grew frustrated with the monotony of a limited life. Netflix binges, family game nights and jigsaw puzzles eventually lost their appeal.

Most of us are tired of rehashing what life was like during pandemic lockdowns, but there are important lessons to be learned. Sadly, not everyone has the option for a life filled with purpose, autonomy, and variety. What we experienced during 2020 is the life many older adults living alone in their homes or institutional care settings experience every day – both before and after the pandemic. COVID lockdowns gave younger Americans an unpleasant taste of the “medicine” that millions of elders swallow every day.

We learned lessons during the height of COVID that we can — and should — apply to older Americans. The time is now!

What would it take to have older people live where they wish without becoming socially isolated? What would it take for older people to be viewed as valuable members of a society that desperately needs their lived experiences and knowledge? What would it take for those receiving care in congregate settings to have lives filled with purpose, meaningful relationships, and, dare we say it, joy?

Read the full article, If You Hated 2020, You’re Going to Despise Old Age, authored by Nexus Insights’ Fellows Jill Vitale-Aussem, Caroline Pearson, and Dr. Bill Thomas, on LinkedIn, and join the #NexusVoices conversation.

What do you think we have learned? How can we improve the future of aging in America?

About the Authors

Jill Vitale-Aussem, President & CEO of Christian Living Communities, and Nexus Fellow, has over two decades of boots-on-the-ground senior living leadership experience, transforming organizations by creating age-positive, ability-inclusive community cultures of growth, belonging and purpose.

Caroline Pearson’s deep understanding of public and private health insurance informs new financing models that leverage healthcare dollars to fund non-medical support for older adults. Caroline is the Executive Director of The Peterson Center on Healthcare, and a Nexus Fellow.

Dr. Bill Thomas, Nexus Fellow, founder of The Eden Alternative, The Green House Project and Minka is a serial creator of scalable models and an innovator in the field of housing and services for older people. He brings to Nexus his belief that people, properly equipped and prepared, can solve the most difficult problems of living.

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Caroline Pearson Executive Director The Peterson Center on Healthcare

Caroline Pearson Named as Executive Director for Peterson Center on Healthcare

January 17, 2023

Exciting news for Nexus Fellow Caroline Pearson. She has been named as the new Executive Director for The Peterson Center on Healthcare.

“Caroline is a gifted leader who never hesitates to roll up her sleeves and do the hard work,” said Anne Tumlinson, CEO of ATI Advisory, and a Nexus Fellow. “It’s been a joy to work with her in various ways throughout her career, and especially as she’s tackled policy challenges in the senior care sector. I know she’ll continue to make significant contributions in this next chapter.”

“Caroline is the perfect choice to lead the Peterson Center,” said Nexus Fellow David Grabowski, a professor of health care policy at Harvard Medical School. “She has worked for over two decades to improve the US healthcare system by taking on challenging policy issues. She led our important research on the “forgotten middle” of older adults who are too wealthy for Medicaid but too poor to afford the current mix of senior housing options. I can’t wait to see what she does at the Peterson Center.”

Pearson, who started the new position in early January, is leading the Center’s portfolio of initiatives and grants, to help “transform U.S. healthcare into a high-performance system by finding innovative solutions that improve quality and lower costs,” according to an announcement from the Center. She brings deep policy expertise across a wide range of critical areas, including Medicare, Medicaid, private health insurance, prescription drugs, the Affordable Care Act, and aging issues.

“I am deeply honored to join the remarkable team at the Peterson Center on Healthcare to advance its mission to improve healthcare through lower costs and higher quality outcomes,” said Pearson.

Pearson previously was the Senior Vice President for Healthcare Strategy at NORC at the University of Chicago, a research organization that has broken new ground into the unmet needs of the “forgotten middle” when it comes to affording senior housing. Before NORC, she spent 14 years at Avalere Health as the Senior V.P. of Policy and Strategy, where she worked with Fortune 500 companies, patient groups and other healthcare stakeholders to solve complex business and policy challenges.

“I am so proud of the Health Care Strategy team we have built at NORC at the University of Chicago and the important research that they will continue on issues of policy, aging, and care delivery,” she said.
“We are very pleased to welcome Caroline, whose strategic vision and data-driven approach will bolster the Center’s work to lower costs and improve outcomes in U.S. healthcare,” said Michael A. Peterson, President and Chief Executive Officer of the Peter G. Peterson Foundation. “Caroline’s comprehensive understanding of the complex healthcare delivery ecosystem and her track record of identifying, validating and scaling innovative solutions make her a perfect match for the Center’s mission.”

Read the full announcement at Peterson Center on Healthcare

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Caregiving Navigation Hubs: A Critical Resource for Older Adults and their Families

January 3, 2023

Coordinating caregiving for aging loved ones is a complicated and frustrating task for families. And the problem is growing.

According to a recent article in Next Avenue, “It generally starts with a crisis: Your parent shows signs of dementia…or is about to be discharged from a serious hospital stay…or requires help with daily activities of living. What do you do? Where do you turn? It’s the little-discussed part of long-term care that leaves many of the nation’s 22 million family caregivers for older loved ones bereft and befuddled.”

“We’re failing tens of thousands of older adults and their families,” said Bob Kramer, Founder and Fellow of Nexus Insights.

Nexus Insights is a think tank advancing the well-being of older adults through innovative models of housing, community and healthcare.

In early 2022, Nexus Insights brought together long-term care providers, caregiver advocates, tech-driven startups and policy experts in its first ‘Nexus Voices’ salon to discuss how to help older adults and their caregivers better navigate the complex and fragmented array of long-term care and aging services. The result was a report released in September 2022, “Where Am I, Where Do I Go: The Missing Entry Point to Long-Term Care Solutions for Older Adults and Their Caregivers.”

This report was the subject of the Next Avenue article, written by Richard Eisenberg.

Eisenberg spoke to several of the report’s authors, including Anne Tumlinson, CEO of ATI Advisory and a Nexus Fellow. “The primary challenge that most of my peers and friends and family were experiencing was entering into that phase of their lives when they were suddenly thrust into family caregiving roles and feeling like there’s no place to go,” Tumlinson said. “In the best-case scenario they’re getting a hospital discharge planner handing them a long list of organizations who are like, ‘Good luck. Here you go.'”

Caroline Pearson, another report author concurred. Pearson, formerly the Senior VP of Health Care Strategy at NORC at the University of Chicago, and now the Executive Director for The Peterson Center on Healthcare, and a Nexus Fellow. “Unfortunately, most people find themselves in these urgent scenarios that are sort of a call for help unexpectedly,” she said.

In fact, Nexus recently partnered with NORC to conduct a survey on this issue. The survey showed that 1 in 4 older adults needed long-term care services for themselves or a loved one in just the previous 12 months. It also echoed the report’s assertion that caregivers experience frustration and anxiety during the process.

The Nexus Voices report offers a powerful solution, according to the article, “A national, independent, trusted hub system of caregiving navigators who would be accessible to everyone and serve as a central doorway to long-term care services and supports.”

“For every single family to be creating a long-term care service delivery system is very inefficient from a societal standpoint and an economy standpoint,” said Tumlinson.

The solution would have to be national in scope. “There was broad-based agreement [among the salon participants] that creating the kind of awareness to make these hubs as visible as your local drugstore or post office was going to take a national effort, and a level of funding that was probably going to have to be federally driven,” said Kramer.

According to the article, a local example of such a hub was launched earlier this year in Ohio. The NaviGuide program, created by United Church Homes in Ohio, offers these types of services to its 166 clients. The program was inspired by a family crisis for its creator Terry Spitznagel, senior executive vice president and chief growth officer for United Church Homes. Spitnagel said, “I’ve been in senior services for three decades, but I just fell apart trying to help my father navigate the aging journey. I couldn’t manage it.”

The article sees the NaviGuide program as a positive step in the right direction. “If programs like United Church Homes’ NaviGuide are proven financially viable or federal or state governments earmark money for caregiving navigators, you may start seeing these experts pop up around the country.”

In fact, other recent reports echo the Nexus recommendations.

“There are real opportunities to move forward on this,” said Kramer. “But it’s going to take keeping the issue in the limelight and building momentum and seizing opportunities.”

And, the article suggests, “It may also require more people finding themselves thrust into becoming family caregivers or needing to coordinate care.”

Said Tumlinson: “You have to go through it and then be stunned. Then you say, ‘Why is this not being fixed? How is this possible?'”

Read the article at Next Avenue.

Read the Nexus Report
Read the Nexus Survey

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NORC Study Shows Most Older Adults Experience Anxiety and Frustration While Selecting Long-Term Care

December 20, 2022

Twenty-four percent of U.S. adults ages 50 and older say they, or a loved one needed long-term care in the past year, according to a new, national survey commissioned by Nexus Insights, a think tank focused on older adults. The research was conducted by the well-respected NORC at the University of Chicago. The findings illustrate the widespread need for information and guidance about long-term care services among an aging population and their caregivers, a need that experts say will grow exponentially in the future.

Middle-Income Seniors – The Forgotten Middle

April 26, 2022

When it comes to senior housing, wealthy seniors can pay their own way and low-income seniors often qualify for Medicaid. The real problem is for those in the middle. They aren’t wealthy enough for private pay, yet they are too well-off for Medicaid. To make matters worse, the number of people stuck in the middle will nearly double over the next decade. Senior housing operators and policymakers have the opportunity to serve this new market, but how and to what extent?

Nexus founder and Fellow Bob Kramer discusses “The Forgotten Middle” with Nexus Fellow Caroline Pearson, senior vice president health care strategy, NORC at the University of Chicago in an episode of Foresight TV hosted by Steve Moran of Senior Living Foresight.

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Data gaps could amplify difficulties for health plans

November 11, 2021

In an interview with Health Payer Intelligence, Caroline Pearson, Nexus Fellow and Senior VP of Health Care Strategy at NORC at the University of Chicago, emphasized that the industry’s understanding of effective payment models and strategies for social determinants of health management is “riddled with unknowns.” Her remarks appear in an article: The State of Payer, CBO Social Determinants of Health Contracting.

It is natural, for example, for organizations like large healthcare providers and payers to turn to smaller community-based partners for on-the-ground insight and service delivery. However, according to Pearson, it can be problematic with smaller partners who lack the infrastructure to cover a large population, or are unable to provide the kind of data needed for decision-making.

How can you know if a community-based organization is going to be a good partner for you? Pearson says one key indicator may be their ability to gather and exchange this data.

“The data requirements to deliver supplemental benefits to a health plan population are pretty high: you need some way to identify those members, you need to be able to receive the referrals from the health plan, and then, increasingly, those health plans really want a feedback loop where you can give them information about the result,” Pearson said.

But Pearson explains that even if an organization lacks this ability it’s still possible to work with them –if you can involve a vendor who provides a platform to bridge the gap.

The Forgotten Middle: Improving the Availability of Long-Term Care

November 4, 2021

Don’t overlook the “forgotten middle” when creating policy, said Nexus Fellow Caroline Pearson, Senior Vice President at NORC at the University of Chicago. Pearson recently took part in an interesting and in-depth panel discussion on a report from the Bipartisan Policy Center (BPC) that provides policy recommendations for increasing access to long-term services and supports (LTSS).

The forgotten middle are those seniors who are “unlikely to qualify for Medicaid, and unlikely to be able to afford many of the private seniors housing options they may need as their health, mobility and cognitive status decline,” Pearson explained.

She cautioned that while “we have tried before and failed to do major, audacious, long-term care reforms” there is reason to hope for something more significant now. “The magnitude of the problem before us has paralyzed us for a long time. But it doesn’t have to be a purely public sector solution,” she said. “There are private resources available, if we were more creative and organized about how we helped people find those and how we delivered them to people.” She cautioned that reform may turn out to be an incremental process.

Pearson addressed the issue of helping people remain in their homes longer, which many seniors prefer. “When you look at the cost of care as people age, housing is a huge component. If we can safely and effectively keep people in their homes, that really lowers the annual cost of care.” In fact, now is a good time for advances in this area. As she pointed out, “In a year in which I’ve had basically everything delivered to my house, and all services come to me, it’s a good time for this sort of innovation.”

When asked which policy for expanding or improving long-term care would top her priority list, Pearson gave a nod to an idea raised by her fellow Nexus Fellows, Anne Tumlinson and David Grabowski. “Funding and program coverage is important, but the landscape is confusing. For people trying to help themselves or their loved ones, it’s difficult to know where to begin,” Pearson said. “Funding a navigation service, a place to begin, to connect you to the private and public resources available to you, would be a huge step in the right direction.”

Pearson was joined on the panel by Leena Sharma, Project Manager and Senior Policy Analyst at Community Catalyst, Henry Claypool, Policy Director of the Community Living Policy Center at UCSF, and Hemi Tewarson, Executive Director of The National Academy for State Health Policy. The panel was hosted by Marilyn Serafani, Director of the Health Project at BPC.

Listen to the full discussion.

Read the BPC Report.

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Nexus Fellows Flash Bulletin: June 2021

June 30, 2021

The Nexus Fellows are leaders in the aging industry, helping to shape public policy and redefine aging and aging services. From books to podcasts, here’s a sample of some of the work they’ve been doing in the past month:

Jay Newton-Small, CEO of MemoryWell, is wrapping up a second year of their joint contest for Hilarity for Charity, Seth and Lauren Miller Rogen’s Alzheimer’s charity and Humans of Dementia Storytelling Competition. It’s a competition for high school and college students to write the best profile of someone living with Alzheimer’s. Winners will have the chance to meet Seth and Lauren Rogen during the virtual celebration. Additionally, MemoryWell has added three new members to their team.

Jacquelyn Kung, CEO of Senior Care Group at Activated Insights, was interviewed by Skip Lineberg, host of The Main Thing Podcast, about elder care, and her passion to improve the aging experience. “The main thing I’ve learned in my lifetime so far is that getting older is what you make of it. And I see it as full of good news. Socially, we get happier as we get older, and the research shows that.”

Jill Vitale-Aussem, president and CEO of Christian Living Communities, sat down with Senior Housing Investors Podcast to talk about her book, “Disrupting the Status Quo of Senior Living: A Mindshift.”

Solo Aging expert Sara Zeff Geber was featured on Namrata Bagaria’s Seniors Junction podcast on the importance of social connection for the older adult population without kids (~20% of the US population.)

Sarah Thomas, CEO of Delight by Design, delivered the keynote on designing products and services for the aging population with Chief Medical Office of AARP, DR Charlotte Yeh. Additionally, she moderated two panels featuring the important work of seven agetech startups at the Rehab Tech Summit mini-Summit. Thomas was an expert judge at the AOTA 2021 Inventors Showcase, where 11 startups pitched their innovative products designed to serve people across the lifespan. The winner designed a novel gait belt that improves the safety of caregivers and residents in senior living and beyond.

David Grabowski, Professor in the Dept. of Health Care Policy at Harvard Medical School, was recently interviewed by The Times about 12 nursing homes in Pennsylvania voting to authorize strikes.

Dr. Bill Thomas, founder of The Eden Alternative, The Green House Project, and Minka, recently traveled the country, talking with elders and their care partners in more than 125 cities. He learned about their hopes and fears, and listened to their stories. What did he discover? That people want better alternatives for senior living. “It turns out that older people pretty much want what everyone else wants: to belong to a community that includes people of all ages and remain connected to the living world,” Thomas said.

Nexus Founder & Fellow, and NIC Strategic Advisor, Bob Kramer, has joined the Edenbridge Health Board of Advisors to help expand access to comprehensive, integrated, community-based and person-centered care for the frail elderly through innovative applications of the PACE Program.

In the blog post, “Just Move It,” CEO of SmartLiving 360, Ryan Frederick talks about the importance of physical exercise for older adults. “Inactivity is the fourth leading cause of death and about 1.5 billion people in the world are inactive to the point that it risks their long-term health. At a health care conference several years ago, four recent surgeon generals were asked for one tip for successful aging. They coalesced on one word: move.”

Nexus Fellow Kelsey Mellard, CEO of Sitka, sat down with Sanjula Jain Jo on Her Story for a candid conversation about being a healthcare leader and her transition from the Midwest to DC to Silicon Valley, building a resilient team, and overcoming challenges.

Longevity economy expert, Jody Holtzman, formerly of AARP is proud to be on the advisory board of Intuition Robotics, which is mitigating loneliness among older adults with the companion robot ElliQ. “The growing mismatch between the number of people in need of caregivers and the availability of caregivers is a multifaceted challenge for individual families and society more broadly. Technology must be part of the solution. Companion robots like ElliQ and others in this space, like my friends at Joy for All/Ageless Innovation, have an important role to play.”

Caroline Pearson, Senior VP of Health Care Strategy at NORC at the University of Chicago, announced the release of new research from NIC and NORC that looks at the impact of the pandemic on seniors by care setting. “Mortality rates increase by complexity of care, but, in lower acuity settings such as independent living communities, they are comparable to surrounding populations.”

ATI Advisory CEO Anne Tumlinson has released new research for Better Medicare Alliance on how Medicare Advantage cares for a more racially and ethnically diverse, lower-income population with greater clinical complexity than Traditional Medicare Fee-For-Service.

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Patient and physician trust in U.S. Health Care

Trust in the U.S. Health Care System: New Findings

June 10, 2021

Caroline Pearson, Senior VP of Health Care Strategy at NORC at the University of Chicago and a Nexus Insights Fellow, announced the release of new research from NORC that examines physician and patient trust in the U.S. health care system. The research was conducted as part of the ABIM Foundation Building Trust initiative.

The study, which surveyed 2069 adults from the general public and 600 physicians, found that while 78% of patients report high levels of trust in their doctors, trust is lower among Black, Hispanic, lower-income, and younger patients.

Other key findings from the study:

Both physicians and patients trust clinicians more than they trust the healthcare system as a whole.
While most physicians trust community health services to support patients’ health and well-being, physicians report lower levels of trust in long-term care and home healthcare providers, who are essential during discharges and care transitions.
Physicians overestimate their patients’ ability to adhere to their treatment recommendations.
Although physicians understand the importance of building trust with patients, they do not always perform trust-building behaviors.
The majority of the public reported favorable or no change in how much they trust their doctor due to the pandemic, however roughly 30% of physicians experienced a decrease in their level of trust in the healthcare system and healthcare organization leadership during the pandemic. Rebuilding trust is needed.

The nonpartisan and objective research organization NORC at the University of Chicago was founded in 1941 as the National Opinion Research Center. It’s purpose is to help governments, nonprofits, and businesses make better decisions through data and analysis.

See the findings.

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Nexus Fellow Flash Bulletin: May 2021

May 27, 2021

As the United States shifts gears from pandemic crisis management to a new post-COVID normal, we must now deal with the aftermath and identify what went wrong and what we can do better. Issues of transparency and loneliness in nursing homes linger. Large corporations that once were oblivious to the older population have found a new market. How will we address the age-old problem of social connection for those who are still isolated, a problem seniors have faced for decades? The entire industry, the way we view older adults, the options for living independently and the implementation of technology, must all be urgently addressed and thoughtfully designed into an actionable plan for the future of aging and longevity.

Our Fellows continue to strive for innovation and reform. Here’s what they’ve been up to:

NEWS:

Nexus Fellow David Grabowski, was quoted in an article by the Associated Press on nursing homes’ requirement to report COVID-19 vaccinations at nursing homes. “This is an important development that is months overdue,” said David Grabowski, a Harvard health policy professor who has tracked the industry’s struggles with the outbreak. “Many of us argued that this information should have been published starting in December when the federal long-term care vaccination effort began.”

Dr. Bill Thomas, Nexus Fellow and creator of The Eden Alternative, Minka, and the Green House Project, is helping value-based care innovator Lifespark (which acquired Tealwood Senior Living.) Dr. Thomas will be leading the efforts to combine the two companies’ operations. He has also created Kallimos Communities, new multi-generational communities with small dwellings clustered around shared green space. Additionally, he has a new project he’s working on with Signature Healthcare — currently called “Canopy” — a cluster of small ADA-accessible houses built close together.

Bob Kramer, Founder and Fellow of Nexus Insights, was interviewed by Nancy Griffin for SeniorTrade Blog. He defines 5 Boomerville Segments likely to flourish in the future: Wellnessville, where residents will focus on healthy lifestyle, diet and exercise; Margaritaville, resort-style independent living (Minto Communities’ Latitude Margaritaville has three wait-listed locations with more in development); Serviceville, where the emphasis is on volunteerism, mentorship and giving back; Collegeville, where residents focus on continued learning in a communal living environment, and Changeville, for those concerned with making a difference in the world and creating a legacy.

Preordering is now available for “Right Place, Right Time, a book by Nexus Fellow and CEO of SmartLiving 360, Ryan Frederick. “Place plays a significant yet often unacknowledged role in health and happiness. The right place elevates personal well-being. It can help promote purpose, facilitate human connection, catalyze physical activity, support financial health, and inspire community engagement.”

Nexus Fellow Kelsey Mellard, CEO of Sitka, sat down with Sanjula Jain Jo on Her Story for a candid conversation about being a healthcare leader and her transition from the Midwest to DC to Silicon Valley, building a resilient team, and overcoming challenges.

Will seniors continue to buy groceries online post-pandemic? Jody Holtzman, longevity economy expert, formerly of AARP, thinks seniors will split their shopping, using online for staples such as canned goods and going into stores for fresh foods. Some senior consumers claim it’s a social outlet for them. “As the necessity imposed by the pandemic lessens,” Holtzman says, “retailers will have to start to play the price game.” Read more at Blomberg.com.

Out and About:

Jill Vitale-Aussem, president and CEO of Christian Living Communities, and Nexus Insights Fellow, recently spoke at a session, “Finding success in increasing diversity and inclusion,” at the 2021 Women of Distinction educational webinar. We’d also like to congratulate Jill on joining the SeniorTrade Advisory Board.

On June 30, Nexus Fellow Sara Zeff Geber will be joining experts and thought leaders in the areas of aging, retirement and thriving for the “Boomers Thriving After the Pandemic” virtual summit, hosted by Wendy Green from Hey, Boomer. Other speakers include Helen Dennis and John Tarnoff. Part of the proceeds will go to Meals on Wheels Greenville and The Walk to End Alzheimer’s. For more info visit the virtual summit’s Eventbrite page.

Sarah Thomas, CEO of Delight by Design and Nexus Fellow, recently presented at the Rehab Tech Summit sponsored by AARP Innovations Labs. She spoke about designing for all, including age tech, universal design, living with purpose and designing beautiful products for everyone at every age.

COMPANIES ON THE MOVE:

Jay Newton-Small, CEO of MemoryWell, is growing MemoryWell. After a successful capital raise, she’s been adding some amazing new talent to her team including Sarah Jones from Healthsense, GreatCall and Best Buy Health.

Jacquelyn Kung, CEO of Senior Care Group at Activated Insights, is working with her team to create recognition programs for senior care providers, based on their resident and family surveys. The goal is to tie the data to outcomes and impact metrics, and to use machine learning to identify patterns in those who improve to apply across a broader population of providers.

NEW RESEARCH:

Caroline Pearson, Senior Vice President at NORC at the University of Chicago, has released new research examining physician and patient trust in health care as part of the ABIM Foundation Building Trust initiative. While 78% of patients report high levels of trust in their doctors, trust is lower among Black, Hispanic, lower-income, and younger patients.

ATI Advisory CEO Anne Tumlinson has shared ATI’s post-acute discharge COVID019 analysis. Medicare claims data were analyzed to assess the extent to which COVID-19 disrupted overall volume and discharge patterns.

VIDEO DISCUSSIONS:

The Power of Data to Transform Senior Care: Hype, Hope, or Danger Ahead? with Jay Newton Small & Bob Kramer

Amazon Care, Corporate Giants’ Senior Care & Solutions to Nursing Homes with Boomer Living Senior Broadcast’s Hanh Brown

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Tag Archive for: Caroline Pearson

If You Hated 2020, You’re Going to Despise Old Age: A Nexus Op-Ed

Caroline Pearson Named as Executive Director for Peterson Center on Healthcare

Caregiving Navigation Hubs: A Critical Resource for Older Adults and their Families

NORC Study Shows Most Older Adults Experience Anxiety and Frustration While Selecting Long-Term Care

Middle-Income Seniors – The Forgotten Middle

Data gaps could amplify difficulties for health plans

The Forgotten Middle: Improving the Availability of Long-Term Care

Nexus Fellows Flash Bulletin: June 2021

Trust in the U.S. Health Care System: New Findings

Nexus Fellow Flash Bulletin: May 2021

NEWS:

Out and About:

COMPANIES ON THE MOVE:

NEW RESEARCH:

VIDEO DISCUSSIONS:

Tag Archive for: Caroline Pearson

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