Prior to 2020, the MSCs handling the senior facility clients were paying me up to $150 for visits and $25 for easy phone calls. As the properties were charging up to 10K a month for memory care, the businesses were flush with cash. Then the MSCs adopted the Arab:camel philosophy of business, where more is required for less and less and less. My last such assignment was shortly before the Corona shutdown.
I do not, from a business standpoint, criticize any company establishing rules I am not required to accept. Nor do I have a problem with changes where I am able to walk away. Just today, I received notice of shops that paid me $30 last Nov. There are additional work requirements, with a pay reduction to $15.
A final comment to newer shoppers: In 2007, I was paid an additional $5 to snap an optional pic of a store's exterior. That brought my fee to $20+ reimbursement for the Quiznos sandwich of my choice. Not attempting to covertly snap pics, plural, with no fee AND being informed what I could NOT order.