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National Association for Home Care & Hospice
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In the various roles he has undertaken through the years, Val J. Halamandaris has been a singular driving force behind the policy and program initiatives resulting in the recognition of home health care as a viable alternative to institutionalization. His dedication to consumer advocacy, which enhances the quality of life and dignity of those receiving home health care, merits VNA HealthCare Group’s highest recognition and deepest respect. 

VNA HealthCare Group

I have the highest respect for them, especially for the nurses, aides and therapists, who devote their lives to caring for people with disabilities, the infirm and dying Americans.  There are few more noble professions.

President Barack Obama

Home health care agencies do such a wonderful job in this country helping people to be able to remain at home and allowing them to receive services

U.S. Senator Debbie Stabenow (D-MI) Chair, Democratic Steering and Outreach Committee

Home care is a combination of compassion and efficiency.  It is less expensive than institutional care...but at the same time it is a more caring, human, intimate experience, and therefore it has a greater human’s a big mistake not to try to maximize it and find ways to give people the home care option over either nursing homes, hospitals or other institutions

Former Speaker of the U.S. House of Representatives Newt Gingrich (R-GA)

Medicaid covers long-term care, but only for low-income families.  And Medicare only pays for care that is connected to a hospital discharge....our health care system must cover these vital services...[and] we should promote home-based care, which most people prefer, instead of the institutional care that we emphasize now.

Former U.S. Senator Majority Leader Tom Daschle (D-CD)

We need incentives to...keep people in home health care settings...It’s dramatically less expensive than long term care.

U.S. Senator John McCain (R-AZ)


Home care is clearly the wave of the future. It’s clearly where patients want to be cared for. I come from an ethnic family and when a member of our family is severely ill, we would never consider taking them to get institutional care. That’s true of many families for both cultural and financial reasons. If patients have a choice of where they want to be cared for, where it’s done the right way, they choose home.

Donna Shalala, former Secretary of Health and Human Services

A couple of years ago, I spent a little bit of time with the National Association for Home Care & Hospice and its president, Val J. Halamandaris, and I was just blown away. What impressed me so much was that they talked about what they do as opposed to just the strategies of how to deal with Washington or Sacramento or Albany or whatever the case may be. Val is a fanatic about care, and it comes through in every way known to mankind. It comes through in the speakers he invites to their events; it comes through in all the stuff he shares.

Tom Peters, author of In Search of Excellence

Val’s home care organization brings thousands of caregivers together into a dynamic organization that provides them with valuable resources and tools to be even better in their important work. He helps them build self-esteem, which leads to self-motivation.

Mike Vance, former Dean of Disney and author of Think Out of the Box

Val is one of the greatest advocates for seniors in America. He goes beyond the call of duty every time.

Arthur S. Flemming, former Secretary of Health, Education, and Welfare

Val has brought the problems, the challenges, and the opportunities out in the open for everyone to look at. He is a visionary pointing the direction for us. 

Margaret (Peg) Cushman, Professor of Nursing and former President of the Visiting Nurses Association

Although Val has chosen to stay in the background, he deserves much of the credit for what was accomplished both at the U.S. Senate Special Committee on Aging, where he was closely associated with me and at the House Select Committee on Aging, where he was Congressman Claude Pepper’s senior counsel and closest advisor. He put together more hearings on the subject of aging, wrote more reports, drafted more bills, and had more influence on the direction of events than anyone before him or since.

Frank E. Moss, former U.S. Senator

Val’s most important contribution is pulling together all elements of home health care and being able to organize and energize the people involved in the industry.

Frank E. Moss, former U.S. Senator

Anyone working on health care issues in Congress knows the name Val J. Halamandaris.

Kathleen Gardner Cravedi, former Staff Director of the House Select Committee on Aging

Without your untiring support and active participation, the voices of people advocating meaningful and compassionate health care reform may not have been heard by national leaders.

Michael Sullivan, Former Executive Director, Indiana Association for Home Care

All of us have been members of many organizations and NAHC is simply the best there is. NAHC aspires to excellence in every respect; its staff has been repeatedly honored as the best in Washington; the organization lives by the highest values and has demonstrated a passionate interest in the well-being of patients and providers.

Elaine Stephens, Director of Home Care of Steward Home Care/Steward Health Systems and former NAHC C

Home care increasingly is one of the basic building blocks in the developing system of long-term care.  On both economic and recuperative bases, home health care will continue to grow as an essential service for individuals, for families and for the community as a whole.

Former U.S. Senator Olympia Snowe (R-ME)

NCOA is excited to be part of this great event and honored to have such influential award winners in the field of aging.

National Council of Aging

Health care at home…is something we need more of, not less of.  Let us make a commitment to preventive and long-term care.  Let us encourage home care as an alternative to nursing homes and give folks a little help to have their parents there.

Former President Bill Clinton

U.S. Celebrates National Home Care & Hospice Month in November

This Year’s Message: Home is the Center of Health Care
November 5, 2013 11:42 AM

Val J. Halamandaris, President of the National Association for Home Care & Hospice (NAHC) called on all Americans to commemorate National Home Care & Hospice Month throughout November. He also called attention to Home Care Aide Week on November 10 to 16. These critical workers play a central role in their patients’ lives, and NAHC recognizes their efforts with this year’s theme: “Home is the Center of Health Care.”

“This month we honor all the dedicated nurses, therapists, and aides who provide high-quality health care and supportive services in patients’ homes throughout the United States,” Mr. Halamandaris remarked. “They make the difference between life and death on a daily basis and are the very personification of ‘caring,’ the one-word summary of the Golden Rule that runs through all the great religions of the world. They combine high tech with high touch as they do what is best for the patients they serve.”

In coming years, home care and hospice are poised to play a central role in the delivery of healthcare throughout the country. A wide range of forces are joining to push care away from nursing homes and drive it toward home and community-based care. Based on demography and dollars, experts agree that the destiny of health care lies in the home.

There is growing demand for home care, yet the Medicare home health benefit has been cut by $77 billion over 10 years. The cumulative effect of these disproportionate cuts has been to weaken what was once a $17 billion industry by pushing thousands of providers to the point of bankruptcy. The cuts have an even more serious impact on patients by limiting their access to the care they need at home.

There will be even more patients who need home care as the 78 million baby boomers continue to age. The first of the boomers turned 65 last year and the rest will reach their golden years over the next two decades. As they do, health care dollars will grow even scarcer, especially if Medicare provides the boomers with costly institutional care.

But there is a better way. Home care is not just the preferred choice for most patients; it’s also the best bang for our health care dollars. It costs Medicare nearly $2,000 per day for a typical hospital stay and $559 per day for a typical nursing home stay. Meanwhile, home care costs just $44 a day on average. And home care, combined with technology, helps the many U.S. seniors who live at home to stay independent, enrich their lives, and keep in touch with those they love. 

Home care aides also play a central role by joining in patients’ lives, whether this involves running errands, going with them to the doctor, or assisting them with medical conditions. Aides are there to provide seniors with company and conversation, and many aides are more than caregivers for their patients. They are often friends who give warmth and comfort to the aged and ill.

“People will seldom, if ever, face a more difficult time in life than when they are in home care and hospice,” Halamandaris pointed out. “During this special month we pay tribute to our talented home care and hospice professionals who are there at that very trying time. They are among the reasons why home care is poised to play a key role in coming years as the center of health care in our country.”

NAHC looks to the future in its theme, “Home is the Center of Health Care,” the product of a brainstorming session at the NAHC Strategic Planning Congress in February 2013. The session brought together members of NAHC’s board of directors and the heads of its Forum of State Associations, along with key leaders from the home care and hospice industry. They exchanged their thoughts under the leadership of Dr. Lance Secretan, management expert, author, editor and former corporate CEO. Their joint expression of home care’s goals gained approval from NAHC’s board of directors in June.

For more information on the National Association for Home Care & Hospice - National Home Care & Hospice Month and Home Care Aide Week (November 10-16, 2013), visit




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