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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

NAHC Hosts Teleconference on Rebasing Final Rule

December 5, 2013 01:49 PM

Earlier this week, the National Association for Home Care & Hospice (NAHC) hosted a teleconference detailing the specifics of CMS’ final rule on rebasing and what action NAHC is planning to counter the rule’s detrimental effects on the home care and hospice community. NAHC hosted a previous rebasing teleconference that focused on the Final Rule’s business implications for home care and hospice providers. This week’s call focused on legislative and regulatory action that NAHC and its allies may pursue.

NAHC’s President Val J. Halamandaris led the call. He was joined by Jeff Kincheloe, NAHC’s Vice President for Government Affairs; Bill Dombi, NAHC’s Vice President for Law; Richard Brennan, NAHC’s Vice President for Technology Policy and Government Affairs; Theresa Forster, NAHC’s Vice President for Hospice Policy and Programs; Colin Roskey, JD, Cozen O’Connor, NAHC Counsel; and, Mary B. Langowski, JD, Partner, DLA Piper, NAHC Counsel.

“We’re ready to roll up our sleeves and turn this rule around,” said NAHC President Val J. Halamandaris. “Many Members of Congress are as disappointed as we are at this rule promulgated by CMS.”

During the call, the panelists detailed what the rule means for the home health and hospice community, emphasizing that CMS’ own analysis shows that 43 percent of all providers will be underwater because of this rule. In NAHC’s own analysis, the total number of providers forced to operate either at or below their costs of care was over 70 percent of all providers. “Medicare’s rate rebasing formula is designed to pay less than the cost of care,” said NAHC’s Vice President for Law Bill Dombi. “The strategic goal would be to put off implementation of the rebasing rule for a full year and force CMS back to the drawing board to recalculate payment rates.”

The range of options that NAHC is considering to oppose CMS’ rebasing Final Rule includes a one-year delay or a permanent repeal. Both options would require legislative action in the form of an amendment to a broader-based piece of legislation. Two upcoming “must pass” bills being targeted are the December 13 budget resolution and the SGR or “doc fix” bill which will be considered around the same time.

“If there’s a silver lining in all this, it’s that we don’t have to wait around for a moving vehicle,” said NAHC counsel Mary B. Langowski. “I encourage all of you to talk to your congressional delegation and educate them. Having more home-based and less institutional care is what people want, what Congress wants and this rule runs directly counter to that.”

With such a narrow window of opportunity, NAHC encourages all of its members to contact their elected officials and urge their support in opposing CMS’ final rule – either in person during next week’s March on the Capitol or virtually through NAHC’s Legislative Action Network (Write Your Legislators).

“It’s extraordinary to see so many Members of Congress weigh in on this issue on our behalf,” said Mr. Halamandaris. “We have a very narrow, but important, window of opportunity for action. Let us remain positive rather than submitting to the indignities that have been thrust upon us. We are fighting for the good of those who need our help, care and assistance.”




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