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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

Survey Results from NAHC/HAA’s Recent Teleconference on CMS’ Proposed Regulation for FY2015 Hospice Payment and Policy Changes Released

Survey conducted throughout the teleconference asked Hospice agencies questions on a range of pertinent issues
June 4, 2014 09:21 AM

The National Association for Home Care & Hospice (NAHC) and its affiliated Hospice
Association of America (HAA) recently held a teleconference on the subject of CMS’
proposed regulation for FY2015 hospice payment and policy changes. NAHC
President Val J. Halamandaris led the teleconference, and was joined by Bill Dombi,
NAHC’s Vice President for Law; Theresa Forster, NAHC’s Vice President for Hospice
Programs, and; Katie Werhi, NAHC’s Hospice Operations and Regulatory Expert.

“What’s interesting is what CMS did not do as part of this regulation. The
organization did not put forth any payment reform changes and the regulatory
changes that they are proposing are somewhat limited in scope,” said Theresa
Forster, NAHC’s Vice President for Hospice Programs during the teleconference.
“What is really significant is some of the tone that is used… They are concerned
enough [by their research findings related to payment reform that their focus has
shifted to] what they can do to beef up program integrity measures and hold off on
payment reform until a later date.”

The call was offered to NAHC and HAA members free of charge, and covered a
range of topics surrounding CMS’ proposed FY2015 regulations for hospices. During
the teleconference, several survey questions were asked of participants. The four
questions that were asked focused on how hospices handle certain regulatory
processes, and to gauge how well-prepared hospices are in meeting the challenges
of that come with evolving and changing federal rules and regulations.

The four survey questions and participant’s responses are included below:

1) Do you have a specific process outlined for determining what is/is not related?
    YES: 46%
    NO: 54%

2) As a rule, do you file thee notice of election within 3 calendar days following
patient admission?
    YES: 46%
    NO: 54%

3) Do you have a specific process outlined for determining what is/is not related?
    YES: 46%
    NO: 54%

4) Do you have a definition of "related condition" in your organization?
    YES: 30%
    NO: 70%

“Looking at the regulations, what it said to me is our friends at CMS have a “get
tough” approach to hospice, and they’re going to do everything they can to tighten
things up before they take the leap of reforming the hospice payment system,” said
NAHC President Val J. Halamandaris during the teleconference. Mr. Halamandaris
also encouraged everyone to keep in mind that, “the regulatory process holds
promise. It’s just as easy to believe that CMS is going to do the right thing coming
from the right place as it is to believe that they’re going to do the wrong thing
coming from the wrong place. Let’s do everything we can to help them, and give
them everything they need to make sure this benefit is perfected and not
undermined. We are delighted to have the opportunity to advocate for all of you on
behalf of hospice whether it be with CMS or with Congress.”

For more on the specific proposals contained in the proposed regulation, please
see NAHC Report, May 5, 2014.

To hear the full teleconference, please click here.




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