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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 and its Affiliates Send a Letter to CMS on the Hospice Cost Report

July 25, 2014 03:02 PM

NAHC and its affiliates the Home Care and Hospice Financial Manager’s Association (HHFMA) and the Hospice Association of America (HHA) recently sent a letter to Laurence Wilson, Director of the Chronic Care Policy Group for the Center for Medicare at CMS urging that CMS provide at least nine months from the date of the hospice report is released to implement its changes. 

The letter was sent at a time when representatives from the hospice industry are expecting the final version of the hospice cost report for freestanding hospices to come out, which CMS has not yet released. As time goes by, there is increasing concern that there won’t be sufficient implementation time between the final version becoming public and the effective date for affected hospices to be able to make all of the organizational changes they will need to in order to report accurate and updated information to CMS.

In its letter, NAHC, HHFMA and HAA state that:

“We understand CMS had anticipated that the final revised hospice cost report for freestanding agencies would be made public in the early months of 2014, and that it would apply to cost reporting years beginning on or after October 1, 2014. This raised some concerns within the hospice community that the October 2014 effective date would not allow sufficient time for many hospice providers to secure thorough education and adapt their financial and other operations to meet the significantly expanded reporting requirements. As of this date the revised hospice cost report has not yet been made public. Based on input from financial experts in the hospice field, most hospice providers will need a minimum of nine months to assimilate the cost report revisions and adapt their systems so that they can access data needed to accurately complete the revised cost report. For this reason, we strongly urge that when the final hospice cost report revisions are made public, the effective date allows a minimum of nine months for hospices to comply.

The revised hospice cost report that CMS has developed has the potential to vastly improve the quantity and quality of data submitted, but hospices need significant lead time to adapt. Hospices must undergo intensive training; develop a new chart of accounts; and must conduct strategic planning that engages management, financial, operations, and clinical staff to ensure that data is being collected and attributed in a consistent and accurate manner. Only after a hospice has undertaken these efforts will it be ready to implement the changes. These processes take time. If providers are not afforded the lead time necessary to adapt to the new cost reporting requirements, the opportunity to vastly improve the available detail and quality of data related to hospice costs will not be realized.”

NAHC and its affiliates will keep members updated on any and all developments, and will report on content of the hospice cost report when it is ultimately released.

To read the full letter, please click here.




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