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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

CMS Issues Final Rule on Home Health Prospective Payment System Rates

Includes Elimination of Problematic Face-to-Face Physician Narratives
October 31, 2014 08:44 AM

The Final Rule for 2015 Medicare HHPPS payment rates was released by CMS late Thursday afternoon. CMS also finalized some of the other proposals - including eliminating the physician narrative to the face-to-face requirements.

Below is a quick summary of the Final Rule, along with preliminary analysis from NAHC staff in bold. A more detailed analysis of the final HHPPS rule will be available once NAHC staff has more time to review the rule in its entirety.

1.       CMS eliminates the physician narrative requirement that has plagued physicians and home health agencies. GREAT NEWS

2.       CMS keeps its widely-panned proposal to require physicians to have sufficient documentation in their own files to support the certification of homebound status and skilled care need. However, CMS will permit HHAs to provide their record to the certifying physician so that it can be included in considering whether sufficient documentation exists to support the certification. Also, CMS modifies the rule to require that certifying physicians supply their records to the HHAs whenever a claim is audited for compliance. This may be a problem still. SLIGHT IMPROVEMENT OVER PROPOSED RULE

3.    Rate rebasing continues with an $80.95 base episode rate reduction offset by a 2.1% inflation update (2.6 MI minus 0.5 productivity adjustment) along with the second –year adjustments to LUPA and NRS rates. The productivity adjustment is 0.1% greater than proposed leading to a slightly lower inflation update—2.1 vs. 2.2 proposed. AS EXPECTED

4.    CMS maintains its proposed across-the-board recalibration of case mix weights. HHA must include this change in any evaluation of the payment rate reductions as the weights are dramatically different than 2014 HRRGs. CLEARER EXPLANATION OF CHANGE

5.    The proposed new wage index that is a 50/50 blend of the new CBSA designations is included for 2015. CMS limits the rural add-on to counties that are “rural” under the new CBSA geographic area designations only. Over 100 counties will lose the add-on as a result.  CONSISTENT WITH PREVIOUS CBSA CHANGE, BUT STILL UNFORTUNATE

6.    CMS eliminates 13th and 19th visit professional therapist evaluations and replaces that requirement with assessments every 30 days. CMS had proposed a 14 day reassessment requirement.  GOOD NEWS

7.    Miscellaneous other proposals are finalized regarding OASIS submissions, speech-language pathologist qualifications, civil monetary penalties for CoP violations, and recertification requirements that will increase the number of F2F situations.

Overall, the Final Rule is a slight improvement over the proposed version. The changes to the F2F requirements are most welcome along with the modifications on the therapy assessment requirements.

More detailed review will be forthcoming as NAHC staff digests the 259 page rule.

The Rule is available here.




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