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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

An Update on Self-Reporting of Aggregate Cap for Hospices

February 4, 2015 12:29 PM

Beginning with the 2014 cap year, hospices are required to self-calculate and report their aggregate cap, along with any cap-related liability, by March 31. Hospices may not calculate the cap prior to January 31. In the final FY2015 payment rule, The Centers for Medicare & Medicaid Services (CMS) indicated its intent to issue a pro-forma spreadsheet and instructions to assist hospices in fulfilling this responsibility.  However, release of the pro forma spreadsheet and instructions has been delayed because the Department of Health & Human Services (CMS) has under legal review consideration of whether the 2% sequester - which affects hospice payments beginning with services provided on or after  April 1, 2013 - should or should not be included in calculation of a hospice’s cap liability. 

This issue was reported by NAHC in early Fall 2014 and discussed during the November CMS Open Door Forum.  The cap/sequester issue is one that NAHC has been working on in conjunction with NHPCO and others for several months.

It is NAHC’s understanding that CMS does not plan on issuing instructions related to self-calculation/reporting of the aggregate cap until the cap/sequester issue is resolved. The timing of such a resolution is not currently known. At this time, however, there is no indication that CMS plans to delay the requirement that hospices must report by March 31.    

Given these circumstances, NAHC is providing information developed for industry use that will assist hospices in estimating their aggregate cap and any related liability.  PLEASE NOTE that the attached cap calculation information DOES NOT include consideration of the sequester. At this time, NAHC is advising hospices to use these materials to estimate their cap liabilities, and also to calculate their cap liabilities with inclusion of the sequester so that they know what the cap liability may be if HHS/CMS determines that inclusion of the sequester in the cap calculation is appropriate.  Hospices may want to wait to submit their cap self-calculation until NAHC receives additional word from CMS on resolution of the cap/sequester issue.

If you are a hospice provider that uses a financial consultant please seek their guidance on how best to proceed with the calculation of your cap liability.  NAHC will continue to post and publish any updates on this and related issues.

To view a sample self-reporting cam computation, please click here.

To view a sample letter to MACs on this issue, please click here

To view instructions on how to complete the hospice cap, please click here.




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