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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

Heath 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

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

MedPAC Delays Consideration of Including Hospice in Post-Acute Transfer Policy

NAHC Cautions Policy is “Inadvisable”
March 17, 2015 04:33 PM

As previously reported, the Medicare Payment Advisory Commission (MedPAC) has been examining hospitals’ increased use of “observation status” and its impact on beneficiaries and other stakeholders with an eye toward development of recommendations to clarify policies governing use of short-term inpatient stays. As part of these discussions, MedPAC has referenced policy changes that could help offset increased costs that would result from hospital short-stay policy recommendations. Among the options under consideration is expansion of the post-acute hospital transfer policy to include “early” discharges to hospice care. Extension of the post-acute transfer policy to include hospice was examined by the Department of Health and Human Services’ Office of the Inspector General (OIG) in a May 2013 report, “Medicare Could Save Millions by Implementing a Hospital Transfer Payment Policy for Early Discharge to Hospice.”  

At its March meeting, MedPAC indicated that, rather than considering a recommendation on including hospice in the post-acute transfer policy at this time it intends to explore the issue in greater depth as part of future meetings before issuing a recommendation.

In discussions with MedPAC staff, the National Association for Home Care & Hospice (NAHC) has expressed concern about extension of the post-acute transfer policy to hospice. Most recently, NAHC sent a letter to MedPAC Chairman Glenn Hackbarth and members of the Commission, expressing the belief that, “…after careful consideration…of extending the transfer policy to hospice, MedPAC will determine that making such a recommendation is inadvisable at this time.” NAHC’s letter notes that election of hospice care represents a decision to forego curative care, and that post-acute care discharge to hospice represents a “shift in focus of treatment….The circumstances are substantially different from those in play with existing post-acute transfer policies, under which services might be considered to be a continuation of treatment that was started as part of a patient’s hospitalization.” 

NAHC’s letter suggests that imposition of a post-acute transfer policy on discharges to hospice will “create a strong financial incentive for hospitals to retain patients on care, thereby delaying the start of hospice services and increasing the incidence of very short hospice stays.” The letter also notes that “early” discharges from hospital to hospice care in many cases are patients that would have benefitted from referral to hospice weeks or months previously, and encourages MedPAC to look more broadly at issues related to discharge planning and referral for care as patients approach the end of life. Improvements in care planning for the terminally ill could ensure patients receive more appropriate care and yield Medicare savings.

Here is a link to NAHC’s full letter to MedPAC.




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