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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 Applauds Survey that Shows Home Care Cost Growth Lower than for Other Long Term Care Services

April 15, 2015 02:15 PM

The National Association for Home Care & Hospice (NAHC) today applauded findings in Genworth Financial’s 2015 Cost of Care Survey, which compares the costs of long term care services for consumers.  While the costs of all types of care have increased, the survey found that home care services are growing at a significantly lower rate than other long term care services.

The findings in the survey reinforce NAHC’s position that most people prefer to receive care in their homes and that home care is more cost-effective.

“Over the past 12 years, Genworth has uncovered several trends in the long term care services landscape,” Genworth stated in the survey.  “Not surprisingly, the cost of all types of care has steadily risen over the years — from homemaker services to nursing home care.  However, the cost of care provided in people’s homes has not risen by the same degree as care provided in facilities.”

The survey found that the more gradual increase in home care costs is “good news” for consumers as most consumers stated it is “very important” to be able to stay in their homes.  “Genworth’s experience shows that the majority of claims begin in the home.  Plus, our research shows that being able to stay at home is very important for most people thinking about buying long term care insurance. In other words, this gradual increase in cost for home care is good news for many consumers,” Genworth wrote.

In conducting the survey, Genworth contacted over 47,000 providers and completed more than 15,000 surveys, including nursing homes, assisted living facilities, adult day health facilities and home care providers. Genworth randomly selected the providers to contact from a nationwide database.

With regards to home care providers, Genworth surveyed more than 3,700 home health care providers. It included only home care agencies that provided services not requiring the presence of a skilled nurse.  The survey based annual rates on a calculation of 44 hours per week over a 52 week period, excluding holidays.

The survey found that over the last five years the cost of home health services  has grown at an annual rate of 1.03%, while the cost of assisted living facilities has grown by an annual rate of 2.48% and the cost of nursing home facilities has grown at an annual rate of nearly 4%.

Here are survey results by long term care service:

Long Term Care Service

National Median Rates

Increase Over 2014

Five-Year Annual Growth

Homemaker Services

$20 Hourly



Home Health Aide Services

$20 Hourly



Adult Day Health Care

$69 Daily



Assisted Living Facility

$3,600 Monthly



Nursing Home Care (Semi-Private Room)

$220 Daily




Nursing Home Care (Private Room)

$250 Daily




This is Genworth’s 10th annual Cost of Care Survey. Genworth Financial is a Fortune 500 insurance holding company, including long term insurance.  CareScout, which is a Genworth company that specializes in eligibility assessments, conducted the study.

You can access Genworth’s full survey here.




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