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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

Cost Report Update for Provider-based Hospices

Home Health Cost Report Changes Pending
September 11, 2015 03:21 PM

The Centers for Medicare & Medicaid Services (CMS) is in the process of modifying all cost reporting forms and instructions used by hospice organizations to include reporting of costs by level of care. These changes are significant and require expansion of data collection efforts and modification of a hospice’s chart of accounts to ensure costs are attributed in detail to the appropriate level of care. The first cost reporting forms and instructions that CMS modified to reflect these changes are applicable to freestanding hospice organizations and became effective for cost reporting years beginning on/after October 1, 2014. See previous NAHC Report coverage here, here, here and here.

In more recent months, CMS has requested public comment on identical revisions to cost reporting forms and instructions for hospital (form CMS-2552-10) and skilled nursing facility (SNF)-based hospices (form CMS-2540-10). The hospital-based hospice forms/instructions have gone through an initial public comment period and we are awaiting a second opportunity for comment. CMS has requested public comment twice on the SNF-based hospice forms/instructions; the second comment period for the SNF-based hospice changes ends at close of business on September 11, 2015. Relative to the second round of the SNF cost report changes, CMS posted an earlier version of the instructions and neglected to post the forms; they are in the process of correcting the posting on the website.  In the interim, CMS has supplied the National Association for Home Care & Hospice (NAHC) with copies of the instructions and forms; they are available for viewing here and here. IMPORTANT NOTE: CMS’ initial intent was to make the SNF-based hospice cost report changes effective for cost reporting years beginning on/after October 1, 2014; CMS now intends for the changes to become effective for cost reporting years beginning on/after October 1, 2015. NAHC does NOT anticipate that this date will change, so if SNF-based hospices have not yet modified their chart of accounts or data collection processes, they should do so now. The expanded data collection requirements are included in a new series of cost report worksheets (Worksheet O).

On September 4, 2015, CMS published in the Federal Register a request for comment on proposed changes to the Home Health Agency Cost Report (CMS-1728-94). CMS has not yet posted the supporting documents containing the proposed changes but they should be posted at some time in the near future here. We anticipate that these changes will include the expansion of data collection and attribution by level of care for HHA-based hospice programs but do not know if the proposed changes include other revisions to the HHA cost report. As soon as the supporting documents are posted NAHC will analyze them and report on the changes. This request for comment is subject to a 60-day comment period that ends on November 3, 2015.




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