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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 Membership Renewal Notices to be Mailed This Week

November 3, 2015 11:01 AM

This week, the National Association for Home Care & Hospice (NAHC) will mail membership renewal notices. We need your help to deliver a key message: home is the center of health care. You can play a key role in getting the message across by renewing your NAHC membership for the coming year. Help us spread the word that home care leads to better outcomes and lets people choose the care best for them. Support our efforts to push laws that will move our industry ahead, foster partnerships with other providers, and promote innovation. Together, we can meet the needs of the 78 million baby boomers who are coming into their golden years and who want to age at home.

It is clear we have already come a long way as we look at what we achieved together in 2015.

  • We blocked the imposition of co-payments. But that is no reason to let down our guard. We will remain vigilant and keep fighting this battle because there are many co-payment proposals on the table that would hurt both agencies and their patients.
  • Together we are leading the crusade to allow nurse practitioners to sign Medicare home health orders.Important legislation with strong support in Congress wouldallow payment for home health services provided to Medicare beneficiaries and ordered by nurse practitioners, clinical nurse specialists, certified nurse midwives, or physician assistants. Passage of the act into law would ensure that Medicare beneficiaries get the care they need and prevent needless delays, especially in medically underserved places where physicians are scarce.
  • We launched a full-court press on Medicaid. More and more Medicaid is becoming a federal program as states continue to adopt the Medicaid expansion under the Affordable Care Act. With the magnified federal presence in Medicaid, NAHC has launched a full-court press through the National Medicaid Action Council, in order to devote more time, energy, and resources to Medicaid. NAHC and the National Medicaid Action Council will continue building efforts to inform members about developments in Medicaid, what those developments mean, and take action to achieve positive change.
  • We are pursuing two lawsuits attacking measures that would decrease access to care.One is against the Department of Labor, seeking to reinstate the companionship exemption. The other is against the Department of Health and Human Services, to overturn the egregious face-to-face regulations issued by the Centers for Medicare & Medicaid Services (CMS). We have already made progress on this second suit since CMS has eliminated the physician narrative as a requirement of the face-to-face rule. Yet this does not address retroactive denials—which are estimated to amount to $200-$300 million—so we will keep pressing our case until we get a successful resolution for our members.
  • We ensured the extension of the Medicare home health rural add-on. Legislation passed earlier this year to repeal the Sustainable Growth Rate included an extension of the current 3 percent payment rate add-on for home health services delivered to residents of rural areas. Loss of the add-on would likely have resulted in agencies having to turn away patients and even eliminate services in rural areas.
  • We conducted a study showing massive growth in home care and hospice.According to the NAHC study, in 2013 the home care and hospice industry drove approximately 7.88 billion miles, which is equivalent to over 12,000 roundtrip visits to the moon. That same year, the home care and hospice industry totaled close to $120 billion in annual expenditures, a growth rate of over 50 percent since 2009.
  • NAHC, through its affiliate the Hospice Association of America, actively engaged beneficiary advocacy groups and conducted numerous meetings with policymakers, including White House and congressional staff who support hospice.
  • In response to CMS’ proposed hospice payment reform regulation, NAHC was the first organization to publicly object to CMS’ plans to disallow payment for the service intensity add-on (SIA) for hospice patients living in nursing facilities, calling this policy discriminatory, inappropriate and unfair to patients in nursing facilities.NAHC also called for additional time prior to implementation of the payment changes to allow hospice providers, states, and others sufficient time to adapt to the payment changes. In both instances CMS modified its plans to allow the SIA for patients residing in nursing facilities and to allow an additional three months for hospice stakeholders to prepare for the payment changes.
  • NAHC has sought clarifications and changes in policy to ease some of the provider burdens associated with timely filing of Notices of Election and Notices of Termination/Revocation, and continues to work for relief in this area.
  • NAHC successfully advocated for the inclusion of payment for advance care planning in the Medicare Physician Fee Schedule Final Rule.CMS’ inclusion of coverage of advance care planning is a vital step toward improving quality of care and ensuring patient involvement and self-determination in the health care decision-making process.
  • NAHC led efforts on legislation to ensure a patient-centered approach to advance care planning, to allow physician assistants to serve as hospice attending physicians, and to revise requirements for hospice face-to-face encounters.

There is still much to do to meet America’s need for the services we provide. New models of care all lean heavily on home care and hospice. Community-based services are the core of evolving health care systems geared toward the needs of those with chronic conditions. Home care, as we constantly remind our lawmakers, can improve life for this growing group and cut costs for Medicare by reducing needless hospitalizations.

Your membership ensures the following:

  • Stay up to date on the latest news affecting home care and hospice through our daily e-newsletter NAHC Report.
  • Keep up with upcoming meetings and events through Get Connected.
  • Receive timely business advice through Business Link, which provides you with business resources specific to home care and hospice.
  • Network with your peers through NAHC’s popular listserv which provides advice on clinical, operational, and policy issues.
  • Free legal and regulatory guidance, along with advocacy before agencies like CMS, IRS, and DOL
  • E-Newsletters from our affiliates, including the Home Care Technology Association of America
  • Highest quality workshops and education in the industry and exhibitionsfeaturing the widest range of products and services supporting home care and hospice.
  • Priority listing on our Consumer Agency Locator
  • Use of the NAHC logo on your website and marketing materials
  • Discounts through NAHC programs for insurance, car leasing, and translation services
  • Your nurses (10 per member) can be members of the Home Healthcare Nurses Association.
  • The right to display the NAHC Code of Ethics, which tells the world that you comply with the highest standards of patient care.

We hope you will keep these pluses in mind when you receive the renewal notice. The aging of the baby boomers will lead to a boom in our services—if we work together. Be the wind in our sails as we ride the age wave to make home care and hospice the center of health care. With your support, we can give an aging America the answer it needs.




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