Skip to Main Content
National Association for Home Care & Hospice
Twitter Facebook Pintrest
A A A
Print

Testimonials

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 element...it’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

Forthcoming Hospice PEPPER Expands Target Areas for Live Discharge, Diagnoses, and Care Levels

Release Expected mid-April
February 25, 2016 03:03 PM

For several years the TMF Health Quality Institute, under contract with the Centers for Medicare & Medicaid Services (CMS), has issued a hospice-specific Program for Evaluating Payment Patterns Electronic Report (PEPPER) to help identify areas where the provider may be vulnerable relative to improper payments.  Over time the “target areas” for which data has been made available (comparing hospice-specific data with state, MAC jurisdiction, and national statistics) have been modified and expanded.

TMF is now gearing up to release a new Hospice PEPPER in mid-April 2016 (estimated date of release is April 18).  The forthcoming Hospice PEPPER report includes the following new target areas: 

  • Live Discharges - Revocations
  • Live Discharges with Length of Stay between 61 and 179 days
  • Claims with a Single Diagnosis Coded
  • No General Inpatient Care or Continuous Home Care

All of the new target areas are ones which CMS has identified (through its data analysis on hospice payment reform) as areas of concern, making the new Hospice PEPPER a useful tool for agencies that want to know how they compare in these areas to peers in their state and MAC jurisdiction, as well as how they rank on a national basis. 

As the date for release of the new Hospice PEPPER approaches, TMF will offer additional information and educational opportunities to hospice providers, and those will be promoted through the NAHC member listserv and in NAHC Report.  In the meantime, information on previous years’ PEPPERS and hospice-specific resources are available here

Following is a chart providing information about the target areas and their definitions that will be included in the 2016 Hospice PEPPER report:

PEPPER Target Areas for Hospices

*Note: Target Areas may be added or modified at the discretion of the Centers for Medicare & Medicaid Services.

TARGET AREA

TARGET AREA DEFINITION

Live Discharges No Longer Terminally Ill

(Live Disch)

Numerator (N): count of beneficiary episodes who were discharged alive by the hospice (patient discharge status code not equal to “40” (expired at home), “41” (expired in a medical facility) or “42” (expired place unknown)), excluding:

·       beneficiary transfers (patient discharge status code “50” or “51”)

·       beneficiary revocations (occurrence code “42”)

·       beneficiaries discharged for cause (condition code “H2”)

·       beneficiaries who moved out of the service area (condition code “52”)

 

Denominator (D): count of all beneficiary episodes discharged (by death or alive) by the hospice during the report period (obtained by considering all claims billed for a beneficiary by that hospice)

Live Discharges – Revocations

(Live Disch Rev)

*new as of the Q4FY15 release

N: count of beneficiary episodes who were discharged alive by the hospice (patient discharge status code not equal to “40” (expired at home), “41” (expired in a medical facility) or “42” (expired place unknown)), with occurrence code “42”

 

D: count of all beneficiary episodes discharged (by death or alive) by the hospice during the report period (obtained by considering all claims billed for a beneficiary by that hospice)

Live Discharges with LOS 61-179 Days

(Live Disch LOS 61-179)

*new as of the Q4FY15 release

N: count of beneficiary episodes who were discharged alive by the hospice (patient discharge status code not equal to “40” (expired at home), “41” (expired in a medical facility) or “42” (expired place unknown)), with a length of stay (LOS) of 61-179 days

 

D: count of all beneficiary episodes discharged alive by the hospice during the report period (obtained by considering all claims billed for a beneficiary by that hospice)

Long Length of Stay

(Long LOS)

N: count of beneficiary episodes discharged (by death or alive) by the hospice during the report period whose combined days of service at the hospice is greater than 180 days (obtained by considering all claims billed for a beneficiary by that hospice)

 

D: count of all beneficiary episodes discharged (by death or alive) by the hospice during the report period

Continuous Home Care Provided in an Assisted Living Facility

(CHC in ALF)

 

N: count of beneficiary episodes discharged (by death or alive) by the hospice during the report period where at least eight hours of Continuous Home Care (revenue code = “0652”) were provided while the beneficiary resided in an Assisted Living Facility (HCPCS code = “Q5002”)

 

D: count of all beneficiary episodes ending in the report period that indicate the beneficiary resided in an assisted living facility (HCPCS code = “Q5002”) for any portion of the episode

Routine Home Care Provided in an Assisted Living Facility

(RHC in ALF)

 

N: count of Routine Home Care days (revenue code = “0651”) provided on claims ending in the report period that indicate the beneficiary resided in an assisted living facility (HCPCS code = “Q5002”)

 

D: count of all Routine Home Care days (revenue code = “0651”) provided by the hospice on claims ending in the report period

Routine Home Care Provided in a Nursing Facility

(RHC in NF)

 

N: count of Routine Home Care days (revenue code = “0651”) provided on claims ending in the report period that indicate the beneficiary resided in a nursing facility (HCPCS code = “Q5003”)

 

D: count of all Routine Home Care days (revenue code = “0651”) provided by the hospice on claims ending in the report period

Routine Home Care Provided in a Skilled Nursing Facility

(RHC in SNF)

 

N: count of Routine Home Care days (revenue code = “0651”) provided on claims ending in the report period that indicate the beneficiary resided in a skilled nursing facility (HCPCS code = “Q5004”)

 

D: count of all Routine Home Care days (revenue code = “0651”) provided by the hospice on claims ending in the report period

Claims with Single Diagnosis Coded

(Single Diag)

*new as of the Q4FY15 release

N: count of claims ending in the report period that have only one diagnosis coded

 

D: count of all claims ending in the report period with one or more diagnoses coded

No General Inpatient Care or Continuous Home Care

(No GIP or CHC)

*new as of the Q4FY15 release

N: count of beneficiary episodes ending in the report period that had no amount of general inpatient care (revenue code = “0656”) or continuous home care (revenue code = “0652”)

 

D: count of all beneficiary episodes ending in the report period

 

 

Back

 









NAHC Report
©  National Association for Home Care & Hospice. All Rights Reserved.