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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

2016 FMC Highlights: Value-Based Purchasing Payment Models Are Here, Now What? (Part 1 of 2)

July 21, 2016 04:07 PM

Among the many informative and insightful education sessions at NAHC’s 2016 Financial Management Conference was a session titled, “Value-Based Purchasing Payment Models Are Here, Now What?” The panel discussion was conducted by Mike Dordick, MBA, Executive Vice President at Principal McBee; Christine Lang, MBA, Senior Director of Product Management at ABILITY Network; Karen Vance, Managing Consultant at BKD, LLP; and Chris Attaya, Vice President of Business Intelligence with Strategic Healthcare Programs. This is Part 1 of NAHC Report’s coverage of this session; a subsequent edition will provide Part 2 of our coverage.

Medicare launched the home health value-based purchasing pilot program (HHVBP) on January 1, 2016. The HHVBP will last for five years and can be expanded at any time. The pilot operates in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington State. During March and April, NAHC held training conferences in each of these states to familiarize home health agencies with the program and to encourage best practices that lead to success.

The FMC panelists addressed many of the questions raised during the pre-conference on the HHVBP, and provided an overview of that in-depth discussion to begin the session.

Mike Dordick explained that the nine states in which the value-based purchasing payment model is operating were selected because of their similarities in size, utilization, and organization, and because health care use in those states is an accurate sampling of the range of health issues facing Americans. With the possibility of nationwide adoption of value-based purchasing, it behooves states not included in the pilot program to observe the progress of the program; familiarize themselves with the terminology and concepts of value-based purchasing; and prepare for implementation in their own states at a later stage. The panelists encouraged non-HHVBP states to use the current time as an opportunity to get a leg up, learn from the pilot states, and develop their own strategies by keeping a close eye on which tactics are effective and ineffective.

By looking at how the Total Performance Score (TPS) is calculated, agencies can start determining areas of strength and areas in need of improvement. The panelists stressed the importance of making sure staff members understand the measures that are included in the calculation of the TPS and of ensuring all measures are weighed equally.

The panelists emphasized the importance of knowing your data. “The data coming out this month is only your own data, CMS won’t show you other [pilot states’ data],” Chris Attaya said, adding that as a result it might be difficult to tell where you stand. “That’s why you have to learn how to go into your system and read your own numbers – know what they mean and where you can get what you need to keep your eye on the process measures and outcome measures.”

The slides from this session are available here.

Stay tuned to NAHC Report for Part 2 of our coverage on this session, including additional action items with regards to HHVBP. If you have any questions about the conference or the education sessions, please contact Katharine Howard at NAHC:




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