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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

The American Health Care Act Won’t Keep Pace with Aging Seniors

June 14, 2017 02:49 PM

The American Health Care Act (AHCA), the Republican party’s plan to repeal and replace the Affordable Care Act (ACA or Obamacare) will jeopardize long-term service and support (LTSS) for millions of seniors as America’s “silver tsunami” of aging baby boomers overwhelms the planned sharp reductions in the Medicaid program, according to a new report.

Concerns about how the steep Medicaid cuts in the AHCA would impact vulnerable populations like the elderly is a concern NAHC has raised itself. From NAHC Report on May 25th, for example: 

These proposals will sharply reduce access to health care for the 74 million vulnerable children, seniors, people with disabilities, working adults and others that rely on Medicaid for high quality, affordable health coverage and care.

The AHCA calls for $800 billion in Medicaid cuts and the Trump administration is budgeting for another $616 billion in Medicaid cuts on top of that, for a total of over $1.4 trillion in cuts to Medicaid funding.

Under AHCA rules, states must choose to take a block grant of Medicaid money each year or create a per-capita cap in which the state receives a set amount of Medicaid money for each beneficiary. The problem, as noted by NAHC and this new report from AARP, is that the per capita cap values would increase at a fixed rate based on average costs in 2016, which is very likely to be not nearly enough to keep pace with medical inflation and the increasingly large population of senior citizens, which grows by an average of 10,000 per day.

What’s more, as people live longer, the costs go up – an 85-year-old Medicaid recipient costs more than twice as much as a Medicaid recipients in the 65-74 age range.. The oldest senior citizens, those at least 85 years of age, will be an increasingly large percentage of the overall senior population (almost 34 percent in 2050, compared to about 22 percent today), leading to an expected increase in need for health care and money to pay for it.

“Given these data, it is very unlikely that the per capita cap allotment set under the AHCA will be able to keep pace with the needs of low-income adults as they age into their eighties and beyond,” write the authors of the report.. “Over time, states will not have adequate funding to serve an increase in—and an aging of—the 65+ population.”

The report states in its conclusion that “the aging of the 65+ population, which is not accounted for in AHCA’s Medicaid financing structure, will hit states hard, potentially jeopardizing access to health care and LTSS for future generations, especially Boomers.”

NAHC and virtually all other organizations devoted to health care in this country remain opposed to the AHCA in its current form and we urge the Senate to reject draconian cuts in Medicaid – cuts that will inevitably affect millions of Americans who are also on Medicare




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