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


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 Comments on Public Display of Survey Reports, Use of Electronic Signatures for Cost Report Submission, and End-of-life Quality Measures

June 16, 2017 04:11 PM

In mid-April, the Centers for Medicare & Medicaid Services (CMS) issued a proposed regulation:  Hospital Inpatient Prospective Payment System for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2018 Rates; CMS-1677-P, which contained a number of provisions relevant to various types of Medicare providers.  The National Association for Home Care & Hospice (NAHC) recently submitted a comment letter on the rule that addressed three issues:

A proposal to permit Medicare providers to utilize electronic signatures for submission of their cost report certification and settlement summary,

A proposal to potentially utilize four end-of-life care measures for cancer patients as part of the Hospital Inpatient Quality Reporting Program, and

A proposal to require national accrediting organizations to make all Medicare provider or supplier final accreditation survey reports (including statements of deficiency findings) and acceptable Plans of Correction (PoC) for the most recent three years publicly available on its website (see previous NAHC Report coverage here). 

In its letter, NAHC supports CMS’ proposal to permit Medicare providers to utilize electronic signatures for submission of cost report certification and settlement summaries, but comments that additional action should be taken to further reduce current regulatory burdens related to existing processes for submitting cost reports, including:

  • Establishment of a means by which preparers of cost reports may, with the approval of and at the request of the provider, submit the cost report directly to the MAC on behalf of the provider,
  • Provide clarification on how Medicare Administrative Contractor (MAC) systems would link cost reporting documents, and
  • Provide clarification that the individual signing the certification statement signature is not limited to the provider’s Administrator of Chief Financial Officer.

NAHC’s letter also endorses CMS’ proposed consideration of four end-of-life care measures for cancer patients for use in the Hospital Inpatient Quality Reporting Program, and expresses support for development of similar measures related to other key mortality diagnoses.

Finally, NAHC’s letter discusses CMS’ proposal to require national accrediting organizations to publicly report, via their websites, accreditation survey information and related materials for accredited providers for the most recent three years.  As part of its comments, NAHC acknowledges the importance of making reliable information on providers available to the public at large, but points out that existing inconsistencies in federal law and regulations related to public availability of survey reports must be reviewed and reconciled before CMS can consider moving forward with its proposal as put forth.  Further, NAHC’s letter notes that existing requirements related to the public display of state-conducted survey reports and PoC are inconsistent with CMS’ proposal related to accrediting organizations. NAHC also notes that disclosure of survey reports can be misleading as they represent a “snapshot in time” and may be misleading or confusing to consumers and others.  NAHC points out that quality COMPARE sites and Star Ratings may provide more meaningful information to consumers than would the highly technical survey reports.

A copy of NAHC’s letter and referenced attachments are available here.  Special thanks to members of NAHC’s Home Health and Hospice Financial Managers Association, including Mark Sharp (BKD), Dave Macke (VonLehman), Ted Cuppett (The Health Group), Tom Boyd (Simione), Maureen Laskowski (Simione) and Gary Massey (Clifton Larson Allen) for their insights and assistance with comments on issues related to use of electronic signatures on cost report certification and settlement summaries.




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