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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 2017 Financial Management Conference, Day 1

July 17, 2017 01:31 PM

The 2017 Financial Management Conference & Exposition (#FMC2017) is the top conference for financial professionals in home care and hospice and it began in Hartford, Connecticut Sunday morning with two pre-conference seminars -- the Future Home Care and Hospice Leadership Summit and the Executive Home Care and Hospice Leadership Summit, for up-and-comers and top executives in the industry, respectively. The day concluded with a reception in the Exposition Hall, followed by the opening general session, which featured the Washington Update from NAHC Vice President for Law Bill Dombi. 

The leadership summits featured an array of speakers providing advice on how to get to the top of the home care and hospice industry, as well as how to stay there. Discussions covered issues such as how to stay on the right side of a complex regulatory system, how to navigate the False Claims Act and advice on how to avoid legal problems. A summary of the history of government enforcement action and relevant litigation in the home care and hospice industry provided a superb baseline for understanding relevant risks in the industry. 

Other topics discussed included strategies for success in managing an agency’s revenue cycle and how to use collaboration, communication, and integration in home care management to achieve superior financial outcomes. 

The discussion for the Future Home Care and Hospice Leadership Summit concluded with a panel discussion featuring Walter Borginis III, Melinda Gaboury, and Chris Attaya, providing the knowledge they have accumulated over decades in the industry to advise younger professionals on how to become the next leaders in home care and hospice. 

The opening day of the conference concluded with the Washington Update by Bill Dombi, a presentation covering all the policy challenges, risks and solutions for home care and hospice coming from the perspective of a key industry insider based out of Washington, D.C. 

Mr. Dombi began by providing an in-depth analysis of the regulatory and legislative terrain in Washington, D.C. with the Trump administration and a Republican-controlled Congress. Special attention was paid to the health care reform currently being debated in the U.S. Senate and the legislation that has already passed the House of Representatives. Mr. Dombi explained the problems in the legislation, such as Medicaid per capita caps, the potential loss of the Community First Choice benefit, electronic visit verification, and what it all may mean for our industry. 

Mr. Dombi also discussed the challenges posed by MedPAC (“If MedPAC isn’t picking on you, you are comatose or deceased”) and warned attendees of how the Home Health Groupings Model (HHGM) constitutes a huge change in home care. 

Mr. Dombi covered pre-claim review (“if you pray, pray it never comes to you”) in detail and what the brutal experience of Illinois could mean for the rest of the country when or if pre-claim review is revived. 

Finally, Mr. Dombi discussed the current issues in hospice quality and the importance of emergency preparedness, as well as what it means for home care and hospice agencies to be employers. The “companionship services” exemption, wage and hour litigation and mileage reimbursement for home health employees were all covered in detail by Mr. Dombi, who spoke to a packed auditorium.




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