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National Association for Home Care & Hospice
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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

Heath 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

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


NAHC Announces Innovations Track for 2015 Financial Management Conference

The National Association for Home Care & Hospice (NAHC) today announced details regarding the Innovations Track, one of four concurrent education tracks that will be offered during the Financial Management Conference & Exposition.  The 2015 Financial Management Conference & Exposition is taking place June 28 – 30 at the Gaylord Opryland Resort & Convention Center in Nashville, TN. 

Participants will choose from among four education tracks, including: Home Health, Hospice, Innovations, and Leadership.  This article provides an overview of the Innovations Track.  NAHC previously released information about Home Health and Hospice and a subsequent article will cover Leadership.

"The Innovations Track provides great insights into the amazing opportunities for home care that are emerging as we progress into health care delivery and payment reforms,” said William Dombi, Vice President for Law at NAHC and the Director of the Home Care & Hospice Financial Management Association, a NAHC affiliate.

The Innovations Track will include four courses covering how to manage changes and reforms in home care and hospice, risk sharing in Medicare, strategies to increase revenue, and preparing for Value Based Purchasing in 2016.  Here are more details about the four courses under the Innovations Track:

103. Change Management in Home Care and Hospice

Home care and hospice are in a perpetual state of change.  Over the years the changes have included dramatic reforms in the Medicare home health benefit, intensified scrutiny of compliance requirements in hospice, shifts in payers to managed care, staffing challenges with nursing shortages, business adjustments with the ACA employer mandate and new overtime requirements for personal care aides, to name just a few.  Nevertheless many home care and hospice organizations found a way to cope with these challenges through change management techniques.  This program focuses on what it takes to successfully adjust to the specific types of changes we see in home care and hospice.  It drills down from the high-level views covered in the general session into the granular ingredients of successful change management.

203. Risk Sharing in Medicare: Can it Work for You?

One of the key elements of health care delivery innovations is to share financial risks between providers and payers.  Medicare offers risk sharing through Accountable Care Organizations, Post-Acute Care Bundling, and a wide assortment of demonstration programs.  Medicaid is exploring risk sharing arrangements and management care organizations are already engaged in shared savings programs with a variety of provider types.  Is risk sharing right for your organization?  How does it work?  What tools do you need?  How much risk can you take?  What are the possible financial benefits in the short-term and long term?  This program explores all those questions and more. 

303. Critical Revenue Growth Strategies for Home Care Agencies

Revenue growth is critical to agencies in today’s environment.  Reimbursement cuts have necessitated expense reductions but there are limits to which expense reductions can be made.  Agencies must be able to increase revenue to offset the reductions and continue to adapt to the changes happening in the current market.  This program contains information on a number of strategies developed by members of the Innovations Committee drawn from diverse home care operators. 

403. Value Based Purchasing Begins in 2016 – Will You Be Ready? 

The 2015 Home Health Final Rule includes the provision to begin Value Based Purchasing (HH VBP) in January 2016 for five to eight yet to be identified states and providers.  The proposed revenue adjustment is between 5-8%, which represents the potential payment holdback, as well as the potential bonuses and penalties to the providers, all based upon Home Health Compares outcomes and HH-CAHPs results.  This program will help participants evaluate an agency’s potential exposure to the penalties and opportunities for bonuses based upon current measurable clinical performance and where results will likely need to be.  It will also discuss the cash flow issues related to the payment withholding and provide background on what we can learn from the 2008/2009 HHP4P demonstration and Hospital VBP programs. 

For more details and to register for the Financial Management Conference, please click here.

For more details and to register for the Financial Management Conference, please click here.

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