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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


Pre-Conference Session Descriptions

The following Pre-Conferences are running concurrently from 9:00 a.m. to 3:00 p.m. on Sunday, July 13, 2014. Lunch is included.

You can only register for one of these pre-conferences:

Pre-Conference 1: 601. Hospice Summer Camp 2014

This program provides a thorough overview of the financial aspects of hospice, including discussion of emerging national economic and policy changes which will impact hospice operations, regulatory issues and revenue enhancing strategies. It is structured for intermediate to advanced hospice executives. The Hospice Summer Camp is designed specifically for professionals seeking to sharpen the skills and knowledge needed to improve management of hospice financial operations in this changing environment.

Topics to be addressed include:

  • Health care reform and participating in the changes
  • Hospice staff compensation, strategies for improved productivity and case capacity
  • Palliative Care Services and impact on Hospice Services
  • General Inpatient Services, owned or leasing arrangements, respite and residential services.
  • Financial accounting for all hospice services including bereavement, physician services, volunteers, therapies including music, massage, pet, liaisons or community representatives.
  • Strategies for Revenue Enhancement including public education and marketing methodologies
  • New Hospice Cost Reporting


  • Identify hospice financial management essentials including the accounting, operational and statistical structure for a home health agency.
  • Review crucial reimbursement and revenue strategies to achieve bottom-line success with hospice.
  • Describe health system dynamics that may affect future opportunities for hospice and palliative care services.
  • Explain the intent behind government efforts to increase hospice reporting requirements and modify the hospice cost report.
  • Identify reports required for monitoring financial operations and the specific components used to calculate each indicator.
  • Recognize the expected capabilities of an agency’s IT systems and internal/external data sources.
  • Identify compensation strategies to maximize productivity while maintaining quality of performance
  • Identify specific analysis procedures to understand and optimizing financial operations.

Faculty: Walter Borginis, CPA, MBA, CFO, Executive Vice President-Finance & Administration, VNA of Greater Philadelphia, Philadelphia, PA;  Pat Laff, CPA, Managing Principal, Laff Associates, Hilton Head Island, SC; Carolyn Flietstra, RN, BSN, V.P. Home & Community Based Services, Holland Home, Grand Rapids, MI; Anne Hochsprung, CPA, CFO, Suncoast Hospice Institute, Clearwater, FL; Thomas Boyd, BA, MBA, CFE, VP, Reimbursable Services, Simione Healthcare Consultants, LLC, Rohnert Park, CA; Theresa M. Forster, Vice President for Hopsice Policy & Programs, NAHC, Washington, DC  

Course LevelIntemediate; Nursing 5.0 CEs; Accounting 5.0 CPEs (NASBA/MAS)

Pre-Conference 2: 701. Home Health Summer Camp 2014

Home health personnel new to the industry, new agencies and established agencies will benefit from a detailed understanding of the fundamental financial tools and operational strategies for developing and maintaining positive financial outcomes.  It is an updated  program designed for beginning to intermediate level financial staff members who have some experience in home care financial management and who wish to expand their knowledge in the diverse world of home care finance. This pre-conference is focused on

  • current Medicare reimbursement issues faced by home health agencies
  • essential benchmark data needed to manage a home health agency
  • integration of back office and clinical technologies
  • how to best use the Medicare cost report as a management resource tool
  • achieving compliance with reporting responsibilities on organizational change and structure
  • establishing billing oversight processes
  • undertaking a feasibility analysis for instituting new programs, expanding service areas, and creating branch offices


  • Recognize the current Medicare reimbursement issues affecting home health agencies and how to best deal with them.
  • Identify essential benchmark data in home health services, acquisition points, and best practices in managing with the data
  • Interpret the proven techniques for maximizing the Medicare cost report as a financial management tool
  • Identify the requirements for timely reporting of organizational changes through the CMS 855
  • Develop useful processes for achieving compliance with Medicare coverage and billing requirements

Faculty: Melinda Gaboury, COS-C, BBA, Chief Executive Officer, Healthcare Provider Solutions, Inc., Nashville, TN; Thomas Boyd, BA, MBA, CFE, VP, Reimbursable Services, Simione Healthcare Consultants, LLC, Rohnert Park, CA; M. Aaron Little, CPA Director, BKD,LLP, Springfield, MO; Nancy Boyd, BS, Senior Manager, Simione Healthcare Consultants, LLC., Rohnert Park, CA

Course LevelIntemediate; Nursing 5.0 CEs; Accounting 5.0 CPEs (NASBA/MAS)

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