In The News

William A. Dombi Chosen as NAHC’s New Interim President

Posted: Aug. 8, 2017

The National Association for Home Care & Hospice today announced the selection of William A. Dombi, Vice President for Law, as its interim President.

Home Care Association of Colorado members know Bill for his tireless advocacy and for his commitment to Colorado home-care agency providers and HCAC!

The Executive Committee of the Board of Directors of the National Association for Home Care & Hospice met on Thursday, August 3, 2017 and voted to appoint William A. Dombi as the interim president of NAHC. This follows the passing of NAHC’s long-time president Val J. Halamandaris, who died on July 25.

Mr. Dombi has served as Vice President for Law at NAHC since 1987 and is also the Director of the Center for Health Care Law and the Executive Director of the Home Care and Hospice Financial Managers Association. In addition, Mr. Dombi is a member of the advisory board of Bloomberg BNA’s Medicare Report. During his over three decades of experience in health care policy and law, Mr. Dombi has been involved in virtually every regulatory and legal development in the area of home care and hospice, including the Medicare home health benefit of 1980, the hospice benefit of 1983 and the Medicare PPS for home health in 2000.

Mr. Dombi served as lead counsel in the colossal lawsuit that successfully reformed the Medicare home health services benefit, and has been at the center of lawsuits against inadequate payment rates in Medicaid programs. Mr. Dombi also led the class action against then-HCFA for failure to enforce the federal HMO Act, and many other legal fights on behalf of home care and hospice.

“Bill Dombi has been at the center of every fight for home care and hospice in the last 30 years,” said Denise Schrader, Chair of the NAHC Board of Directors. “Nobody knows more about this industry than Bill does and nobody is more trusted by those of us in the industry. Bill’s knowledge of law and policy, as well as his experience and familiarity with the NAHC staff and members, make him the right person for the job now.”

The NAHC Board of Directors is empowered to appoint the president of NAHC, but the Executive Committee can act on Association matters and those decisions may be ratified at the next full meeting of the Board of Directors. That full meeting will take place, via conference call, within the next few weeks.

The Executive Committee is currently identifying a search firm with extensive experience in the recruitment of executives for large trade associations to aid in finding a permanent president of NAHC. Vice Chair of the NAHC Board of Directors Lucy Andrews will develop recommendations for the process of selection of the search committee members.

Meanwhile, planning has begun for a memorial celebration of Val Halamandaris at the Home Care and Hospice Conference and Expo from October 15-17 in Long Beach, California. For his lifetime of dedication to the rights of the elderly and disabled, Val will be posthumously honored with the Pope Francis Award for Charity and Leadership in October.

To all who would like to honor Val’s life of good works, NAHC encourages you to consider a contribution to the Caring Institute (

To celebrate Val’s life NAHC has prepared a short video with some of the people in home care and hospice who knew him best, talking about what he meant to them and to the millions of Americans who depend on home care. Please click here to watch. We hope you will also go to our memorial website for Val,, to leave your own thoughts and tributes to a man whose contributions to health care can hardly be described and will never be forgotten.


HCAC Welcomes New Members

Posted: August 7, 2017

HCAC would like to welcome the following new members to the association:

Thank you for supporting HCAC!

Not a member, please join us!



Sponsor - Thank You: Axxess

Posted: August 6, 2017

Axxess was a Software Demo Breakfast Sponsor at the 2017 Home Care, Home Health & Hospice Conference in Keystone. Axxess is the fastest growing home health technology company, providing an easy-to-use, complete suite of innovative cloud-based software and services for health records, scheduling, patient engagement, revenue cycle management and so much more, empowering healthcare providers with solutions to make lives better. Thank you Axxess!

Read About Axxess

CMS Proposes $80 Million Cut in Home Health PPS Payments for 2018

Posted: Aug. 1, 2017

CMS is proposing to cut CY 2018 Medicare home health prospective payment system (HH PPS) payments by 0.4% — or $80 million overall — compared to 2017 rates under a proposed rule published on July 28, 2017, Reed Smith LLP reports. Furthermore, the agency plans major revisions to the HH PPS case-mix methodology for 2019 that potentially could cut payments by as much as $950 million (-4.3%) in 2019.

CMS will accept comments on the proposed rule until September 25, 2017.

The proposal included the home health groupings model (HHGM)—a model home health care companies see as a threat and a major upheaval to business operations, Home Health Care News reportedAmedisys (Nasdaq: AMED) CEO Paul Kusserow had some fighting words to say about the new groupings model during the company’s earnings call Thursday morning: “Please also remember, it ain’t over until it’s over.”

The groupings model eliminates any incentive for home health care agencies to provide more therapy that comes with higher reimbursement rates. Kusserow expressed worry that doing away with these high reimbursement rates will effectively push home health care providers away from caring for higher acuity patients. The move is in opposition to health care system initiatives that have enabled home health care providers to care for higher acuity patients since the implementation of the Affordable Care Act (ACA).

The Home Care Association of Colorado is offering a 90-minute webinar on the topic with Melinda Gaboury, one of the nation's leading experts on the complexities of home health payment, for this 90 minute webinar. 

Ms. Gaboury is the CEO of Healthcare Provider Solutions, which provides financial, reimbursement, clinical and cost reporting services to the home care, hospice and rehabilitation therapy industries.



NAHC Webinar Recording: The New Home Health Payment Rule Effective CY 2018

Posted: July 31, 2017

This webinar was recorded on Monday, July 31, 2017

Program Description:
Mary Carr and William Dombi will walk through the changes and discuss follow up actions that both the association and agencies need to be doing in advance of the implementation.

Program Faculty:
William A. Dombi, Esq., Vice President for Law, NAHC
Mary K. Carr, Vice President for Regulatory Affairs

Members, click here to access the handouts and recording (login required).

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