CMS Open Door Forum Summary: Home Health

The Centers for Medicare and Medicaid Services (CMS) held a Home Health, Hospice, and DME Open Door Forum on September 21, 2022. The summary of the Forum applicable to home health and hospice providers is below. Home Health Value Based Purchasing (HHVBP) The Home Health Value Based Purchasing (HHVBP) program is scheduled to begin January…

New Home Health Value Based Purchasing Newsletter & Webinar Recording

The August 2022 Home Health Value Based Purchasing (HHVBP) Newsletter, containing the latest information about the expanded home health value based purchasing (HHVBP) model as well other as important tools, news and insights, has been posted to the website of the Centers for Medicare & Medicaid Services (CMS) website. On August 25, CMS held a…

CY 2023 HH PPS Proposed Rule and New Resources Now Available; Sample Reports Coming Soon

June FAQs Now Available The June edition of the Expanded HHVBP Model Frequently Asked Questions (FAQs) is now available to assist home health agencies (HHAs) in understanding common terms used in the expanded Model and requirements under the Calendar Year (CY) 2022 Home Health Prospective Payment System (HH PPS) final rule. The document is available…

Expanded HHVBP Model – Achievement Thresholds and Benchmarks Now Available on IQIES

The achievement thresholds and benchmarks for each quality measure in the expanded HHVBP Model are now available on the Internet Quality Improvement and Evaluation System (iQIES) portal: https://iqies.cms.gov/. The achievement thresholds and benchmarks were calculated by cohort using quality measure data for the Model baseline year, which is calendar year (CY) 2019 for the CY…

2 New HHVBP Resources Focused on Quality Measures & Improvement

To support home health agencies (HHAs) participating in the expanded Home Health Value Vased Purcahsing (HHVBP) Model, the HHVBP TA Team produced two expanded Model resources focused on quality measures and quality improvement. The on-demand video, Quality Measures Used in the Expanded HHVBP Model, provides measure-specific information on each of the quality measures included in the expanded…

CMMI Releases 5th Annual Home Health VBP Report

The Center for Medicare  and Medicaid Innovations (CMMI) has released the fifth Home Health Value-Based Purchasing (HHVBP) model annual report. The report shows  that total performance scores were 7% higher among agencies in HHVBP states than agencies in non-HHVBP states in 2020, a decrease in unplanned hospitalizations, ED visits leading to inpatient admission, and skilled…

Home Health Value Based Purchasing Updates

This Home Health Value Based Purchasing (HHVBP) update is intended to provide home health agencies (HHAs) with the latest information about the expanded HHVBP Model as well as important tools, news, and timely insights from the Centers for Medicare & Medicaid Services (CMS) and the HHVBP Model Technical Assistance (TA) Team. How are Baseline Years used…

CMS Learning Event: HHVBP Model Expansion 101

REGISTER HERE The expanded HHVBP Model begins on January 1, 2022 and includes Medicare-certified HHAs in all fifty (50) states, District of Columbia, and the U.S. territories. Calendar year (CY) 2022 for the expanded Home Health Value-Based Purchasing (HHVBP) Model will serve as a pre-implementation year. During this period, the Centers for Medicare & Medicaid Services…

CMS Finalizes Payment Rate Update to Home Health for 2022

NAHC webinar on the CY2022 Final Rule on Friday! Free for NAHC members! Learn more! Home health payment rates increased by 2.6% CMS does not increase or decrease behavioral adjustment 432 case mix weights recalibrated using 2020 data CMS refuses to continue the 5% cap on negative wage index changes HHVBP demonstration expansion nationwide delayed…

CMS Proposes Payment Rate Update to Home Health in 2022

Proposal to expand HHVBP demonstration nationwide 4.36% behavioral adjustment remains The 2022 proposed Medicare home health rates represent a simple inflation rate update, a proposal to recalibrate the case mix weights while maintaining the Low Utilization Payment Adjustment (LUPA) threshold amounts. A scheduled phasing-out of the rural add-on, and the continuation of outlier payment standards, with…