On August 23, CMS released the Preview Annual Performance Reports (APR) for the Home Health Value-Based Purchasing (HHVBP) Model. Labeled as the “CY 2024 APR” in iQIES, this report includes the home health agency’s adjusted payment percentage (APP) that will affect 2025 payments. It is based on data from January 1, 2023, to December 31, 2023, covering 12 applicable measures in the expanded HHVBP Model.
Key Report Insights
The APR explains when the payment adjustment will apply, how CMS determined the adjustment based on an agency’s performance scores, as well as the statistics for the Total Performance Score and APP for the agency’ cohort. To achieve a neutral or positive payment impact, scores must be in the 51st percentile or higher. Agencies in the 50th percentile, as currently reported, would see a slight reduction of about 0.2% in payments.
If an agency identifies any error in their Preview APR, they can request a recalculation within 15 days after publication. by emailing hhvbp_recalculation_requests@abtassoc.com.
Preliminary and Final APR Releases
The Preliminary version will be available in September or October after CMS reviews recalculation requests and makes any necessary corrections. If an HHA disagrees with the decision, they can request reconsideration within 15 days of the Preliminary APR’s publication. CMS will review and notify HHAs of its final decision. If still dissatisfied, HHAs have 7 days to request a CMS Administrator Review.
Final APRs will be published in iQIES once all requests and reviews are completed, no later than 30 days before the CY 2025 payment adjustment.
Next Steps for HHAs
Review the content carefully, especially where your performance has fallen short. There are still four months left in 2024 to influence those outcomes for your 2024 report. Aim for each measure to fall within the 51st to 75th percentiles to ensure your overall score improves.
Accessing Reports
Access these reports in the iQIES system, where you’ve been reviewing the Interim Performance Reports (IPR).
