The Home Health Value-Based Purchasing (HHVBP) demonstration program, also known as Pay for Performance, is reimbursement based on quality instead of quantity (prospective or fee-for-service payment) of care provided. The Affordable Care Act (ACA) required the Centers for Medicare and Medicaid Services (CMS) to build a healthcare system delivering improved care, reducing cost, and resulting in healthier people and communities, thus empowering them to implement payment reform through Home Health Value-Based Purchasing. CMS launched the 5-year HHVBP demonstration program in 2016, with payment adjustments up to 8% based on performance.
Home health organizations seeking to achieve enhanced patient and population outcomes, while managing costs and achieving reasonable margins, will require analytic tools to gain improved insights. A home health organization’s CASPER report, Home Health Consumer Assessment of Healthcare Providers and Systems (HH CAHPS) results and Home Health Compare, are all tools to assist to assess and monitor the quality of care provided by an agency. The patient is central to the success of the home health care business and maximizing their engagement ensures the long-term success of the organization. To truly improve outcomes, refocusing the home care agency towards patient focused care is required, a deeper knowledge and application of care processes and workflow redesign to make this possible.
Learn more about Home Health Value-Based Purchasing.