Webinar recap: Home Health Value-Based Purchasing Trends and Reporting

 In Home Health, Industry News, Regulatory

It’s tough to keep up with the changing landscape of healthcare – but we’re here to help! We recently launched a webinar series that will help keep your home health agency educated on the programs, regulations and business strategies that can impact the bottom line. Our first webinar topic was value-based purchasing, presented by our partners at SHP Data.

Here’s what you might have missed if you haven’t yet listened to the webinar recording:

The basics of home health value-based purchasing (HHVBP)  

Value-based purchasing connects care quality to payment to improve patient experiences and outcomes. As mandated by the Accountable Care Act (ACA), the program rewards agencies that improve quality, and penalizes those with poor performance. The program began in January 2016, HH-VBP is a mandatory five-year pilot program impacting all Medicare-certified home health agencies in nine states: Arizona, Florida, Iowa, Maryland, Massachusetts, North Carolina, Nebraska, Tennessee and Washington.

The components of HHVBP

To determine an agency’s Medicare reimbursement rate under the HH-VBP program, CMS uses a total of 17 home health quality measures. An agency’s Total Performance Score (TPS) is measured through achievement and improvement scores, while also considering baselines and benchmarks using data from OASIS, Medicare claims, HHCAHPS surveys and other reported data. Each quality measure will be scored equally to create the agency’s TPS.

CMS will use each agency’s 2015 quality measure as the base year to compare its initial measures. Agencies will receive their total scores, and their subsequent adjusted payment rate, annually. Agencies can expect a to see a 3 percent bonus or penalty in reimbursements in the first year of the program; in each subsequent year the bonus or penalty rates increase, up to 8 percent. The value-based incentive payment amount for a fiscal year depends on the range and distribution of TPS scores across agencies and an agency’s base operation HHRG payment amount.

Keys to success

Equipping your agency with data is one of the best ways to increase your success with HHVBP. For example, SHP offers reporting on median SHP values, a what-if sensitivity analysis based on 17 HHVBP measures, which helps identify what an agency needs to focus on in order to increase TPS. For example, being able to identify your lowest scoring clinicians offers an opportunity to educate poor performers on proper documentation and best practices to improve performance, and ultimately TPS.

Check out the full webinar for more detail and insight into HHVBP, as well as the webinar recording. Download the handouts here.

To learn more about Value Based Care and the Home Health Value Based Purchasing pilot, you can read more on our blog.

Join us for our next discussion on Home Health Agency Conditions of Participation (CoPs).

For more information on the entire webinar series, visit here.

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