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News & Updates: National Updates

CMS Engages HHVBP Evaluation Contractor

Sunday, January 1, 2017  
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The Centers for Medicare & Medicaid Services (CMS) with the Center for Medicare & Medicaid Innovation (CMMI) engaged Arbor Research and its partner, L&M Policy Research, to design and conduct an evaluation of the Home Health Value-Based Purchasing (HHVBP) Model. The goals of the mixed-methods evaluation are to evaluate the HHVBP model’s impact on (1) home health agency (HHA) operations and performance, and (2) utilization, quality, and beneficiary outcomes in the nine intervention states (Massachusetts, Maryland, North Carolina, Florida, Washington, Arizona, Iowa, Nebraska, and Tennessee). The evaluation includes the following activities:

·       Primary data collection and analysis. To understand how the model may affect the home health environment, we will review the literature around home health and interview national and regional stakeholders. We will investigate the model’s impact in intervention states via interviews with HHA staff and with clinicians and others who refer patients to HHAs. Finally, we will administer surveys to HHA staff and beneficiaries in both intervention and comparison states.

·       Secondary data analysis. We will use Medicare claims data, HHA cost reports and self-reported measures, HHCAHPS survey data, Medicare enrollment data (MBSF), Medicare billing data (MDM), OASIS survey data, and facility-level data (POS) to analyze the impact of the HHVBP demonstration. This will help us discern the demonstration’s impact on HHA performance, Medicare costs, beneficiary experience, and several other outcomes of interest.

·       Ongoing reporting. We will present evaluation results in quarterly and annual reports to CMS. Quarterly reports will provide timely and concise findings on a key set of quality, utilization and spending metrics and highlight areas of interest or concern. Annual reports will provide a comprehensive annual evaluation of the effects of HHVBP on all outcomes of interest.


Share Your Comments

AAHC Executive Director, Marie Fredette meets regularly with the contractor to share feedback from members on this program.  Members are encouraged to submit their comments to AAHC who will share the comments anonymously with the contractor.

  • Provider Members may click here to access the online comment form.

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