CMS is proposing major changes to the Home Health Value-Based Purchasing (HHVBP) Model in the CY 2026 Home Health Proposed Rule. Here’s what you need to know: Measure Removals – CMS plans to remove three HHCAHPS-based measures: – Care of Patients – Communications Between Providers and Patients – Specific Care Issues Why? These measures rely…
CMS is proposing major changes to the Home Health Value-Based Purchasing (HHVBP) Model in the CY 2026 Home Health Proposed Rule.
Here’s what you need to know:
Measure Removals
– CMS plans to remove three HHCAHPS-based measures:
– Care of Patients
– Communications Between Providers and Patients
– Specific Care Issues
Why? These measures rely on survey questions that are being revised starting April 2026.
New Measures Proposed
– Three OASIS-based measures:
– Improvement in bathing (M1830)
– Improvement in upper body dressing (M1810)
– Improvement in lower body dressing (M1820)
– One claims-based measure:
– Medicare Spending per Beneficiary for Post-Acute Care (PAC)
Proposed Category Weight Changes
– Larger cohort:
– OASIS-based measures – 40%
– Claims-based measures – 40%
– HHCAHS survey-based measures – 20%
– No proposed changes to the smaller cohort category weights.
What It Means for Agencies
– A shift toward functional outcomes and cost efficiency
– Less reliance on patient surveys, more emphasis on clinical documentation and claims data
– Agencies will need to tighten their OASIS accuracy and monitor spending metrics closely
This proposed rule is still open for comment until August 29, 2025, so there’s time to weigh in here: Federal Register’s official page for the rule.
MAC Legacy is here to help you navigate the current HHVBP and prepare for the proposed changes. Contact us today: MAC Legacy » Healthcare is complicated, we make it simple.
