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Process for determining and applying the value-based payment adjustment under the Expanded Home Health Value-Based Purchasing (HHVBP) Model.
42 CFR § 484.370
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42 CFR § 484.370
42 CFR § 484.370
Process for determining and applying the value-based payment adjustment under the Expanded Home Health Value-Based Purchasing (HHVBP) Model.
(a)
General. Competing home health agencies are ranked within the larger-volume and smaller-volume cohorts nationwide based on the performance standards in this part that apply to the expanded HHVBP Model, and CMS makes value-based payment adjustments to the competing HHAs as specified in this section.
(b)
Calculation of the value-based payment adjustment amount. The value-based payment adjustment amount is calculated by multiplying the home health prospective payment final claim payment amount as calculated in accordance with § 484.205 by the payment adjustment percentage.
(c)
Calculation of the payment adjustment percentage. The payment adjustment percentage is calculated as the product of all of the following:
(1)
The applicable percent as defined in § 484.345.
(2)
The competing HHA's Total Performance Score divided by 100.
(3)
The linear exchange function slope.
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