CMS expands VBP


Additional states will join nine now operating under the Value-Based Purchasing Model


The Value-Based Purchasing Model could be coming to your state as early as 2022.

On Jan. 8, the Centers for Medicaid and Medicaid Services (CMS) announced plans to expand VBP beyond the nine states in which it currently operates. CMS did not say which states would be included in the expansion or announce a specific timeframe for its implementation. However, the earliest the expansion would roll out would be Jan. 1 2022.

“We’ve been expecting this expansion of Value-Based Purchasing for several years now, but the Covid-19 public health emergency has really been the impetus to push forward with the expansion now,” said J’non Griffin, President of Home Health Solutions, a Simione Coding Company.

The pandemic highlights the importance of home health to the overall health care spectrum, according to Griffin, because it offers an alternative to in-patient care for vulnerable seniors and other frail patients. CMS says it believes value-based purchasing is a way to reward agencies for providing quality care to patients in their homes.

The Value-Based Purchasing Model was implemented in 2016. Under the program, Medicare payments to home health agencies operating in Massachusetts, Maryland, North Carolina, Florida, Washington, Arizona, Iowa, Nebraska, and Tennessee are tied to quality of care and efficiency.

“After evaluating the program in those states, CMS has determined that VBP can also work in other areas,” Griffin said. “The evaluation noted some improvement in patient functionality and a reduced number of acute care hospitalizations under VBP.”


Read the CMS announcement here.

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