Description

3-Part Live Webinar Schedule (recordings available too): Wednesdays from 1:00-2:30pm (ET)

1. February 18: Expanded Home Health Value-Based Purchasing (HHVBP) Model
2. March 18: Payment Changes: What to Expect for Medicare Home Health Payments in 2026
3. April 15: What Does This Mean for Revenue Cycle Management (RCM) and Agencies?

Part 1: Expanded Home Health Value-Based Purchasing (HHVBP) Model

Changes to the Applicable Measure Set

Beginning April 2026, CMS is proposing changes to the HHCAHPS survey. These changes affect the survey questions used to calculate three measures that are currently used in the expanded HHVBP Model. Due to the proposed changes to the HHCAHPS survey, CMS is proposing to remove these measures: 

• Care of patients,
• Communications between providers and patients, and 
• Specific care issues. 

CMS is also proposing the addition of four measures to the applicable measure set. This includes three OASIS-based measures related to bathing and dressing, and one claims-based measure, the Medicare Spending per Beneficiary for the Post-Acute Care (PAC) setting measure.

Due to the changes to the Model’s applicable measure set, CMS is proposing to alter the current weights of individual measures and measure categories.

Additionally, CMS is proposing to add and codify an additional measure removal factor at § 484.358, Factor 9: It is not feasible to implement the measure specifications.

HHVBP Quality Measure Concepts Under Consideration for Future Years – Request for Information (RFI)

CMS is including in the proposed rule an RFI that would build on input from the expanded HHVBP Model’s Implementation and Monitoring technical expert panel (TEP). We are specifically asking for feedback about the addition of a respecified Falls with Major Injury measure as well as two potential changes to the HHCAHPS survey-based measures scoring rules and applicable measure set as they relate to the expanded HHVBP Model.

Meet the Speakers

Arnie Cisneros is the President of Home Health Strategic Management (HHSM). He has over 30 years of experience as a physical therapist across the care continuum, and he serves as a Post-Acute Consultant for multiple Pioneer Accountable Care Organizations (ACOs). He is renowned for his adaptation of traditional health care operations to address ongoing Centers for Medicare & Medicaid Services (CMS) reforms.

Kimberly McCormick is a highly accomplished nurse consultant in home health. She is the Executive Clinical Director for Home Health Strategic Management. With 24 years of experience in home health, including nearly a decade as the administrator of a home health agency, Kimberly has the experience and knowledge to provide unrivaled insight into the home health arena. Kimberly previously served as an Associate Consultant with HHSM, where she has established herself as an expert in the utilization management of home health services.

Continuing Education

Attendees receive 1.0 continuing education units per webinar for Florida-licensed skilled nursing, occupational therapy, and speech-language pathology and audiology.