by Audrey Kinsella
The CMS-directed Value-Based Purchasing (VBP) program is new to the healthcare at home service industry. But it is not at all unfamiliar to the much wider healthcare service delivery realm. The Home Health Value-Based Purchasing program model, about which CMS posted its final rule on November 5, 2015, leverages the successes of and lessons learned from other CMS-initiated value-based purchasing programs and demonstrations. These predecessors include the Hospital Value-Based Purchasing Program and Home Health Pay-for-Performance Demonstration, https://innovation.cms.gov/initiatives/home-health-value-based-purchasing-model
The purpose of these programs is to shift focus from volume-based, fee-for-service payments toward incentives that promote quality care delivery to Medicare beneficiaries. The HHVBP model will test whether incentives for better quality care can improve outcomes in the delivery of healthcare at home services.
It may be too soon to learn from the experiences of the healthcare at home agencies in the nine demonstration states how to achieve desired results from HHVBP (The demonstration began 1/1/16 in Massachusetts, Maryland, North Carolina, Florida, Washington, Arizona, Iowa, Nebraska, and Tennessee). However, a new report, titled "The Essential Guide to the Home Health Value-Based Purchasing Program," has just become available from Advanced TeleHealth Solutions (www.advanced-telehealth.com/essential-guide).
This guide provides in-depth detail about the program and its rules, and the authorís intention is stated at the outset: "to help home health agencies succeed with HHVBP, including advice on how to harness remote patient monitoring to improve their chances of HHVBP success."
The guide also contains critical information on the 24 outcomes and process measures included in HHVBP. It provides help calculating a "Total Performance Score" and its impact on reimbursement, plus other details for HHAs wanting to start out on a sure footing when VBP becomes the law for all.
Planning for HHVBP is by no means a leisurely pastime. Not only are there indications in recent news that all HHAs will be required to provide VBP services, but there are also reports that quality performance will be assessed on a competitive basis. Details on the CMS site about payments provided to HHAs in the nine demonstration states note payment adjustments to be applied until 2022, as follows:
Business as usual is being redefined yet again for healthcare at home providers. Agencies in the 41 states not participating in the VBP demonstration have been given a gift, both of time to prepare and to benefit from others' experiences. Use it.
Audrey Kinsella, MA, MS, is HCTR's telemedicine reporter. She has written on home telehealthcare and new technologies for home care service delivery for 20 years, in 6 books, multiple web sites, and more than 150 published articles. Audrey can be reached at firstname.lastname@example.org or 828-348-5308.
©2016 by Rowan Consulting Associates, Inc., Colorado Springs, CO. All rights reserved. This article originally appeared in Tim Rowan's Home Care Technology Report. homecaretechreport.com One copy may be printed for personal use; further reproduction by permission only. email@example.com