How to Prepare Your Home Health Agency for Public Performance Reporting Under Home Health Value Based Purchasing
- Stefano Fronte
- Mar 27
- 3 min read
The Home Health Value-Based Purchasing (HHVBP) model is changing how agencies are measured—and how they are seen.
As CMS rolls out its expanded value-based purchasing model, performance scores will soon be made public, placing agencies under a new level of scrutiny. Starting in 2025, the public—patients, referral sources, and competitors—will be able to view your agency's performance data directly on the Provider Data Catalog (PDC) and Care Compare platforms.
For home health providers, this shift isn’t just about improving clinical outcomes—it’s about reputation management, transparency, and strategy.
Why Public Reporting Matters More Than Ever
Public performance reporting under HHVBP is not just a formality—it’s a powerful signal to referral sources, healthcare partners, and patients.
Here’s what public reporting will mean for your agency:
🧭 Referring physicians and discharge planners may favor high-scoring providers
🌐 Patients and families will choose agencies based on publicly available performance metrics
🏥 Hospitals and ACOs will look for strong HHVBP scores when forming partnerships
💼 Your agency’s market competitiveness could be impacted by your visibility and ranking
In other words, your performance is no longer just a billing factor—it’s a public benchmark.
What Will Be Publicly Reported?
CMS plans to publish a wide range of performance data including:
OASIS-based outcome measures (e.g., improvement in ambulation, medication management)
Claims-based metrics (e.g., hospitalizations, emergency department use)
HHCAHPS survey results (patient satisfaction and experience)
Total Performance Scores (TPS) and Payment Adjustment Percentages (APPs)
All of this will be visible in the Provider Data Catalog starting in 2025, and visible on Care Compare by 2026.
How to Get Ahead of Public Reporting Now
If you wait until the data goes live, it might be too late to influence how your agency is perceived. Here’s how to proactively prepare:
✅ 1. Review Your Annual Performance Report (APR)
Your APR includes your current Total Performance Score and breakdowns of each measure. This is your baseline—review it carefully and identify where you’re underperforming.
✅ 2. Build a Performance-Driven Culture
Consultants can help train your staff on how each quality measure is scored and how their day-to-day decisions impact your HHVBP scores.
✅ 3. Improve Documentation Accuracy
Errors in OASIS assessments or missing details in visit notes can result in lost points or misrepresented outcomes. Ensuring clean, compliant documentation is key to score accuracy.
✅ 4. Prioritize HHCAHPS Improvement
Patient satisfaction is a large part of HHVBP scoring—and a major influence on public perception. Create workflows that prioritize clear communication, timely visits, and patient education.
✅ 5. Consider Strategic Consulting Support
Consultants can:
Audit your documentation and scoring performance
Help interpret your APR and public data
Guide QAPI plans tailored to HHVBP
Help you prepare for public reporting with confidence
What Happens If You Don't Prepare?
Agencies that ignore this shift may see:
❌ Reduced referrals from hospitals and physicians
❌ Lower patient trust and online visibility
❌ Negative comparisons with higher-performing competitors
❌ Decreased reimbursement from Medicare
In contrast, proactive agencies can use HHVBP public reporting as a strategic advantage—showcasing their strengths and positioning themselves as leaders in quality care.
Conclusion
Home Health Value-Based Purchasing is no longer just about clinical results—it’s about how your agency is viewed and compared in the public eye.
Now is the time to align your team, refine your processes, and prepare for the reality of public reporting. With expert consulting, your agency can not only adapt but lead with confidence, data, and transparency.
💡 Worried about how your agency will appear in public HHVBP reports? Our expert Home Health Consulting team can help you review your scores, improve your performance, and build a strategy for value-based success.
