VBC Benchmarking for Home Health: HHVBP Score & Revenue at Risk

What's at stake

Your agency is already in the model

Since 2023, expanded HHVBP has applied to Medicare-certified home health agencies nationwide, scoring each one against peers in its volume cohort. The result moves your Medicare fee-for-service payments up or down.

±5%

Maximum adjustment to Medicare fee-for-service home health payments, up or down, based on your Total Performance Score.

2 years

The gap between the performance year that sets your score and the payment year it applies to. Care in 2026 shapes payments in 2028.

3 types

Claims-based, OASIS-based and patient experience measures all count toward your Total Performance Score.

Source: CMS, Expanded HHVBP Model: Total Performance Score and Payment Adjustment

How much is riding on your score?

Slide to your annual Medicare fee-for-service home health revenue to see the range HHVBP can move it.

Annual Medicare FFS revenue$10M

Maximum swing each year±$500K

Every 1% of adjustment$100K

The timing problem

By the time CMS reports your score, the year is over

HHVBP results arrive long after the care they measure, usually in reports that teams read once and file away. By the time anyone acts on them, the performance year has already closed.

AutoMynd gives your team a clear view of where you stand and where to focus while the performance year is still open.

Performance yearCare is delivered and documented. This is the only window in which the score can still change.

About a year laterCMS publishes your agency's results for that year, long after the care has ended.

Two years laterYour payment adjustment applies to every Medicare fee-for-service claim for the full year.

With AutoMyndYou see your standing, the dollars at risk and the patients to focus on while the performance year is still open.

What AutoMynd provides

From scorecard to next step

Your HHVBP scorecard

AutoMynd provides your Total Performance Score, projected payment adjustment and standing on every measure, benchmarked nationally and against your cohort.

The dollars behind every measure

AutoMynd shows what each measure means for your payments, so leaders know where improvement is worth the most.

A focused patient worklist

AutoMynd gives clinical teams a short list of patients to review, with due dates, so the right charts get attention while it still counts.

Features

Everything HHVBP measures, in one view

Score against your cohort

See your Total Performance Score and where you rank on each measure against agencies of a similar size across the country.

Revenue at risk in dollars

See your projected payment adjustment and the dollars behind it, so leaders can plan with real numbers.

Measures that need attention

Spot the measures holding your score back at a glance, so the team knows where to focus first.

Trends over time

Track which measures are improving and which are slipping, before it shows up in your payment.

Patient experience in view

See how patients rate your agency on HHCAHPS, side by side with your quality and claims measures.

Patient Movers

A prioritized list of patients to review, with due dates, built into the AutoMynd AI EMR.

Built for

One scorecard, four teams

Owners and administrators

See the dollars

Know your position against peers and what it means for payments two years out.

DONs and clinical managers

Focus the team

Put the team's attention on the measures and patients that matter most to this year's score.

QA and clinical review

Act while it counts

Give the right charts a second look while there is still time to make a difference.

Finance and revenue cycle

Plan with confidence

Fold the expected adjustment into budgets instead of finding out when claims pay.

Aligned with CMSScores and benchmarks follow the CMS HHVBP model, so what you see matches how your agency is evaluated.

Clinicians decideAutoMynd flags patients for review. Every clinical and documentation decision stays with your team.

HIPAA and SOC 2 Type IIPatient data stays inside the AutoMynd platform with the same security controls as the rest of the EMR.

Pairs with MyndSight visit analytics

VBC Benchmarking shows where you stand. MyndSight shows what happens in each visit, from compliance checks to patient sentiment.

Explore MyndSight →

FAQ

Questions about HHVBP benchmarking

What is the expanded HHVBP Model?

The expanded Home Health Value-Based Purchasing Model adjusts Medicare fee-for-service home health payments up or down by up to 5% based on quality performance. It has applied to Medicare-certified home health agencies nationwide since performance year 2023, and each agency is compared with peers in its volume cohort.

How much revenue is at stake?

Up to 5% of Medicare fee-for-service home health payments, in either direction. The adjustment applies two years after the performance year, so care delivered in 2026 affects payments in 2028.

What does VBC Benchmarking provide?

Your HHVBP Total Performance Score, projected payment adjustment, standing on every measure against national and cohort benchmarks, revenue at risk in dollars, and a focused list of patients for your clinical team to review.

How current is it?

VBC Benchmarking shows your latest HHVBP position with the reporting period clearly labeled, and the patient list reflects the patients you are caring for today.

Does AutoMynd change OASIS answers?

No. AutoMynd flags patients for review. Clinicians assess the patient and document what they find.

How do I see my agency's benchmark?

VBC Benchmarking is part of the AutoMynd AI EMR. Book a demo and we'll walk you through your agency's position.

Know where you stand in HHVBP. Act while the score can still move.