Association of the Home Health Value-Based Purchasing Model With Quality, Utilization, and Medicare Payments After the First 5 Years

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Abstract
In January 2016, the Center for Medicare & Medicaid Innovation of the US Centers for Medicare & Medicaid Services (CMS) initiated the Home Health Value-Based Purchasing (HHVBP) model in 9 states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. These states were randomly selected by CMS from 9 regional groupings (eTable 1 in the Supplement), and all Medicare-certified home health agencies in these states were required to participate in the model.1,2

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