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 Code of Federal Regulations (Last Updated: November 8, 2024)
 Title 42 - Public Health
 Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services
 SubChapter G—Standards and Certification
 Part 484 - Home Health Services
 Subpart F - Home Health Value-Based Purchasing (HHVBP) Models
 HHVBP Model Components for Competing Home Health Agencies (HHAs) for HHVBP Model Expansion—Effective January 1, 2022

  § 484.358 - HHVBP Measure removal factors.  

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  • § 484.358 xxx

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    HHVBP Measure removal factors.

    CMS may remove a quality measure from the expanded HHVBP Model based on one or more of the following factors:

    (a) Measure performance among HHAs is so high and unvarying that meaningful distinctions in improvements in performance can no longer be made (that is, topped out).

    (b) Performance or improvement on a measure does not result in better patient outcomes.

    (c) A measure does not align with current clinical guidelines or practice.

    (d) A more broadly applicable measure (across settings, populations, or conditions) for the particular topic is available.

    (e) A measure that is more proximal in time to desired patient outcomes for the particular topic is available.

    (f) A measure that is more strongly associated with desired patient outcomes for the particular topic is available.

    (g) Collection or public reporting of a measure leads to negative unintended consequences other than patient harm.

    (h) The costs associated with a measure outweigh the benefit of its continued use in the program.

    [88 FR 77878, Nov. 13, 2023

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