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Expanded HHVBP Model: Final July 2025 Interim Performance Reports (IPRs) are Available in iQIES
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Final July 2025 Interim Performance Reports (IPRs) are Available in iQIES
The Final July 2025 Interim Performance Reports (IPRs) for the expanded HHVBP Model have been published in the Internet Quality Improvement and Evaluation System (iQIES). Starting with this IPR, HHAs that were initially Medicare certified in 2023 are eligible to receive IPRs. For additional details on cohort assignment in the expanded Model, please navigate to Section 2 in the Expanded HHVBP Model Guide, available on the Expanded HHVBP Model webpage, under “FAQs & Model Guide.”
The quarterly IPRs provide home health agencies (HHAs) with the cohort assignment, performance year measure data for the 12 most recent months, and the interim Total Performance Score (TPS). Using the IPRs, an HHA can assess and track their performance relative to peers in their respective cohort throughout the expanded Model performance year.
An HHA will receive a July 2025 if the HHA:
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Was Medicare certified prior to January 1, 2024, and
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Meets the minimum threshold of data for at least one (1) quality measure in the quarterly reporting period for the performance year shown in Exhibit 1.
Exhibit 1: July 2025 IPR quality measure performance scores time periods for each measure category
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Measure Category
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Time Period
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Minimum Data Threshold
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OASIS-based
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Apr 1, 2024 – Mar 31, 2025
(except TNC Change in Mobility, TNC Change in Self-Care, and DTC)
TNC/DTC: Jan 1, 2024 – Dec 31, 2024
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20 home health quality episodes
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Claims-based
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Jan 1, 2024 – Dec 31, 2024
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20 home health stays
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HHCAHPS Survey-based*
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Jan 1, 2024 – Dec 31, 2024
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40 completed surveys
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* Not included in the TPS calculation for HHAs in the smaller-volume cohort.
TNC = Total Normalized Composite. DTC = Discharged to Community.
Note: IPRs are only available to HHAs through iQIES and are located in the “HHA Provider Preview Reports” folder. IPRs are not available to the public.
As outlined in the CY 2024 Home Health (HH) Prospective Payment System (PPS) Final Rule, there are changes to the expanded HHVBP Model measure set starting with CY 2025 (referred to as the “CY 2025 measure set”). The October 2025 IPRs will be the first IPRs to generate Improvement, Achievement, and Care Points based on the CY 2025 measure set. To help HHAs get ready for this change, CMS has started providing resources, including the following three worksheets that provide a preview of HHAs’ performance on the CY 2025 measure set:
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“CY 2025 AT and BM” tab: Starting with the July 2024 IPRs, preliminary Achievement Thresholds (AT) and Benchmarks (BM) have been available to HHAs in each IPR. In the July 2025 IPRs, this tab shows final AT and BM.
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“CY 2025 Baseline” tab: The January 2025 IPRs reported on HHAs’ preliminary Improvement Thresholds for the CY 2025 measure set. NEW – In the July 2025 IPRs, this tab shows final Improvement Thresholds.
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NEW – “CY 2025 Performance” tab: In the July 2025 IPRs, CMS provides an additional worksheet that reports on the most current performance period available by measure category. Note: As some measures are included in both the CY 2024 and CY 2025 measure set, this additional tab will only report on the measures that are new to the CY 2025 measure set (i.e., Home Health Within-Stay Potentially Preventable Hospitalization, Discharge to Community-Post Acute Care, and Discharge Function Score).
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Accessing IPRs
IPRs are available via iQIES in the “HHA Provider Preview Reports” folder, by the CMS Certification number (CCN) assigned to the HHA. If your organization has more than one (1) CCN, then a report will be available for each CCN. Only iQIES users authorized to view an HHA’s reports can access expanded HHVBP Model reports. For assistance with downloading your HHA’s IPR, please contact the iQIES Service Center at 1-800-339-9313, Monday through Friday, 8:00 AM-8:00 PM ET, or by email (iqies@cms.hhs.gov). To create a ticket online or track an existing ticket, please go to CCSQ Support Central.
- Log into iQIES at https://iqies.cms.gov/.
- Select the My Reports option from the Reports menu.
- From the My Reports page, select the HHA Provider Preview Reports folder. The folders and reports on the My Reports page are listed in alphabetical order. Thus, users may need to utilize the “page forward” functionality at the bottom of the webpage to advance to the page where the HHA Provider Preview Reports folder is located. Alternatively, users may change the default number of rows that display on the webpage from 10 to a larger number to view the larger list of folders. Note: Files in the HHA Provider Preview Reports folder are listed in descending order (i.e., in the order of the newest reports to the oldest).
- Select the HHVBP report file, and the contents of the file will display.
Instructions on how to access the IPRs are also available on the Expanded HHVBP Model webpage, under “Model Reports.”
Contact Us
Please do not reply to this email – this is an unmonitored inbox. If you require assistance, use the following options:
- For program questions about the expanded HHVBP Model, contact the HHVBP Model Help Desk at HHVBPquestions@cms.hhs.gov.
- For support with registration for the Internet Quality Improvement and Evaluation System (iQIES), please contact our QIES/iQIES Service Center by phone at (800) 339-9313 or by email at iqies@cms.hhs.gov. You may also refer to the iQIES Onboarding Guide posted to QTSO for registration support: https://qtso.cms.gov/software/iqies/reference-manuals.
- To receive email updates about the expanded Model, please subscribe to the Expanded HHVBP Model listserv. Enter your email address in the contact form, then select “Home Health Value-Based Purchasing (HHVBP) Expanded Model” from the Innovations list.
- Please contact the Home Health Quality Reporting Program (HH QRP) Help Desk at homehealthqualityquestions@cms.hhs.gov for questions about the following: Home Health Quality, including Care Compare (excluding HHCAHPS), OASIS coding and OASIS documentation, quality reporting requirements & deadlines, data reported in quality reports, measure calculations, Quality of Patient Care Star Rating (excluding suppression requests), public reporting, risk adjustment, and Quality Assessment Only (QAO)/Pay for Reporting (P4P).
- Please contact the Home Health CAHPS Help Desk at hhcahps@rti.org for questions related to the HHCAHPS Survey or Patient Survey Star Ratings.
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Important Links:
Expanded HHVBP Model webpage | Expanded HHVBP Model YouTube playlist
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