In 2026, quality scores raised pay for 3,826 home health agencies and cut it for 3,395
Home health agencies by the adjustment the expanded Home Health Value-Based Purchasing Model applies to their traditional Medicare payments in 2026, set from 2024 performance. Percentage points, from −5 to +5
Show the numbers as a table
| Bin | From | Up to | Agencies | Note |
|---|---|---|---|---|
| −5% to −4% | −5% | −4% | 180 | Includes the 16 agencies at the −5% minimum |
| −4% to −3% | −4% | −3% | 360 | |
| −3% to −2% | −3% | −2% | 685 | |
| −2% to −1% | −2% | −1% | 974 | |
| −1% to 0% | −1% | 0% | 1,196 | |
| 0% to 1% | 0% | 1% | 1,213 | |
| 1% to 2% | 1% | 2% | 936 | |
| 2% to 3% | 2% | 3% | 632 | |
| 3% to 4% | 3% | 4% | 443 | |
| 4% to 5% | 4% | 5% | 614 | Includes the 356 agencies at the +5% maximum |
About the data
- Sources
- CMS Provider Data Catalog, Expanded Home Health Value-Based Purchasing (HHVBP) Model - Agency Data, performance year 2024 (opens in a new tab)Columns Payment Year and Adjusted Payment Percentage (APP), every agency
- CMS, Expanded Home Health Value-Based Purchasing Model (opens in a new tab)Model overview and Model Summary
- Method
- Kent Applied counted the 7,233 agencies in CMS's file with a 2026 payment year and an adjusted payment percentage. 5,006 more agencies in the file have none: CMS's footnote says they were ineligible because of their Medicare certification date, or had too few measures to score. Each bin includes its lower edge; the top bin also includes +5%.
- Published
Free to share and embed with credit to Kent Applied (CC BY 4.0). The source data keeps its own terms.
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Sources for the figures above: CMS, CY 2026 Home Health Prospective Payment System final rule, December 2, 2025 (opens in a new tab); CMS, CY 2027 Home Health Prospective Payment System proposed rule, 91 FR 41216, July 6, 2026 (opens in a new tab); 42 CFR 512.550, Reconciliation process and determination of the reconciliation payment or repayment amount (opens in a new tab); CY 2026 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center final rule, 90 FR 53448 (opens in a new tab); federalregister.gov (opens in a new tab).
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