{
 "id": "pdc:4c74-462e",
 "slug": "expanded-home-health-value-based-purchasing-hhvbp-model-cohort-data",
 "source": "provider-data",
 "title": "Expanded Home Health Value-Based Purchasing (HHVBP) Model - Cohort Data",
 "summary": "Cohort data on the HHVBP performance metrics.",
 "description": "Cohort data on the HHVBP performance metrics.",
 "aliases": [],
 "keywords": [
  "Home Health",
  "Home Health Value-Based Purchasing",
  "Quality",
  "Measures",
  "Performance",
  "Achievement Threshold",
  "Benchmark",
  "Linear Exchange Function",
  "LEF",
  "Adjusted Payment Percentage",
  "Payment Adjustment",
  "Cohort-level"
 ],
 "themes": [
  "Home health services"
 ],
 "topics": [
  "home-health-hospice",
  "quality",
  "aco-value-based",
  "spending-utilization"
 ],
 "category": "Home health services",
 "publisher": "Centers for Medicare & Medicaid Services (CMS)",
 "contact": "HHVBPquestions@cms.hhs.gov",
 "landing_url": "https://data.cms.gov/provider-data/dataset/4c74-462e",
 "csv_url": "https://data.cms.gov/provider-data/sites/default/files/resources/bcb6f4d505a2bfc3b43663e31221fdff_1766534742/HHVBP_Cohort_PerformanceYear_2024.csv",
 "api_url": "https://data.cms.gov/provider-data/api/1/datastore/query/4c74-462e/0",
 "api_kind": "dkan-datastore",
 "preview_url": null,
 "dictionary_url": "https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/home_health/HHS_Data_Dictionary.pdf",
 "dictionary_kind": "pdf",
 "methodology_urls": [],
 "state_column": null,
 "row_count": 2,
 "posted": "2026-01-14",
 "modified": "2025-12-23",
 "period_start": null,
 "period_end": null,
 "latest_period": null,
 "cadence": null,
 "next_update": "2027-01-13",
 "versions": [],
 "columns": [
  {
   "name": "nationwide_cohort",
   "label": "Nationwide Cohort",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "model_baseline_year",
   "label": "Model Baseline Year",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "discharged_to_community_cohorts_achievement_threshold",
   "label": "Discharged to Community: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "dyspnea_cohorts_achievement_threshold",
   "label": "Dyspnea: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "oral_medications_cohorts_achievement_threshold",
   "label": "Oral Medications: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "tnc_mobility_cohorts_achievement_threshold",
   "label": "TNC Mobility: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "tnc_selfcare_cohorts_achievement_threshold",
   "label": "TNC Self-Care: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "ach_cohorts_achievement_threshold",
   "label": "ACH: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "ed_use_cohorts_achievement_threshold",
   "label": "ED Use: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "care_of_patients_cohorts_achievement_threshold",
   "label": "Care of Patients: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote_care_of_patients_cohorts_achievement_threshold",
   "label": "Footnote Care of Patients: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "communication_cohorts_achievement_threshold",
   "label": "Communication: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote_communication_cohorts_achievement_threshold",
   "label": "Footnote Communication: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "specific_care_issues_cohorts_achievement_threshold",
   "label": "Specific Care Issues: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote_specific_care_issues_cohorts_achievement_threshold",
   "label": "Footnote Specific Care Issues: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "overall_rating_cohorts_achievement_threshold",
   "label": "Overall Rating: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote_overall_rating_cohorts_achievement_threshold",
   "label": "Footnote Overall Rating: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "willingness_to_recommend_cohorts_achievement_threshold",
   "label": "Willingness to Recommend: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote_willingness_to_recommend_cohorts_achievement_threshold",
   "label": "Footnote Willingness to Recommend: Cohort's Achievement Threshold",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "discharged_to_community_cohorts_benchmark",
   "label": "Discharged to Community: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "dyspnea_cohorts_benchmark",
   "label": "Dyspnea: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "oral_medications_cohorts_benchmark",
   "label": "Oral Medications: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "tnc_mobility_cohorts_benchmark",
   "label": "TNC Mobility: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "tnc_selfcare_cohorts_benchmark",
   "label": "TNC Self-Care: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "ach_cohorts_benchmark",
   "label": "ACH: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "ed_use_cohorts_benchmark",
   "label": "ED Use: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "care_of_patients_cohorts_benchmark",
   "label": "Care of Patients: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote_care_of_patients_cohorts_benchmark",
   "label": "Footnote Care of Patients: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "communication_cohorts_benchmark",
   "label": "Communication: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote_communication_cohorts_benchmark",
   "label": "Footnote Communication: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "specific_care_issues_cohorts_benchmark",
   "label": "Specific Care Issues: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote_specific_care_issues_cohorts_benchmark",
   "label": "Footnote Specific Care Issues: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "overall_rating_cohorts_benchmark",
   "label": "Overall Rating: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote_overall_rating_cohorts_benchmark",
   "label": "Footnote Overall Rating: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "willingness_to_recommend_cohorts_benchmark",
   "label": "Willingness to Recommend: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote_willingness_to_recommend_cohorts_benchmark",
   "label": "Footnote Willingness to Recommend: Cohort's Benchmark",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cohorts_linear_exchange_function_lef_ratio",
   "label": "Cohort's Linear Exchange Function (LEF) Ratio",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cohorts_average_total_performance_score_tps",
   "label": "Cohort's Average Total Performance Score (TPS)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "cohorts_average_adjusted_payment_percentage_app",
   "label": "Cohort's Average Adjusted Payment Percentage (APP)",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  }
 ],
 "caveats": [],
 "curated": false,
 "license": "https://www.usa.gov/publicdomain/label/1.0/",
 "detail_key": "4c74-462e|2025-12-23|https://data.cms.gov/provider-data/sites/default/files/resources/bcb6f4d505a2bfc3b43663e31221fdff_1766534742/HHVBP_Cohort_PerformanceYear_2024.csv",
 "checked": "2026-10-25",
 "source_name": "Provider Data Catalog"
}