HHVBP Interim Performance Reports Update: What This Means for Home Health Agencies

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CMS Releases July 2026 HHVBP Interim Performance Reports

CMS has published the Preliminary July 2026 Interim Performance Reports for the expanded Home Health Value-Based Purchasing Model in iQIES. 

These quarterly reports give home health agencies an updated view of their performance during the current performance year, including cohort assignment, measure-level data and an interim Total Performance Score. 

As always, Simple continues to monitor regulatory updates like these to help home health agencies stay informed and prepared. 


What the July 2026 IPR Includes 

The July 2026 Interim Performance Report includes: 

  • The agency’s assigned HHVBP cohort 
  • Performance data for applicable quality measures 
  • Measure-specific reporting periods 
  • The agency’s interim Total Performance Score 
  • A preview of performance under the CY 2026 applicable measure set 

          Agencies can use the report to compare their performance with other HHAs in the same cohort and identify areas that may require closer review before final performance results are issued.


          Which Agencies Receive a Report? 

            An HHA receives a July 2026 IPR when it: 

            • Was Medicare certified before January 1, 2025 
            • Meets the minimum data threshold for at least one quality measure included in the quarterly reporting period 

            July 2026 IPR Reporting Periods and Minimum Data Thresholds 

              Measure category 

              Performance period 

              Minimum data threshold 

              OASIS-based 

              April 1, 2025–March 31, 2026 

              20 home health quality episodes 

              Claims-based: Discharge to Community–Post Acute Care 

              January 1, 2024–December 31, 2025 

              20 home health stays 

              Claims-based: Potentially Preventable Hospitalization 

              January 1, 2025–December 31, 2025 

              20 home health stays 

              HHCAHPS survey-based 

              January 1, 2025–December 31, 2025 

              40 completed surveys 

              HHCAHPS measures are not included in the Total Performance Score for agencies assigned to the smaller-volume cohort. 


              Preview of the CY 2026 Measure Set 

              The October 2026 IPR will be the first report to calculate improvement, achievement and care points using the CY 2026 applicable measure set. 

              To help agencies prepare, CMS has been gradually adding CY 2026 information to quarterly IPRs. The July 2026 report includes a CY 2026 Performance tab that previews current performance for several measures that will become part of the updated measure set. 

              The preview includes performance scores for: 

              • Improvement in Bathing 
              • Improvement in Upper Body Dressing 
              • Improvement in Lower Body Dressing 

                  CMS noted that CY 2024 and CY 2025 data needed to calculate Medicare Spending per Beneficiary–Post Acute Care performance are not yet available. As a result, MSPB-PAC performance scores are not included in the current preview. 

                  Some agencies may also not yet have an assigned MSPB-PAC improvement threshold if they were previously ineligible or did not meet the minimum data requirements for an earlier baseline period. CMS expects to assign those thresholds when the necessary data become available. 

                  No action is required from agencies related to these missing preview values. Updated performance information will appear in future reports. 


                  How to Access the Report 

                  Authorized iQIES users can access IPRs through the HHA Provider Preview Reports folder. 

                  To locate the report: 

                  1. Log in to iQIES. 
                  2. Select My Reports from the Reports menu. 
                  3. Open the HHA Provider Preview Reports folder. 
                  4. Select the applicable HHVBP report file. 

                        Reports are organized by CMS Certification Number. Organizations operating under multiple CCNs should receive a separate report for each eligible CCN. 

                        The reports are not publicly available and can only be viewed by users authorized to access the agency’s reports. 

                        For SimpleConnect™ for Home Health clients: CMS reports are delivered directly to the SimpleConnect dashboard, giving teams a more streamlined way to access and manage important reporting information without navigating multiple systems. 


                        Review the Preliminary Report Carefully 

                        The Preliminary IPR gives agencies an opportunity to request a recalculation when they believe a measure or interim performance score was calculated incorrectly. 

                        For the July 2026 report, recalculation requests must be submitted by July 31, 2026. 

                        A recalculation request should include: 

                        • The provider’s name, service address and CCN 
                        • The specific data or calculation believed to be incorrect 
                        • Contact information for an agency representative 
                        • Supporting documentation that does not include protected health information or personally identifiable information 

                              CMS asks agencies to submit only one CCN per request. Agencies comparing the IPR with an internal or vendor-generated report should also consider including that report and identifying whether the internal values are risk-adjusted and which data sources were used. 

                              Recalculation requests should address potential calculation discrepancies. They do not apply to errors in the agency’s original data submission. 


                              What Home Health Agencies Should Do Next 

                              Home health teams should consider reviewing the report across clinical, quality and operational functions rather than treating it as a standalone score. 

                              Important next steps may include: 

                              • Confirming the agency’s cohort assignment 
                              • Reviewing measure-level performance and minimum data thresholds 
                              • Comparing current results with internal or vendor-generated reports 
                              • Examining the CY 2026 performance preview 
                              • Documenting any potential calculation discrepancies 
                              • Submitting a recalculation request by July 31 when appropriate 
                              • Watching future IPRs for updated MSPB-PAC data 

                                          Even when a recalculation request is not needed, the report can help agencies better understand current performance trends and prepare for the CY 2026 measure changes that will begin appearing in October. 


                                          Simple Will Continue Monitoring Updates 

                                          Simple will continue tracking CMS updates related to the expanded HHVBP Model and sharing information to help home health agencies understand what is changing and how it may affect quality, reporting and performance workflows. 


                                          How Simple Can Help

                                          To see how SimpleConnect™ and SimpleAnalyzer™ for Home Health can help your agency manage CMS reporting workflows and better understand its performance data, request a demo today.


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