Notice2025-11986

Termination of Home Health Value-Based Purchasing Demonstration

Primary source

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Published
June 30, 2025

Issuing agencies

Defense Department

Abstract

This notice is to advise interested parties of the termination of the DHA's Home Health Value-Based Purchasing (HHVBP) Demonstration. On November 9, 2021, the Centers for Medicare and Medicaid Services (CMS) published a final rule announcing the termination of the original Medicare HHVBP Model one year early for home health agencies (HHAs) in the nine original model states. This serves as formal notice that DHA also terminated the HHVBP demonstration applicable in the original nine model states. Due to the limited time this demonstration was active, there was insufficient data to draft a report detailing findings.

Full Text

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<title>Federal Register, Volume 90 Issue 123 (Monday, June 30, 2025)</title>
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[Federal Register Volume 90, Number 123 (Monday, June 30, 2025)]
[Notices]
[Pages 27856-27857]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-11986]


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DEPARTMENT OF DEFENSE

Office of the Secretary


Termination of Home Health Value-Based Purchasing Demonstration

AGENCY: Defense Health Agency (DHA), Department of Defense.

ACTION: Notice of termination of the DHA's Home Health Value-Based 
Purchasing Demonstration.

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SUMMARY: This notice is to advise interested parties of the termination 
of the DHA's Home Health Value-Based Purchasing (HHVBP) Demonstration. 
On November 9, 2021, the Centers for Medicare and Medicaid Services 
(CMS) published a final rule announcing the termination of the original 
Medicare HHVBP Model one year early for home health agencies (HHAs) in 
the nine original model states. This serves as formal notice that DHA 
also terminated the HHVBP demonstration applicable in the original nine 
model states. Due to the limited time this demonstration was active, 
there was insufficient data to draft a report detailing findings.

[[Page 27857]]


DATES: DHA's current HHVBP model ended December 31, 2021.

FOR FURTHER INFORMATION CONTACT: Duncan Moskowitz, 303-676-3582, 
<a href="/cdn-cgi/l/email-protection#593d2c373a383777297734362a32362e302d23773a302f19313c38352d3177343035"><span class="__cf_email__" data-cfemail="2f4b5a414c4e41015f0142405c444058465b55014c46596f474a4e435b4701424643">[email&#160;protected]</span></a>. Questions regarding payment of 
specific claims should be addressed to the appropriate TRICARE 
contractor.

SUPPLEMENTARY INFORMATION: On September 25, 2019, the DHA published a 
Federal Register notice (``TRICARE; Civilian Health and Medical Program 
of the Uniformed Services (CHAMPUS); Adoption of Medicare's Home Health 
Value-Based Purchasing (HHVBP) Adjustments for Reimbursement Under 
TRICARE's Home Health Prospective Payment System Demonstration'') 
adopting CMS' HHVBP Model as a demonstration for the TRICARE program 
(84 FR 50416). The purpose of the HHVBP demonstration was to improve 
the quality and delivery of home healthcare, and incentivize those HHAs 
that provide higher quality, more efficient care, as well as evaluate 
the administrative feasibility of adopting HHVBP adjustments under the 
TRICARE program. It was expected that adoption of the HHVBP model would 
strengthen the impact of the incentives included within the model by 
adding TRICARE's market share to CMS'.
    DHA's adoption of CMS's HHVBP was consistent with section 705(a) of 
the National Defense Authorization Act for Fiscal Year 2017. The 
adoption of this model established a new value-based demonstration 
within the TRICARE program, based on CMS' similar model.
    The notice stated that DHA's HHVBP demonstration would be effective 
January 1, 2020, through December 31, 2022, unless terminated earlier 
by CMS or by TRICARE. On November 9, 2021, the CMS published a final 
rule (86 FR 62240) in the Federal Register announcing the termination 
of the original Medicare HHVBP Model one year early for HHAs in the 
nine original model states. Director, DHA hereby gives notice that the 
DHA's original HHVBP demonstration ended December 31, 2021. Due to the 
limited time this demonstration was active, there was insufficient data 
for DHA to draft a report detailing the findings of this demonstration 
and potential next steps.

    Dated: June 25, 2025.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2025-11986 Filed 6-27-25; 8:45 am]
BILLING CODE 6001-FR-P


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Indexed from Federal Register on June 30, 2025.

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