Understanding Your Value-Based Purchasing Annual and Interim Performance Reports

2025 was the first year agencies received a claim adjustment based on Achievement or Improvement in 2023.  We are now into 2026 and receiving claim adjustments based on the Achievement or Improvement based on agency performance in 2024.  Are you comfortable with the adjustment your agency received? 

Value Based Purchasing is a blessing to some agencies, and a curse to others.  It is not going away, so come spend an hour with us and learn how to interpret your reports so you can learn how to read the tea leaves CMS is giving you while you can make adjustments to affect your 2028 claim adjustments!

Objectives:

• Understand what the APR is telling you and how it will impact your claims in the payment year.
• Analyze the IPR to see what it is telling you about your Achievement and Improvement in the VBP program.
• Describe how you can use the IPR information to make adjustments to improve your next APR.
• Understand where you can focus efforts to make the biggest impact in your future Achievement or Improvement score.

Your Speaker:

Michael Tidd has over 20 years of experience in the Home Care Industry and is a frequent speaker at HealthCare Synergy Workshops and Webinars. He is a Software Developer, LVN, and Certified in ICD-9/10 Coding and OASIS (COS-C, HCS-D). As the Clinical Manager for HealthCare Synergy, he directs the Outsourced Management Services, assists in regulatory requirement of Synergy EMR, oversees the Clinical Documentation Auditing provided to clients, and participates on the clinical board for Synergy EMR. Michael continues to educate agencies on the ongoing regulations that CMS produces, the proper application of the Medicare Conditions of Participation, and completing timely, accurate, and defendable clinical documentation to survive in the current Medicare Reimbursement Model.