{"data":{"id":"us/42-cfr-484.358","jurisdiction":"us","citation":"42 CFR 484.358","heading":"HHVBP Measure removal factors.","body":"CMS may remove a quality measure from the expanded HHVBP Model based on one or more of the following factors:\n(a) Measure performance among HHAs is so high and unvarying that meaningful distinctions in improvements in performance can no longer be made (that is, topped out).\n(b) Performance or improvement on a measure does not result in better patient outcomes.\n(c) A measure does not align with current clinical guidelines or practice.\n(d) A more broadly applicable measure (across settings, populations, or conditions) for the particular topic is available.\n(e) A measure that is more proximal in time to desired patient outcomes for the particular topic is available.\n(f) A measure that is more strongly associated with desired patient outcomes for the particular topic is available.\n(g) Collection or public reporting of a measure leads to negative unintended consequences other than patient harm.\n(h) The costs associated with a measure outweigh the benefit of its continued use in the program.\n(i) It is not feasible to implement the measure specifications.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER G—STANDARDS AND CERTIFICATION","PART 484—HOME HEALTH SERVICES","Subpart F—Home Health Value-Based Purchasing (HHVBP) Models"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"0c6ced56f74ddf09a5dec17b53a95a771a44e27918784a388fd9d97ca990a4f8","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-484.355","next":"us/42-cfr-484.360"},"notice":"GroundRules: Original legal text. Not legal advice."}