Where faith-informed care meets value-based payment
Value-based care (VBC) pays clinicians and systems for outcomes, not just visits. The same conversations that honor a patient's tradition (advance care planning, symptom relief, family presence) are often the conversations that close VBC quality gaps. This page links each model to the practices it supports, with primary-source citations.
PENDING REVIEW
Source-cited · independent clinician review in progress · coverage dashboard
For patients & families
VBC models reward teams who actually listen: to your goals, your faith, and your family. Knowing which model your care team is in helps you ask for the services it covers.
For clinicians & systems
Faith-aligned practices (early ACP, family meetings, symptom-focused review) track closely with the workflows ACO REACH, MSSP, HOPE, and TEAM reward. This is a documented alignment, not a measured causal effect on any specific program's metrics.
Visual evidence map
Model performance windows
Source: CMS / CMS Innovation Center model pages. Each bar's start year and (where applicable) end year are parsed from the model's published performance window.
Evidenced practice → outcome linkages
No evidenced practice → payment-model linkages are published yet. A cell fills only when an authoritative CMS/CMMI source states the relationship directly. Directional relevance is shown as alignment on each practice card instead.
Home & community-based value-based care
Performance windows for CMS / CMMI models that pay for care delivered in the home or community. Years parsed from each model's published page.
No evidenced practice → outcome citations are published yet, so the timeline has no points to plot. Points appear only when an authoritative CMS/CMMI source states the relationship directly.
The Expanded Home Health Value-Based Purchasing Model applies nationally, adjusting Medicare payments to home-health agencies based on quality.
Care at home
Where most serious-illness life actually happens.
Home- and community-based VBC models translate values into payment for the setting most patients prefer. The band below is drawn directly from vbcModels; every metric card below it is cited to a primary CMS or CMMI source.
Home & community-based value-based care
Performance windows for CMS / CMMI models that pay for care delivered in the home or community. Years parsed from each model's published page.
The exact weights used by the Practice → Outcome Strength matrix. Display-only, never inferred from page context.
Verified1.00Primary-source statements from CMS, WHO, NIST, FDA, ISO, or a tradition's own authority on our allow-list.
Peer-reviewed0.85Indexed in PubMed, Cochrane, or a recognized academic publisher with editorial oversight.
Expert-consensus0.65Statements from professional bodies (e.g. CAPC, NHPCO, CHAI) representing consensus practice, not yet primary-trial evidence.
Emerging0.40Pilot or early-evidence claims under active editorial review; clearly labeled and never used alone for a clinical recommendation.
Methodology notes (cited)
Home Health Value-Based Purchasing performance scores combine OASIS, claims-based, and HHCAHPS measures into a Total Performance Score that adjusts Medicare payment for all certified home-health agencies.
When an AI-derived signal informs any displayed metric, it is governed by the NIST AI Risk Management Framework functions: govern, map, measure, manage.
Home Health Value-Based Purchasing — national scope
All 50 states + DC
The Expanded HHVBP Model applies to all Medicare-certified home health agencies nationwide; CY 2023 was the first performance year, with payment adjustments beginning CY 2025.
CMS / CMMI models
Hospice Outcomes & Patient Evaluation (HOPE)
CMS · Oct 2025 → ongoing
Active
Eligibility: All Medicare-certified hospices (replaces HIS).
Key levers
Admission assessment plus up to two HOPE Update Visits
Expanded Home Health Value-Based Purchasing Model (HHVBP)
CMS · 2023 → ongoing
Active
Eligibility: All Medicare-certified home health agencies in the 50 states, DC, and territories.
Key levers
Payment adjustment based on quality performance
Total Performance Score across OASIS, claims, and HHCAHPS measures
Annual published performance reports
Reference guide only. Model details change frequently. Confirm eligibility, dates, and benefit specifics with the linked CMS page before operational decisions. Not legal, financial, or clinical advice.