Importance: The original Home Health Value-Based Purchasing (HHVBP) model provided financial incentives to home health agencies for quality improvement in 9 randomly selected US states.
Objective: To evaluate quality, utilization, and Medicare payments for home health patients in HHVBP states compared with those in comparison states.
Design, Setting, And Participants: This cohort study was conducted in 2021 with secondary data from January 2013 to December 2020.