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§484.358. HHVBP Measure removal factors.

42 C.F.R. § 484.358

CMS may remove a quality measure from the expanded HHVBP Model based on one or more of the following factors:
(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).
(b)
Performance or improvement on a measure does not result in better patient outcomes.
(c)
A measure does not align with current clinical guidelines or practice.
(d)
A more broadly applicable measure (across settings, populations, or conditions) for the particular topic is available.
(e)
A measure that is more proximal in time to desired patient outcomes for the particular topic is available.
(f)
A measure that is more strongly associated with desired patient outcomes for the particular topic is available.
(g)
Collection or public reporting of a measure leads to negative unintended consequences other than patient harm.
(h)
The costs associated with a measure outweigh the benefit of its continued use in the program.
(i)
It is not feasible to implement the measure specifications.
Notes, amendments, and revision history

Amendments

[88 FR 77878, Nov. 13, 2023, as amended at 90 FR 55619, Dec. 2, 2025]

Source

Source: 86 FR 62422, Nov. 9, 2021, unless otherwise noted.

Source

Source: 80 FR 68718, Nov. 5, 2015, unless otherwise noted.

Authority

Authority: 42 U.S.C. 1302 and 1395hh.

Source

Source: 54 FR 33367, Aug. 14, 1989, unless otherwise noted.

Amendments

[88 FR 77878, Nov. 13, 2023, as amended at 90 FR 55619, Dec. 2, 2025]