> For the complete documentation index, see [llms.txt](https://docs.dataplex-consulting.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.dataplex-consulting.com/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/expanded-home-health-value-based-purchasing-hhvbp-model-cohort-data.md). # Expanded Home Health Value-Based Purchasing (HHVBP) Model - Cohort Data Cohort data on Expanded HHVBP performance metrics, including achievement thresholds, benchmarks, LEF ratios, TPS, and APP values. Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md) › Home health services Dataplex delivers this CMS feed as the analysis-ready table `DWV.EXPANDED_HOME_HEALTH_VALUE_BASED_PURCHASING_HHVBP_MODEL_COHO` on Snowflake and Databricks: four snapshot releases spanning 2025–2025, aligned to a single schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it. ## Key facts | | | | ------------------ | ---------------------------------------------------------------------- | | **Snowflake** | `DWV.EXPANDED_HOME_HEALTH_VALUE_BASED_PURCHASING_HHVBP_MODEL_COHO` | | **Databricks** | `cms_dwv.expanded_home_health_value_based_purchasing_hhvbp_model_coho` | | **Cadence** | Annual | | **Update pattern** | Full-refresh; each file replaces the prior snapshot | | **CMS published** | 2025-12-01 | | **Loaded** | 2026-10-22 | | **Columns** | 40 data + 6 lineage | | **File versions** | 4 | | **License** | CMS public data (U.S. Government work) | | **Platforms** | Snowflake Marketplace · Databricks Delta Sharing | Included in the CMS Data Feeds Dataset, [start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset). {% hint style="success" %} **Current**: CMS last published this feed on 2025-12-01. Coverage runs through 2025-12-01. Next CMS release expected \~Dec 2026. {% endhint %} {% hint style="info" %} **Full-refresh feed**: each file version is a complete snapshot and newer files supersede older ones. Filter to the latest file (see the sample query) to avoid double-counting across versions. {% endhint %} ## Sample queries {% tabs %} {% tab title="Snowflake" %} ```sql -- Latest snapshot only (avoids double-counting across file versions) SELECT * FROM DWV.EXPANDED_HOME_HEALTH_VALUE_BASED_PURCHASING_HHVBP_MODEL_COHO WHERE FILE_ID IN ( SELECT ID FROM DWV.FEEDS_FILES WHERE IS_LATEST = 1 ) LIMIT 100; ``` {% endtab %} {% tab title="Databricks" %} ```sql -- Latest snapshot only (avoids double-counting across file versions) SELECT * FROM cms_dwv.expanded_home_health_value_based_purchasing_hhvbp_model_coho WHERE file_id IN ( SELECT id FROM cms_dwv.feeds_files WHERE is_latest = 1 ) LIMIT 100; ``` {% endtab %} {% endtabs %} ## About this feed > Cohort data on Expanded HHVBP performance metrics, including achievement thresholds, benchmarks, LEF ratios, TPS, and APP values. > > *Source: CMS feed metadata* **Keywords:** home health, home health value-based purchasing, HHVBP, quality, performance, achievement threshold, benchmark, linear exchange function, adjusted payment percentage, cohort-level **Theme:** Home health services ## Coverage timeline 2025 🟩 1 of 1 years with snapshot releases, no gaps. ## Release history | Reporting period | CMS published | Loaded | Latest file | | ------------------------- | ------------- | ---------- | ----------- | | Snapshot as of 2025-12-01 | 2025-12-01 | 2026-10-22 | ✓ | | Snapshot as of 2025-12-01 | 2025-12-01 | 2026-10-21 | | | Snapshot as of 2025-12-01 | 2025-12-01 | 2026-09-28 | | | Snapshot as of 2025-12-01 | 2025-12-01 | 2026-09-26 | | ## Data dictionary
📋 40 data columns + 6 lineage columns **Data columns** | Column | Type | Description | | ---------------------------------------------------------------- | ------ | ----------------------------------------------------------------------------------------------------- | | `DATA_PERIOD` | TEXT | Data snapshot period from BATCH\_LOG | | `NATIONWIDE_COHORT` | TEXT | HHVBP nationwide volume cohort | | `MODEL_BASELINE_YEAR` | NUMBER | Baseline year used for the HHVBP model cohort calculations | | `DISCHARGED_TO_COMMUNITY_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the Discharged to Community measure | | `DYSPNEA_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the Dyspnea measure | | `ORAL_MEDICATIONS_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the Oral Medications measure | | `TNC_MOBILITY_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the TNC Mobility measure | | `TNC_SELF_CARE_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the TNC Self-Care measure | | `ACH_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the Acute Care Hospitalization measure | | `ED_USE_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the Emergency Department Use measure | | `CARE_OF_PATIENTS_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the Care of Patients HHCAHPS measure | | `FOOTNOTE_CARE_OF_PATIENTS_COHORT_ACHIEVEMENT_THRESHOLD` | TEXT | Footnote for the Care of Patients cohort achievement threshold | | `COMMUNICATION_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the Communication HHCAHPS measure | | `FOOTNOTE_COMMUNICATION_COHORT_ACHIEVEMENT_THRESHOLD` | TEXT | Footnote for the Communication cohort achievement threshold | | `SPECIFIC_CARE_ISSUES_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the Specific Care Issues HHCAHPS measure | | `FOOTNOTE_SPECIFIC_CARE_ISSUES_COHORT_ACHIEVEMENT_THRESHOLD` | TEXT | Footnote for the Specific Care Issues cohort achievement threshold | | `OVERALL_RATING_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the Overall Rating HHCAHPS measure | | `FOOTNOTE_OVERALL_RATING_COHORT_ACHIEVEMENT_THRESHOLD` | TEXT | Footnote for the Overall Rating cohort achievement threshold | | `WILLINGNESS_TO_RECOMMEND_COHORT_ACHIEVEMENT_THRESHOLD` | NUMBER | Cohort achievement threshold for the Willingness to Recommend HHCAHPS measure | | `FOOTNOTE_WILLINGNESS_TO_RECOMMEND_COHORT_ACHIEVEMENT_THRESHOLD` | TEXT | Footnote for the Willingness to Recommend cohort achievement threshold | | `DISCHARGED_TO_COMMUNITY_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the Discharged to Community measure | | `DYSPNEA_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the Dyspnea measure | | `ORAL_MEDICATIONS_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the Oral Medications measure | | `TNC_MOBILITY_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the TNC Mobility measure | | `TNC_SELF_CARE_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the TNC Self-Care measure | | `ACH_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the Acute Care Hospitalization measure | | `ED_USE_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the Emergency Department Use measure | | `CARE_OF_PATIENTS_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the Care of Patients HHCAHPS measure | | `FOOTNOTE_CARE_OF_PATIENTS_COHORT_BENCHMARK` | TEXT | Footnote for the Care of Patients cohort benchmark | | `COMMUNICATION_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the Communication HHCAHPS measure | | `FOOTNOTE_COMMUNICATION_COHORT_BENCHMARK` | TEXT | Footnote for the Communication cohort benchmark | | `SPECIFIC_CARE_ISSUES_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the Specific Care Issues HHCAHPS measure | | `FOOTNOTE_SPECIFIC_CARE_ISSUES_COHORT_BENCHMARK` | TEXT | Footnote for the Specific Care Issues cohort benchmark | | `OVERALL_RATING_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the Overall Rating HHCAHPS measure | | `FOOTNOTE_OVERALL_RATING_COHORT_BENCHMARK` | TEXT | Footnote for the Overall Rating cohort benchmark | | `WILLINGNESS_TO_RECOMMEND_COHORT_BENCHMARK` | NUMBER | Cohort benchmark for the Willingness to Recommend HHCAHPS measure | | `FOOTNOTE_WILLINGNESS_TO_RECOMMEND_COHORT_BENCHMARK` | TEXT | Footnote for the Willingness to Recommend cohort benchmark | | `COHORT_LINEAR_EXCHANGE_FUNCTION_LEF_RATIO` | NUMBER | Cohort linear exchange function (LEF) ratio | | `COHORT_AVERAGE_TOTAL_PERFORMANCE_SCORE_TPS` | NUMBER | Cohort average total performance score (TPS) | | `COHORT_AVERAGE_ADJUSTED_PAYMENT_PERCENTAGE_APP` | NUMBER | Cohort average adjusted payment percentage (APP), with percent symbols removed before numeric casting | **Lineage columns** (present on every feed table) | Column | Type | Description | | -------------- | -------------- | ------------------------------------------- | | `ROW_ID` | TEXT | Unique row ID for this table (PK) | | `FILE_ID` | TEXT | Source file; joins to `FEEDS_FILES.ID` (FK) | | `FILE_FEED_ID` | TEXT | Parent feed; joins to `FEEDS.ID` (FK) | | `FILE_NAME` | TEXT | Source file name as published by CMS | | `ROWNUM` | NUMBER | Row number within the source file | | `CREATED_AT` | TIMESTAMP\_NTZ | Timestamp when the record was loaded |
## Row-level lineage Every row in this table traces to the exact CMS source file that produced it. The `FILE_ID` column joins to the `FEEDS_FILES` catalog table, and `FILE_FEED_ID` joins to the `FEEDS` master table: ```mermaid erDiagram FEEDS ||--o{ FEEDS_FILES : "ID = FEED_ID" FEEDS ||--o{ EXPANDED_HOME_HEALTH_VALUE_BASED_PURCHASING_HHVBP_MODEL_COHO : "ID = FILE_FEED_ID" FEEDS_FILES ||--o{ EXPANDED_HOME_HEALTH_VALUE_BASED_PURCHASING_HHVBP_MODEL_COHO : "ID = FILE_ID" FEEDS { text ID PK text TITLE text VIEW_NAME text ACCURAL_PERIODICITY } FEEDS_FILES { text ID PK text FEED_ID FK date TEMPORAL_START date TEMPORAL_END date CMS_FEED_MODIFIED number IS_LATEST } EXPANDED_HOME_HEALTH_VALUE_BASED_PURCHASING_HHVBP_MODEL_COHO { text ROW_ID PK text FILE_ID FK text FILE_FEED_ID FK text DATA_PERIOD text NATIONWIDE_COHORT number MODEL_BASELINE_YEAR number DISCHARGED_TO_COMMUNITY_COHORT_ACHIEVEMENT_THRESHOLD number remaining_36_data_columns } ``` Trace any row back to its source file and reporting period: {% tabs %} {% tab title="Snowflake" %} ```sql SELECT d.DATA_PERIOD, d.NATIONWIDE_COHORT, d.MODEL_BASELINE_YEAR, ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED FROM DWV.EXPANDED_HOME_HEALTH_VALUE_BASED_PURCHASING_HHVBP_MODEL_COHO d JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID; ``` {% endtab %} {% tab title="Databricks" %} ```sql SELECT d.data_period, d.nationwide_cohort, d.model_baseline_year, ff.temporal_start, ff.temporal_end, ff.cms_feed_modified FROM cms_dwv.expanded_home_health_value_based_purchasing_hhvbp_model_coho d JOIN cms_dwv.feeds_files ff ON d.file_id = ff.id; ``` {% endtab %} {% endtabs %} ## Source & provenance Published by the **Centers for Medicare & Medicaid Services** (bureau 009:38). * [Official CMS documentation](https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/home_health/HHS_Data_Dictionary.pdf) * [4c74 462e](https://data.cms.gov/provider-data/dataset/4c74-462e) ## Frequently asked questions ### How often is Expanded Home Health Value-Based Purchasing (HHVBP) Model - Cohort Data updated? Annually. CMS last published this feed on 2025-12-01, and Dataplex loaded it to the warehouse on 2026-10-22. New releases are added automatically when CMS publishes them. ### What years does Expanded Home Health Value-Based Purchasing (HHVBP) Model - Cohort Data cover? 2025 through 2025. ### How many records are in Expanded Home Health Value-Based Purchasing (HHVBP) Model - Cohort Data? Count the current snapshot yourself once the share is mounted: {% tabs %} {% tab title="Snowflake" %} ```sql SELECT COUNT(*) FROM DWV.EXPANDED_HOME_HEALTH_VALUE_BASED_PURCHASING_HHVBP_MODEL_COHO d JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID WHERE ff.IS_LATEST = 1; ``` {% endtab %} {% tab title="Databricks" %} ```sql SELECT COUNT(*) FROM cms_dwv.expanded_home_health_value_based_purchasing_hhvbp_model_coho d JOIN cms_dwv.feeds_files ff ON d.file_id = ff.id WHERE ff.is_latest = 1; ``` {% endtab %} {% endtabs %} ### How do I get Expanded Home Health Value-Based Purchasing (HHVBP) Model - Cohort Data data? It's included in the CMS Data Feeds Dataset on the [Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) (free trial available) and via [Databricks Delta Sharing](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00). Once mounted, query `DWV.EXPANDED_HOME_HEALTH_VALUE_BASED_PURCHASING_HHVBP_MODEL_COHO` directly; no pipeline setup required. ## Related feeds {% content-ref url="/pages/rI8ckzyAzZxnMCMaKKbu" %} [Expanded Home Health Value-Based Purchasing (HHVBP) Model - Agency Data](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/expanded-home-health-value-based-purchasing-hhvbp-model-agency-data.md) {% endcontent-ref %} {% content-ref url="/pages/O1Hcf6hXrSOgNXb6jC8t" %} [Home Health Care Agencies](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/home-health-care-agencies.md) {% endcontent-ref %} {% content-ref url="/pages/3mQaYtsNjEf56QH9Uj0M" %} [Home Health Care - Zip Codes](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/home-health-care-zip-codes.md) {% endcontent-ref %} {% content-ref url="/pages/iE58w911vCca5O1SHdad" %} [Nursing Homes Including Rehab Services - Provider Information](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/nursing-homes-including-rehab-services-provider-information.md) {% endcontent-ref %} {% content-ref url="/pages/tU6uuheRUajExC8lzQbp" %} [Hospice - Provider Data](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/hospice-provider-data.md) {% endcontent-ref %} ## Get this feed 1. [Start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) or purchase via [Databricks](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00) 2. Mount the share; the database and `DWV` schema appear in your account immediately 3. Run the [sample query](#sample-queries) above; no ETL, no pipeline maintenance Questions about this feed? Contact us at . *** Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset.md); 280+ feeds · 245B+ records · updated daily. [Back to the full catalog →](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md#expanded-home-health-value-based-purchasing-hhvbp-model-cohort-data) --- # Agent Instructions This documentation is published with GitBook. GitBook is the documentation platform designed so that both humans and AI agents can read, navigate, and reason over technical content effectively. 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