FY2027 VBP Performance and Payment Multiplier Now Available

FY2027 VBP Performance Score Reports are now available in iQIES.

 

This report indicates your Medicare A Payment Multiplier for FY2027 which will begin on October 1, 2026.

 

FY2027 payment rewards are based on SNF performance in 2025

As a reminder, this is the first year that GG DC Function Performance will affect the Medicare rate.

 

The FY2027 program has 8 VBP Measures:

  1. 30-Day SNF Re-Admissions (SNFRRM)
  2. SNF Acquired Infections Requiring Hospitalization (SNF HAI)
  3. Successful Discharge to Community (DTC)
  4. Long Stay Hospitalization
  5. Nursing Staff Turnover
  6. Total Nursing Hours 
  7. Discharge Function Score
  8. Falls with Major Injury – Long stay

 

Interpreting the Results: 

  • Tab 2: Overview of Performance:
    • This tab indicates your SNF’s Performance in each of the 8 measures.
    • It also shows how your current performance compares to your prior performance, (ie did you improve or decline), as well as how you compare to National performance.
  • Tab 5: Performance Score
    • This tab sums up your performance points across all measures for your Total VBP Score and National Ranking.
  • Tab 6: Incentive Payment Multiplier – Most important tab!
    • This tab Indicates your Final Payment Multiplier for FY2027; this is the number in cell B7. This number will be multiplied by your Med A rate in 2027 to determine final Med A payment.
      • If it is higher than 1.0, you will receive more than 100% of the Med A Rate. Eg, if the multiplier is 1.01, you will receive 101% of the Med A rate in 2027.
      • If it is lower than 1.0, you will receive less than the full Med A Rate. Eg, if the multiplier is 0.985, you will receive 98.5% of the Med A Rate in 2027.

To locate your VBP Performance Report:

  1. Log into iQIES at https://iqies.cms.gov/.
  2. In the Reports menu, select My Reports.
  3. From the My Reports page, locate the MDS 3.0 Provider Preview Reports folder. Select the MDS 3.0 Provider Preview Reports link to open the folder.
  4. Locate the SNF VBP Program Performance Score Report (file name: SNFVBP_[CCN]_FY2027_IPM_AUG2026PSR.xlsx).
  5. Once located, select More next to your desired SNF VBP Program Performance Score Report and the report will be downloaded through your browser.

For more information about the SNF VBP Program, please visit the CMS website:https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing

 

If you would like assistance with interpreting your VBP reports, please email Medicarequestions@enhancetherapies.com