For many home health leaders, Medicare Spending per Beneficiary (MSPB) has been an overlooked quality measure. Although it has appeared on CMS Care Compare for years, 2026 marks the first year that MSPB directly impacts Home Health Value-Based Purchasing (HHVBP) payment adjustments, making it a financial as well as a quality metric. Unlike traditional measures that focus on outcomes during the home health episode, MSPB evaluates the total Medicare spending associated with a p