A technical change in how Value-Based Purchasing scores are calculated should increase accuracy when it comes to rewarding agencies under the pilot program that starts in nine states Jan. 1. “We proposed that all achievement points would be rounded up or down to the nearest point (for example, an achievement score of 4.55 would be rounded to 5),” the Centers for Medicare & Medicaid Services notes in the 2016 HH PPS final rule. “After considering the potential skewing of HHA ranking that would occur with rounding up to the nearest point, we are finalizing that all achievement points will be rounded up or down to the third decimal point.”