Dexur is priced aggressively at $30k/Hospital/Year, and design to drive atleast 3x ROI. The internal cost avoidance ROI to the hospital is more than $102k/year which is a ~3.4x ROI return.
| Cost of Dexur Program | $30,000/Hospital / Year |
|---|---|
| ROI Benefit of Dexur’s Quality Program Analytics: Internal Cost avoidance for generating quality reports / analytics | $102,000/ Hospital / Year |
| ROI of Dexur Programs | 3.4 ($102k/$30k) |
Dexur offers quality outcomes analytics, predictions and simulations for CMS programs such as Star Ratings, VBP and Readmissions. Dexur is an approved purchaser of CMS Medicare claim data so it has access to out of hospital data that is critical to monitoring readmissions and mortality measures. Further, Dexur has the algorithms expertise to replicate these individual measures AND also the overall quality programs. Most hospitals understand the strategic benefits of doing well in these quality programs including improved quality, better reputation, more volume, reduced penalties & better contracting/reimbursement terms. These strategic benefits alone would easily justify the cost of $30k/year for a hospital. However, these strategic benefits were not included in Dexur’s ROI model.
Dexur’s ROI took a very conservative approach of just focusing on reduction in time spent on internal resources or 3rd party contractors/software attempting to monitor these programs. We have outlined below the reasons why Hospitals may not even be able to achieve quality reporting because of lack of data and algorithms expertise. Further, we have also outlined the cost to generate these reports even if they were attempted to be done internally.
While Hospitals would find it nearly impossible to do CMS quality programs internally, the cost, even if attempted internally, would be $100k/year. In other words, Dexur’s $30k/year avoids more than 3x (>$100k/year) in internal costs.
| Dexur’s Quality Analytics impact the following financial & strategic measures | Included in Dexur’s ROI Calculations |
|---|---|
| Avoided readmission penalties | No |
| Avoided HACRP / Safety penalties | No |
| Better Value Based Purchasing (VBP) reimbursements | No |
| Better commercial reimbursement rates because of better quality ratings and brand | No |
| Increased patient volume because of better quality ratings and brand | No |
| Avoidable internal costs through manual report generation | Yes |
| Report | Level of Difficulty in attempting internally and Rationale | # of Reports | Update Frequency per Year | Hours / Update | Hours/ Yr | Cost/ Hr | Cost to Generate Reports Internally |
|---|---|---|---|---|---|---|---|
| Total | 1,024 | $102,400 | |||||
| CMS Star Rating | High Difficulty Data: Hospitals don't have access to out of Hospital Readmission & Mortality data which Dexur has access to via Medicare claims Algorithms: Extremely difficult for Hospitals to master the algorithm replication for the CMS Star Rating |
1 | 4 | 30 | 120 | $100 | $12,000 |
| VBP | High Difficulty Data: Hospitals don't have access to out of Hospital Mortality & MSPB data which Dexur has access to via Medicare claims Algorithms: Extremely difficult for Hospitals to master the algorithm replication for the VBP Program |
1 | 4 | 30 | 120 | $100 | $12,000 |
| MSPB | High Difficulty Data: Hospitals don't have access to out of readmission and post acute care data data which Dexur has access to via Medicare claims Algorithms: Extremely difficult for Hospitals to master the algorithm replication for the MSPB Algorithm |
1 | 4 | 24 | 96 | $100 | $9,600 |
| HRRP & Mortality | High Difficulty Data: Hospitals don't have access to out of Hospital Readmission and Mortality data which Dexur has access to via Medicare claims Algorithms: Extremely difficult for Hospitals to master the inclusions and exclusion criteria for each measure |
6 | 4 | 24 | 576 | $100 | $57,600 |
| HCAHPS | Medium Difficulty Data: Hospitals have access to internal data via their vendor Algorithms: Moderately difficult for Hospitals to master HCAHPS algorithms to generate the final score |
1 | 4 | 20 | 80 | $100 | $8,000 |
| Safety | Low Difficulty Data: Hospitals have access to internal data and submission to NHSN Algorithms: Low difficulty since the data is already being submitted and SIR calculations are not simpler |
1 | 4 | 8 | 32 | $100 | $3,200 |