By: Sharath Joji  May. 28, 2021

Wheeling Hospital in Wheeling, WV, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9888 in the year 2021, which could result in an estimated penalty of $386,347. Medicare Spending Per Beneficiary (MSPB) accounts for 25% of overall VBP score and is a significant factor in driving VBP payments. MSPB costs include the costs from 3 days before hospitalization, index hospital stays, and 30 days post-discharge. The measure score of the Efficiency & Cost Reduction domain for Wheeling Hospital during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Wheeling Hospital can avoid VBP penalties by reducing MSPB Costs by 16.4%.