Jewish Hospital & St. Mary's Healthcare in Louisville, KY, can earn VBP incentives by reducing MSPB costs by 6.7%

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By: Anju Chithrakumar  May. 06, 2021

Jewish Hospital & St. Mary's Healthcare in Louisville, KY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9923 in the year 2021, which could result in an estimated penalty of $571,027. 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 Jewish Hospital & St. Mary's Healthcare during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Jewish Hospital & St. Mary's Healthcare can avoid VBP penalties by reducing MSPB Costs by 6.7%.

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