Hospital News, Research & Data Analysis
Tucson Medical Center, AZ, can earn VBP incentives by reducing MSPB costs by 9%
By: Debasish Choudhury Jun. 25, 2021
Tucson Medical Center, AZ, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.992 in the year 2021, which could result in an estimated penalty of $664,120. 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 Tucson Medical Center during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Tucson Medical Center can avoid VBP penalties by reducing MSPB Cost by 9%. Read more
By: Sruthy Iype May. 27, 2020
Dexur’s analysis of medicare claims of hospitals in Tucson, Arizona, showed that Tucson Medical Center, Northwest Medical Center, and St. Joseph's Hospital had the best value outcomes over a 90-day episode for Hip & Knee Replacement. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days and includes the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. The total cost of care helps patients make appropriate choices and helps local ACOs such as Arizona Connected Care and Abacus Health make appropriate referrals choices. The analysis was risk-adjusted and was done at the DRG level, specifically DRG 470: Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Complication Or Comorbidity (MCC) to adjust for complications and comorbidities.
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