By: Sharath Joji  Apr. 05, 2021

Dartmouth-Hitchcock Medical Center, Lebanon, NH, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9941 in the year 2021, which could result in an estimated penalty of $691,589. 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 Dartmouth-Hitchcock 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 Dartmouth-Hitchcock Medical Center can avoid VBP penalties by reducing MSPB Costs by 6.5%.