By: Sampath Kumar  Jun. 07, 2021

Flagler Hospital in St. Augustine, FL, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9925 in the year 2021, which could result in an estimated penalty of $322,230. 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 Flagler 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 Flagler Hospital can avoid VBP penalties by reducing MSPB Cost by 6.7%.