By: Sharath Joji  Jun. 15, 2021

Shore Medical Center in Somers Point, NJ, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9941 in the year 2021, which could result in an estimated penalty of $215,258. 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 Shore 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 Shore Medical Center can avoid VBP penalties by reducing MSPB Costs by 7.3%.

By: Barsha Nandy  Aug. 18, 2020

Dexur’s analysis of Medicare claims of hospitals within a 25-mile radius of Vineland, NJ, showed that Shore Medical Center, Inspira Medical Center Vineland, and Jefferson Stratford Hospital had the best value outcomes over a 90-day episode for Sepsis. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days, including the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. The total cost of care data helps patients make appropriate choices and helps local ACOs make appropriate referrals choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 871: Septicemia or Severe Sepsis without MV >96 Hours with Major Complication or Comorbidity, to adjust for complications and comorbidities.