By: Sharath Joji  May. 17, 2021

LewisGale Medical Center in Salem, VA, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9922 in the year 2021, which could result in an estimated penalty of $444,436. 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 LewisGale 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 LewisGale Medical Center can avoid VBP penalties by reducing MSPB Costs by 8%.

By: Saparja Nag  Jan. 12, 2018

According to a recent analysis conducted by Dexur on CMS Medicare claims, Virginia hospitals LewisGale Medical Center and Inova Fairfax Hospital both discharged more than 200 DRG-885: Psychoses Medicare inpatients during 2016. DRG-885 involves various forms of psychological disorders including schizophrenia, manic episodes, bipolar and depressive disorders. This analysis included U.S. hospitals with over 3,500 total Medicare inpatient discharges and at least 11 DRG-885 Medicare inpatient discharges per hospital; 21 Virginia hospitals qualified under this criteria. There were total 571 such hospitals in the nation.