Hospital News, Research & Data Analysis
In Atrium Health's Carolinas Medical Center
By: Sharath Joji Jun. 30, 2021
Atrium Health Carolinas Medical Center in Charlotte, NC, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9968 in the year 2021, which could result in an estimated penalty of $482,538. 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 Atrium Health Carolinas Medical Center during the period was 1/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Atrium Health Carolinas Medical Center can avoid VBP penalties by reducing MSPB Costs by 2.9%. Read more
By: Saparja Nag Feb. 23, 2018
Dexur analysts conducted a study on major North Carolina hospitals that performed major small and large bowel procedures for Medicare inpatients and determined that Carolinas Medical Center in Charlotte was the only hospital that had a skilled nursing facility (SNF) discharge rate below 20%. Following Carolinas Medical Center was Wake Forest Baptist Medical Center of Winston-Salem, which had a SNF discharge rate of 21.43% and then the 3rd ranking Greenville’s Vidant Medical Center with a SNF discharge rate of 22.01%. WakeMed Raleigh saw 22.40% of their Medicare patients with this procedure discharged to SNFs to rank 4th, while Cape Fear Valley Medical Center in Fayetteville rounded out the top five with a SNF discharge rate of 23.12%. Patients may be discharged to SNFs if they do not have a caretaker at home to assist them during post-operative recovery or if they require more intensive medical care.
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By: Saparja Nag Jan. 02, 2018
North Carolina hospital Carolinas Medical Center led the state with the state’s highest percentage of LOS outlier discharges and greatest average length of stay for pulmonology Medicare inpatients. Carolinas Medical Center exceeded the 2nd ranked hospital for percentage of LOS outlier discharges, Novant Health Forsyth Medical Center, by over 10%, and the 2nd ranked hospital for average LOS, Duke Regional Hospital by nearly 3 days. The proportion of LOS outlier discharges may reflect the efficiency of a hospital in their diagnosis and treatment of patients. Comparing the average LOS between these hospitals also provides insight into what the mean is and therefore what defines an outlier.
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