By: Anju Chithrakumar  May. 03, 2021

SSM Health St. Joseph Hospital - St. Charles in Saint Charles, MO, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9938 in the year 2021, which could result in an estimated penalty of $159,596. 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 SSM Health St. Joseph Hospital - St. Charles during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that SSM Health St. Joseph Hospital - St. Charles can avoid VBP penalties by reducing MSPB Costs by 11%.