By: Sharath Joji  Jun. 07, 2021

NYC Health + Hospitals/Harlem in New York, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9884 in the year 2021, which could result in an estimated penalty of $113,800. 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 NYC Health + Hospitals/Harlem during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that NYC Health + Hospitals/Harlem can avoid VBP penalties by reducing MSPB Costs by 17.3%.