By: Debasish Choudhury  May. 18, 2021

Washington Hospital, Fremont, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9946 in the year 2021, which could result in an estimated penalty of $388,249. 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 Washington Hospital during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Washington Hospital can avoid VBP penalties by reducing MSPB Cost by 5.7%.