Lahey Hospital and Medical Center’s Cardiac Arrhythmia & Conduction Disorders’ MSPB average increased by 14%

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By: Parvathy Rajagopal  Oct. 16, 2020

Dexur analyzed Medicare Claims data and replicated CMS algorithms to calculate Medicare Spending per Beneficiary (MSPB) cost per episode of Lahey Hospital and Medical Center and found that the cost per episode was $19,447 for Cardiac Arrhythmia and Conduction Disorders from Jan-Dec 2019. The cost increased by 14.23% in 2019 to reach $19,447 compared to $17,025 in 2018. MSPB is the only measure under the Efficiency and Cost Reduction domain under the Value-Based Purchasing (VBP) Program and accounts for 25% of VBP adjustments.

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Lahey Hospital & Medical Center, Charlton Memorial Hospital, and Massachusetts General Hospital had the lowest cost of care for Coronary Bypass in East Massachusetts

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By: Barsha Nandy  May. 11, 2020

Dexur’s analysis of medicare claims of hospitals in East Massachusetts showed that Lahey Hospital & Medical Center, Charlton Memorial Hospital, and Massachusetts General Hospital had the lowest cost of care over a 90-day episode for Coronary Bypass. The episode of care tracks a patient journey from the date of admission for 90 days includes the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. The total cost of care helps patients make appropriate choices and helps local ACOs such as BMC Integrated Care Services, Partners Healthcare Accountable Care Organization, MACIPA, and Steward National Care Network to make appropriate referrals choices. The analysis was risk-adjusted and was done at the DRG level, specifically DRG 236: Coronary Bypass Without Cardiac Catheterization Without Major Complication Or Comorbidity (Mcc) to adjust for complications and comorbidities.

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