By: Debasish Choudhury  May. 12, 2021

Dominican Hospital, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9973 in the year 2021, which could result in an estimated penalty of $200,525. 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 Dominican 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 Dominican Hospital can avoid VBP penalties by reducing MSPB Cost by 2.2%.