By: Sampath Kumar  May. 19, 2021

Ascension Macomb-Oakland Hospital in Madison Heights, MI, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9936 in the year 2021, which could result in an estimated penalty of $471,977. 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 Ascension Macomb-Oakland 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 Ascension Macomb-Oakland Hospital can avoid VBP penalties by reducing MSPB Cost by 5.7%.