By: Sampath Kumar  May. 05, 2021

UC Health West Chester Hospital in West Chester, OH, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9952 in the year 2021, which could result in an estimated penalty of $118,587. 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 UC Health West Chester 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 UC Health West Chester Hospital can avoid VBP penalties by reducing MSPB Cost by 6.4%.

By: Neha Thomas  Jun. 24, 2020

Dexur’s analysis of medicare claims of hospitals within a 25-mile radius of Cincinnati, OH, showed that West Chester Hospital, Mercy Health - West Hospital, and Mercy Health - Anderson Hospital had the best value outcomes over a 90 day episode for Sepsis. Dexur’s value analysis tracks a patient’s episode of care from the date of admission for 90 days and includes the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. Total cost of care helps patients make appropriate choices and helps local ACOs, such as Healthcare Solutions Network and Mercy Health Select, LLC, make appropriate referral choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 871: Septicemia Or Severe Sepsis Without MV >96 Hours With Major Complication Or Comorbidity, to adjust for complications and comorbidities.