By: Anju Chithrakumar  Apr. 19, 2021

SSM Health Depaul Hospital St. Louis in Bridgeton, MO, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9935 in the year 2021, which could result in an estimated penalty of $348,958. 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 SSM Health Depaul Hospital St. Louis during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that SSM Health Depaul Hospital St. Louis can avoid VBP penalties by reducing MSPB Costs by 8.1%.

By: Saparja Nag  Apr. 24, 2018

Dexur analysts studied CMS Medicare claims for alcohol and drug abuse inpatients at Missouri hospitals to determine that SSM DePaul Health Center led the state with the lowest unplanned readmission rate of 5.14% and the 4th lowest average LOS for a 30-day episode of care with unplanned readmissions at 3.78 days. Truman Medical Center Lakewood was another high-performing Missouri hospital for alcohol and drug abuse patients with the 2nd lowest unplanned readmission rate in the state of 10.38% and the 5th lowest average 30-day episode of care LOS with unplanned readmissions at 4.15 days. Ranking 3rd by readmission rate was Research Medical Center at 11.54%, which also ranked 6th for average LOS for a 30-day episode of care including unplanned readmissions at 4.54 days. Twin Rivers Regional Medical Center followed with an unplanned readmission rate of 12.28% to rank 4th and an average LOS of 4.61 days to rank 7th. The last hospital to have an unplanned readmission rate below the national average of 13.33% was Poplar Bluff Regional Medical Center - Oak Grove at 12.36%.