By: Debasish Choudhury  May. 13, 2021

St. Joseph’s Medical Center of Stockton, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9964 in the year 2021, which could result in an estimated penalty of $313,915. 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 St. Joseph’s Medical Center of Stockton during the period was 1/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that St. Joseph’s Medical Center of Stockton can avoid VBP penalties by reducing MSPB Cost by 3.2%.

By: Sampath Kumar  May. 12, 2021

Ascension St. Vincent Evansville in Evansville, IN, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9972 in the year 2021, which could result in an estimated penalty of $143,523. 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 St. Vincent Evansville 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 St. Vincent Evansville can avoid VBP penalties by reducing MSPB Cost by 4.8%.

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%.

By: Sharath Joji  May. 12, 2021

Strong Memorial Hospital in Rochester, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9987 in the year 2021, which could result in an estimated penalty of $105,604. 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 Strong Memorial Hospital during the period was 4/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Strong Memorial Hospital can avoid VBP penalties by reducing MSPB Costs by 1.3%.

By: Sampath Kumar  May. 11, 2021

Lutheran Hospital in Fort Wayne, IN, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9899 in the year 2021, which could result in an estimated penalty of $578,187. 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 Lutheran 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 Lutheran Hospital can avoid VBP penalties by reducing MSPB Cost by 11.7%.

By: Sharath Joji  May. 11, 2021

Allegheny General Hospital in Pittsburgh, PA, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9917 in the year 2021, which could result in an estimated penalty of $528,208. 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 Allegheny General 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 Allegheny General Hospital can avoid VBP penalties by reducing MSPB Costs by 12.5%.

By: Debasish Choudhury  May. 10, 2021

Doctors Medical Center, Modesto, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9917 in the year 2021, which could result in an estimated penalty of $573,212. 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 Doctors Medical Center during the period was 1/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Doctors Medical Center can avoid VBP penalties by reducing MSPB Cost by 9.2%.

By: Sampath Kumar  May. 10, 2021

University of Illinois Hospital & Health Sciences System in Chicago, IL, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9948 in the year 2021, which could result in an estimated penalty of $189,476. 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 University of Illinois Hospital & Health Sciences System during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that University of Illinois Hospital & Health Sciences System Hospital can avoid VBP penalties by reducing MSPB Cost by 7.3%.

By: Sharath Joji  May. 10, 2021

Pennsylvania Hospital, Philadelphia, PA, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9957 in the year 2021, which could result in an estimated penalty of $118,650. 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 Pennsylvania 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 Pennsylvania Hospital can avoid VBP penalties by reducing MSPB Costs by 3.8%.

By: Sampath Kumar  May. 07, 2021

Clark Memorial Hospital in Jeffersonville, IN, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9914 in the year 2021, which could result in an estimated penalty of $246,274. 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 Clark Memorial 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 Clark Memorial Hospital can avoid VBP penalties by reducing MSPB Cost by 12.0%.