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Hospital News, Research & Data Analysis

Hackensack Meridian Ocean Medical Center in Brick Township, NJ, can earn VBP incentives by reducing MSPB costs by 8.1%

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By: Sharath Joji  Jun. 11, 2021

Hackensack Meridian Ocean Medical Center in Brick Township, NJ, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.994 in the year 2021, which could result in an estimated penalty of $476,674. 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 Hackensack Meridian Ocean Medical Center during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Hackensack Meridian Ocean Medical Center can avoid VBP penalties by reducing MSPB Costs by 8.1%.

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Mercy Medical Center Redding, CA, can earn VBP incentives by reducing MSPB costs by 8.3%

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By: Debasish Choudhury  Jun. 10, 2021

Mercy Medical Center Redding, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9904 in the year 2021, which could result in an estimated penalty of $836,393. 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 Mercy Medical Center Redding during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Mercy Medical Center Redding can avoid VBP penalties by reducing MSPB Cost by 8.3%.

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Salem Medical Center in Salem, NJ, can earn VBP incentives by reducing MSPB costs by 15.7%

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By: Sharath Joji  Jun. 10, 2021

Salem Medical Center in Salem, NJ, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9901 in the year 2021, which could result in an estimated penalty of $106,544. 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 Salem 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 Salem Medical Center can avoid VBP penalties by reducing MSPB Costs by 15.7%.

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Lutheran Medical Center, Wheat Ridge, CO, can earn VBP incentives by reducing MSPB costs by 4.4%

In Lutheran Medical Center

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By: Debasish Choudhury  Jun. 09, 2021

Lutheran Medical Center, Wheat Ridge, CO, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9959 in the year 2021, which could result in an estimated penalty of $108,310. 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 Medical Center 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 Medical Center can avoid VBP penalties by reducing MSPB Cost by 4.4%.

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Garnet Health Medical Center in Middletown, NY, can earn VBP incentives by reducing MSPB costs by 3.7%

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By: Sharath Joji  Jun. 09, 2021

Garnet Health Medical Center in Middletown, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9983 in the year 2021, which could result in an estimated penalty of $146,441. 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 Garnet Health Medical Center during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Garnet Health Medical Center can avoid VBP penalties by reducing MSPB Costs by 3.7%.

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Providence Holy Family Hospital, Spokane, WA, can earn VBP incentives by reducing MSPB costs by 6.3%

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By: Debasish Choudhury  Jun. 08, 2021

Providence Holy Family Hospital, Spokane, WA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.994 in the year 2021, which could result in an estimated penalty of $176,503. 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 Providence Holy Family Hospital during the period was 1/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Providence Holy Family Hospital can avoid VBP penalties by reducing MSPB Cost by 6.3%.

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Floyd Medical Center in Rome, GA, can avoid VBP penalties by reducing MSPB costs by 7.6%

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By: Sampath Kumar  Jun. 08, 2021

Floyd Medical Center in Rome, GA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9936 in the year 2021, which could result in an estimated penalty of $248,925. 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 Floyd Medical Center during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Floyd Medical Center can avoid VBP penalties by reducing MSPB Cost by 7.6%.

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Pomona Valley Hospital Medical Center, CA, can earn VBP incentives by reducing MSPB costs by 4.3%

In Pomona Valley Hospital Medical Center

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By: Debasish Choudhury  Jun. 07, 2021

Pomona Valley Hospital Medical Center, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9959 in the year 2021, which could result in an estimated penalty of $152,466. 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 Pomona Valley Hospital 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 Pomona Valley Hospital Medical Center can avoid VBP penalties by reducing MSPB Cost by 4.3%.

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Flagler Hospital in St. Augustine, FL, can earn VBP incentives by reducing MSPB costs by 6.7%

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By: Sampath Kumar  Jun. 07, 2021

Flagler Hospital in St. Augustine, FL, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9925 in the year 2021, which could result in an estimated penalty of $322,230. 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 Flagler 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 Flagler Hospital can avoid VBP penalties by reducing MSPB Cost by 6.7%.

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NYC Health + Hospitals/Harlem in New York, NY, can earn VBP incentives by reducing MSPB costs by 17.3%

In Harlem Hospital Center

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By: Sharath Joji  Jun. 07, 2021

NYC Health + Hospitals/Harlem in New York, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9884 in the year 2021, which could result in an estimated penalty of $113,800. 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 NYC Health + Hospitals/Harlem during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that NYC Health + Hospitals/Harlem can avoid VBP penalties by reducing MSPB Costs by 17.3%.

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