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%.

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%.

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%.

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%.

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%.

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%.

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%.

By: Sampath Kumar  Jun. 04, 2021

Cullman Regional Medical Center in Cullman, AL, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9935 in the year 2021, which could result in an estimated penalty of $117,754. 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 Cullman Regional 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 Cullman Regional Medical Center can avoid VBP penalties by reducing MSPB Cost by 6.6%.

By: Debasish Choudhury  Jun. 04, 2021

Adventist Health and Rideout, Marysville, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9957 in the year 2021, which could result in an estimated penalty of $248,890. 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 Adventist Health and Rideout during the period was 1/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Adventist Health and Rideout can avoid VBP penalties by reducing MSPB Cost by 3.5%.

By: Sharath Joji  Jun. 04, 2021

Williamsport Regional Medical Center in Williamsport, PA, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9946 in the year 2021, which could result in an estimated penalty of $206,094. 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 Williamsport Regional 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 Williamsport Regional Medical Center can avoid VBP penalties by reducing MSPB Costs by 5.1%.