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Latest Hospital & Healthcare News

HSS, Lenox Hill Hospital, and NYP Weill Cornell Medical Center had the Lowest Cost of Care for Spine Surgeries in New York City, NY in 2020

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Dexur’s analysis of medicare claims of hospitals within a 10-mile radius of New York City, NY, showed that Hospital for Special Surgery, Lenox Hill Hospital, and NewYork-Presbyterian/Weill Cornell Medical Center were the most cost-efficient hospitals over a 90 day episode for Spine Surgeries. 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 data helps patients make appropriate choices and helps local ACOs, such as NewYork Quality Care, FamilyHealth ACO, LLC, Alliance for Integrated Care of New York, LLC, and HHC ACO, make appropriate referral choices. The analysis was risk-adjusted, for alive and non-hospice patients and was done at the DRG level, specifically DRG 460: Spinal Fusion Except Cervical without Major Complication or Comorbidity, to adjust for complications and comorbidities.

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Providence Health in Columbia, SC, can earn VBP incentives by reducing MSPB costs by 6.1%

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By: Sharath Joji  Jul. 19, 2021

Providence Health in Columbia, SC, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9946 in the year 2021, which could result in an estimated penalty of $208,348. 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 Health during the period was 2/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Providence Health can avoid VBP penalties by reducing MSPB Costs by 6.1%. Read more

Ascension St. Vincent's East in Birmingham, AL, can earn VBP incentives by reducing MSPB costs by 5.8%

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By: Sharath Joji  Jul. 16, 2021

Ascension St. Vincent's East in Birmingham, AL, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9938 in the year 2021, which could result in an estimated penalty of $173,767. 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's East 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's East can avoid VBP penalties by reducing MSPB Costs by 5.8%. Read more

Manatee Memorial Hospital in Bradenton, FL, can avoid VBP penalties by reducing MSPB costs by 6.0%

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By: Sharath Joji  Jul. 15, 2021

Manatee Memorial Hospital in Bradenton, FL, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9952 in the year 2021, which could result in an estimated penalty of $231,055. 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 Manatee Memorial 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 Manatee Memorial Hospital can avoid VBP penalties by reducing MSPB Costs by 6.0%. Read more

Good Samaritan Medical Center in West Palm Beach, FL, can earn VBP incentives by reducing MSPB costs by 9.6%

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By: Sharath Joji  Jul. 14, 2021

Good Samaritan Medical Center in West Palm Beach, 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 $184,840. 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 Good Samaritan 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 Good Samaritan Medical Center can avoid VBP penalties by reducing MSPB Costs by 9.6%. Read more

Tidelands Waccamaw Community Hospital in Murrells Inlet, SC, can earn VBP incentives by reducing MSPB costs by 8.2%

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By: Sharath Joji  Jul. 13, 2021

Tidelands Waccamaw Community Hospital in Murrells Inlet, SC, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9916 in the year 2021, which could result in an estimated penalty of $222,133. 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 Tidelands Waccamaw Community 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 Tidelands Waccamaw Community Hospital can avoid VBP penalties by reducing MSPB Costs by 8.2%. Read more

Holston Valley Medical Center in Kingsport, TN, can earn VBP incentives by reducing MSPB costs by 8.3%

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By: Sharath Joji  Jul. 12, 2021

Holston Valley Medical Center in Kingsport, TN, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9943 in the year 2021, which could result in an estimated penalty of $262,955. 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 Holston Valley 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 Holston Valley Medical Center can avoid VBP penalties by reducing MSPB Costs by 8.3%. Read more

How Dexur Helps Hospitals Improve Quality and Performance Outcomes

By: Sharath Joji  Jul. 12, 2021

Hospitals face multiple challenges in monitoring CMS programmes and improving performance across various prescribed measures. These challenges include delay in retroactive CMS Value Based Purchasing (VBP) measure scores, complexity in replicating CMS algorithms, requirement of advanced technical insight for latest adjustment projections, lack of essential data to reconcile CMS methods, and managing stacked up information released by CMS.

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Jackson Hospital in Montgomery, AL, can earn VBP incentives by reducing MSPB costs by 8.7%

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By: Sharath Joji  Jul. 09, 2021

Jackson Hospital in Montgomery, AL, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.993 in the year 2021, which could result in an estimated penalty of $255,190. 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 Jackson 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 Jackson Hospital can avoid VBP penalties by reducing MSPB Costs by 8.7%. Read more

St. Francis Hospital in Columbus, GA, can earn VBP incentives by reducing MSPB costs by 12.0%

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By: Sharath Joji  Jul. 08, 2021

St. Francis Hospital in Columbus, GA, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9901 in the year 2021, which could result in an estimated penalty of $346,632. 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. Francis 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 St. Francis Hospital can avoid VBP penalties by reducing MSPB Costs by 12.0%. Read more