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%.

By: Debasish Choudhury  Jun. 03, 2021

Wise Health System, Decatur, TX, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9932 in the year 2021, which could result in an estimated penalty of $106,551. 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 Wise Health 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 Wise Health System can avoid VBP penalties by reducing MSPB Cost by 13.8%.

By: Sharath Joji  Jun. 03, 2021

Boston Medical Center in Boston, MA, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9941 in the year 2021, which could result in an estimated penalty of $379,453. 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 Boston 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 Boston Medical Center can avoid VBP penalties by reducing MSPB Costs by 8.9%.

By: Sampath Kumar  Jun. 01, 2021

Henry Ford Macomb Hospital in Clinton Charter Township, MI, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.996 in the year 2021, which could result in an estimated penalty of $222,090. 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 Henry Ford Macomb 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 Henry Ford Macomb Hospital can avoid VBP penalties by reducing MSPB Cost by 4.6%.

By: Debasish Choudhury  Jun. 01, 2021

MemorialCare Saddleback Medical Center, Laguna Hills, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9923 in the year 2021, which could result in an estimated penalty of $260,696. 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 MemorialCare Saddleback 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 MemorialCare Saddleback Medical Center can avoid VBP penalties by reducing MSPB Cost by 8.5%.

By: Sharath Joji  Jun. 01, 2021

Trinitas Regional Medical Center in Elizabeth, NJ, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9874 in the year 2021, which could result in an estimated penalty of $240,634. 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 Trinitas 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 Trinitas Regional Medical Center can avoid VBP penalties by reducing MSPB Costs by 22.3%.