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Latest Hospital & Healthcare News

Chandler Regional Medical Center, AZ, can earn VBP incentives by reducing MSPB costs by 12.7%

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By: Debasish Choudhury  Jun. 29, 2021

Chandler Regional Medical Center, AZ, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9891 in the year 2021, which could result in an estimated penalty of $850,969. 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 Chandler 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 Chandler Regional Medical Center can avoid VBP penalties by reducing MSPB Cost by 12.7%. Read more

Emory Decatur Hospital in Decatur, GA, can earn VBP incentives by reducing MSPB costs by 10.5%

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By: Sharath Joji  Jun. 28, 2021

Emory Decatur Hospital in Decatur, 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 $315,644. 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 Emory Decatur 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 Emory Decatur Hospital can avoid VBP penalties by reducing MSPB Costs by 10.5%. Read more

Ascension Saint Thomas Hospital in Nashville, TN, can earn VBP incentives by reducing MSPB costs by 5.3%

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By: Sharath Joji  Jun. 25, 2021

Ascension Saint Thomas Hospital in Nashville, TN, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9959 in the year 2021, which could result in an estimated penalty of $375,880. 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 Saint Thomas 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 Ascension Saint Thomas Hospital can avoid VBP penalties by reducing MSPB Costs by 5.3%. Read more

Tucson Medical Center, AZ, can earn VBP incentives by reducing MSPB costs by 9%

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By: Debasish Choudhury  Jun. 25, 2021

Tucson Medical Center, AZ, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.992 in the year 2021, which could result in an estimated penalty of $664,120. 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 Tucson 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 Tucson Medical Center can avoid VBP penalties by reducing MSPB Cost by 9%. Read more

Mount Sinai Hospital in Long Island City, NY, can earn VBP incentives by reducing MSPB costs by 1.4%

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By: Sharath Joji  Jun. 24, 2021

Mount Sinai Hospital in Long Island City, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9991 in the year 2021, which could result in an estimated penalty of $199,841. 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 Mount Sinai 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 Mount Sinai Hospital can avoid VBP penalties by reducing MSPB Costs by 1.4%.

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Texas Health Harris Methodist Hospital Fort Worth, TX, can earn VBP incentives by reducing MSPB costs by 6.4%

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By: Debasish Choudhury  Jun. 24, 2021

Texas Health Harris Methodist Hospital Fort Worth, TX, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9936 in the year 2021, which could result in an estimated penalty of $655,266. 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 Texas Health Harris Methodist Hospital Fort Worth during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Texas Health Harris Methodist Hospital Fort Worth can avoid VBP penalties by reducing MSPB Cost by 6.4%. Read more

HSS, Lenox Hill Hospital, and NewYork Presbyterian - Columbia had the Lowest Cost of Care for Hip & Knee Replacement in New York City in 2020

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By: Sharath Joji  Jun. 24, 2021

Dexur’s analysis of medicare claims of hospitals in New York City showed that Hospital for Special Surgery, Lenox Hill Hospital, & NewYork Presbyterian - Columbia University Medical Cente had the lowest cost of care over a 90-day episode for Hip & Knee Replacement. The episode of care tracks a patient's journey from the date of admission for 90 days including the index hospitalizations, rehospitalization, home health, nursing home, and ED costs. The total cost of care helps patients make appropriate choices and helps local ACOs such as New York Quality Care, Family Health ACO, Community Care of Brooklyn, Richmond Quality, The Physicians Alliance, Alliance for Integrated Care of New York, and HHC ACO to make appropriate referral choices. The analysis was risk-adjusted and was done at the DRG level (specifically DRG 470: Major Joint Replacement Or Reattachment Of Lower Extremity Without Major Complication Or Comorbidity (MCC) to adjust for complications and comorbidities. Read more

St. John Medical Center, Tulsa, OK, can earn VBP incentives by reducing MSPB costs by 10.3%

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By: Debasish Choudhury  Jun. 23, 2021

St. John Medical Center, Tulsa, OK, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9932 in the year 2021, which could result in an estimated penalty of $737,938. 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. John 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 St. John Medical Center can avoid VBP penalties by reducing MSPB Cost by 10.3%.

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Saint Mary's Hospital in Waterbury, CT, can earn VBP incentives by reducing MSPB costs by 7.2%

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By: Sharath Joji  Jun. 23, 2021

Saint Mary's Hospital in Waterbury, CT, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9944 in the year 2021, which could result in an estimated penalty of $199,620. 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 Saint Mary's 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 Saint Mary's Hospital can avoid VBP penalties by reducing MSPB Costs by 7.2%. Read more

Baylor University Medical Center, Dallas, TX, can earn VBP incentives by reducing MSPB costs by 2.2%

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By: Debasish Choudhury  Jun. 22, 2021

Baylor University Medical Center, Dallas, TX, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9976 in the year 2021, which could result in an estimated penalty of $321,318. 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 Baylor University 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 Baylor University Medical Center can avoid VBP penalties by reducing MSPB Cost by 2.2%.

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