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Latest Hospital & Healthcare News

Rutherford Regional Health System in Rutherfordton, NC, can earn VBP incentives by reducing MSPB costs by 10.2%

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By: Sampath Kumar  May. 31, 2021

Rutherford Regional Health System in Rutherfordton, NC, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9897 in the year 2021, which could result in an estimated penalty of $113,171. 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 Rutherford Regional Health System during the period was 2/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Rutherford Regional Health System can avoid VBP penalties by reducing MSPB Cost by 10.2%.

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Centura Health - Penrose St. Francis Health Services, Colorado Springs, CO, can earn VBP incentives by reducing MSPB costs by 3%

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By: Debasish Choudhury  May. 31, 2021

Centura Health - Penrose St. Francis Health Services, Colorado Springs, CO, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9922 in the year 2021, which could result in an estimated penalty of $284,225. 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 Centura Health - Penrose St. Francis Health Services during the period was 1/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Centura Health - Penrose St. Francis Health Services can avoid VBP penalties by reducing MSPB Cost by 3.0%.

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North Carolina Baptist Hospital in Winston-Salem, NC, can earn VBP incentives by reducing MSPB costs by 6.5%

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By: Sampath Kumar  May. 28, 2021

North Carolina Baptist Hospital in Winston-Salem, NC, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9927 in the year 2021, which could result in an estimated penalty of $807,917. 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 North Carolina Baptist 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 North Carolina Baptist Hospital can avoid VBP penalties by reducing MSPB Cost by 6.5%.

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Wheeling Hospital in Wheeling, WV, can avoid VBP penalties by reducing MSPB costs by 16.4%

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By: Sharath Joji  May. 28, 2021

Wheeling Hospital in Wheeling, WV, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9888 in the year 2021, which could result in an estimated penalty of $386,347. 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 Wheeling 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 Wheeling Hospital can avoid VBP penalties by reducing MSPB Costs by 16.4%.

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Antelope Valley Hospital, Lancaster, CA, can earn VBP incentives by reducing MSPB costs by 9.6%

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By: Debasish Choudhury  May. 28, 2021

Antelope Valley Hospital, Lancaster, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9922 in the year 2021, which could result in an estimated penalty of $284,225. 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 Antelope Valley 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 Antelope Valley Hospital can avoid VBP penalties by reducing MSPB Cost by 9.6%.

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UChicago Medicine Ingalls Memorial in Harvey, IL, can earn VBP incentives by reducing MSPB costs by 7.5%

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By: Sampath Kumar  May. 27, 2021

UChicago Medicine Ingalls Memorial in Harvey, IL reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9949 in the year 2021, which could result in an estimated penalty of $185,066. 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 UChicago Medicine Ingalls Memorial during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that UChicago Medicine Ingalls Memorial can avoid VBP penalties by reducing MSPB Cost by 7.5%.

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WVU Medicine Camden Clark Medical Center in Parkersburg, WV, can earn VBP incentives by reducing MSPB costs by 7.0%

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By: Sharath Joji  May. 27, 2021

WVU Medicine Camden Clark Medical Center in Parkersburg, WV, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9948 in the year 2021, which could result in an estimated penalty of $206,580. 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 WVU Medicine Camden Clark 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 WVU Medicine Camden Clark Medical Center can avoid VBP penalties by reducing MSPB Costs by 7.0%.

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Cheyenne Regional Medical Center, WY, can earn VBP incentives by reducing MSPB costs by 6.1%

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By: Debasish Choudhury  May. 27, 2021

Cheyenne Regional Medical Center, Bremerton, WA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9936 in the year 2021, which could result in an estimated penalty of $220,491. 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 Cheyenne 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 Cheyenne Regional Medical Center can avoid VBP penalties by reducing MSPB Cost by 6.1%.

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Marietta Memorial Hospital in Marietta, OH, can earn VBP incentives by reducing MSPB costs by 9.4%

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By: Sampath Kumar  May. 26, 2021

Marietta Memorial Hospital in Marietta, OH, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9914 in the year 2021, which could result in an estimated penalty of $300,628. 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 Marietta Memorial 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 Marietta Memorial Hospital can avoid VBP penalties by reducing MSPB Cost by 9.4%.

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St. Joseph's University Medical Center in Paterson, NJ, can earn VBP incentives by reducing MSPB costs by 13.1%

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By: Sharath Joji  May. 26, 2021

St. Joseph's University Medical Center in Paterson, NJ, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9896 in the year 2021, which could result in an estimated penalty of $842,463. 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. Joseph's University 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. Joseph's University Medical Center can avoid VBP penalties by reducing MSPB Costs by 13.1%.

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