By: Sharath Joji  Jun. 22, 2021

Olean General Hospital in Olean, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9917 in the year 2021, which could result in an estimated penalty of $170,503. 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 Olean General Hospital during the period was 3/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Olean General Hospital can avoid VBP penalties by reducing MSPB Costs by 8.4%.

By: Debasish Choudhury  Jun. 21, 2021

Memorial Hermann Hospital System, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9962 in the year 2021, which could result in an estimated penalty of $603,293. 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 Memorial Hermann Hospital 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 Memorial Hermann Hospital System can avoid VBP penalties by reducing MSPB Cost by 4.5%.

By: Sharath Joji  Jun. 21, 2021

Erie County Medical Center in Buffalo, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9968 in the year 2021, which could result in an estimated penalty of $112,173. 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 Erie County Medical Center in Buffalo during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Erie County Medical Center in Buffalo can avoid VBP penalties by reducing MSPB Costs by 3.9%.

By: Debasish Choudhury  Jun. 18, 2021

Bakersfield Memorial Hospital, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9914 in the year 2021, which could result in an estimated penalty of $375,623. 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 Bakersfield 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 Bakersfield Memorial Hospital can avoid VBP penalties by reducing MSPB Cost by 8.4%.

By: Sharath Joji  Jun. 18, 2021

HealthAlliance Hospital Broadway Campus in Kingston, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9943 in the year 2021, which could result in an estimated penalty of $113,109. 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 HealthAlliance Hospital Broadway Campus during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that HealthAlliance Hospital Broadway Campus can avoid VBP penalties by reducing MSPB Costs by 9.6%.

By: Debasish Choudhury  Jun. 17, 2021

Summerlin Hospital Medical Center, Las Vegas, NV, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9975 in the year 2021, which could result in an estimated penalty of $110,893. 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 Summerlin Hospital 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 Summerlin Hospital Medical Center can avoid VBP penalties by reducing MSPB Cost by 3.5%.

By: Sharath Joji  Jun. 17, 2021

Clara Maass Medical Center in Belleville, NJ, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9964 in the year 2021, which could result in an estimated penalty of $133,666. 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 Clara Maass 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 Clara Maass Medical Center can avoid VBP penalties by reducing MSPB Costs by 6.7%.

By: Debasish Choudhury  Jun. 16, 2021

Scripps Mercy Hospital, San Diego, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9948 in the year 2021, which could result in an estimated penalty of $220,538. 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 Scripps Mercy 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 Scripps Mercy Hospital can avoid VBP penalties by reducing MSPB Cost by 4.2%.

By: Sharath Joji  Jun. 16, 2021

Nassau University Medical Center in East Meadow, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9943 in the year 2021, which could result in an estimated penalty of $164,096. 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 Nassau 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 Nassau University Medical Center can avoid VBP penalties by reducing MSPB Costs by 7.8%.

By: Debasish Choudhury  Jun. 15, 2021

Fountain Valley Regional Hospital & Medical Center, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9948 in the year 2021, which could result in an estimated penalty of $220,538. 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 Fountain Valley Regional Hospital & 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 Fountain Valley Regional Hospital & Medical Center can avoid VBP penalties by reducing MSPB Cost by 10.6%.