By: Sharath Joji  Jun. 15, 2021

Shore Medical Center in Somers Point, NJ, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9941 in the year 2021, which could result in an estimated penalty of $215,258. 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 Shore 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 Shore Medical Center can avoid VBP penalties by reducing MSPB Costs by 7.3%.

Parkview Health, a leading Indiana based Health system, has partnered with Gridlex’s Dexur provider app suite and advisory services to elevate its quality and value outcomes programs. As part of the partnership, Parkview not only utilizes Gridlex’s Dexur provider advisory services but also its unparalleled data and technology platform.

By: Debasish Choudhury  Jun. 14, 2021

Valley Hospital Medical Center, Las Vegas, NV, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9952 in the year 2021, which could result in an estimated penalty of $184,672. 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 Valley 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 Valley Hospital Medical Center can avoid VBP penalties by reducing MSPB Cost by 8.0%.

By: Sharath Joji  Jun. 14, 2021

Catholic Health Good Samaritan Hospital in West Islip, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9903 in the year 2021, which could result in an estimated penalty of $938,336. 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 Catholic Health Good Samaritan 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 Catholic Health Good Samaritan Hospital can avoid VBP penalties by reducing MSPB Costs by 14.2%.

By: Debasish Choudhury  Jun. 11, 2021

Dignity Health - St. Rose Dominican Hospital, San Martin Campus, Las Vegas, NV, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9952 in the year 2021, which could result in an estimated penalty of $111,794. 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 Dignity Health - St. Rose Dominican Hospital, San Martin 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 Dignity Health - St. Rose Dominican Hospital, San Martin Campus can avoid VBP penalties by reducing MSPB Cost by 5.6%.

By: Sharath Joji  Jun. 11, 2021

Hackensack Meridian Ocean Medical Center in Brick Township, NJ, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.994 in the year 2021, which could result in an estimated penalty of $476,674. 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 Hackensack Meridian Ocean 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 Hackensack Meridian Ocean Medical Center can avoid VBP penalties by reducing MSPB Costs by 8.1%.

By: Debasish Choudhury  Jun. 10, 2021

Mercy Medical Center Redding, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9904 in the year 2021, which could result in an estimated penalty of $836,393. 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 Mercy Medical Center Redding during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Mercy Medical Center Redding can avoid VBP penalties by reducing MSPB Cost by 8.3%.

By: Sharath Joji  Jun. 10, 2021

Salem Medical Center in Salem, NJ, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9901 in the year 2021, which could result in an estimated penalty of $106,544. 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 Salem 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 Salem Medical Center can avoid VBP penalties by reducing MSPB Costs by 15.7%.

Intrepid USA, a leading home health and hospice provider, chose Gridlex’s Dexur data and marketing collateral solution to enhance quality outcomes for referral partners and patients. Mike Gregory, the Chief Patient Advocacy Officer at Intrepid said - “Dexur has been a game changer in utilizing data to prove the superiority of a home health or hospice agency's quality outcomes to its referring partners. Intrepid can identify specific physicians and Hospitals who refer us their patients relative to other agencies and then use Dexur’s marketing collateral and brochures to demonstrate the value of Intrepid’s services.”

By: Debasish Choudhury  Jun. 09, 2021

Lutheran Medical Center, Wheat Ridge, CO, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9959 in the year 2021, which could result in an estimated penalty of $108,310. 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 Lutheran 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 Lutheran Medical Center can avoid VBP penalties by reducing MSPB Cost by 4.4%.