By: Debasish Choudhury  May. 18, 2021

Washington Hospital, Fremont, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9946 in the year 2021, which could result in an estimated penalty of $388,249. 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 Washington 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 Washington Hospital can avoid VBP penalties by reducing MSPB Cost by 5.7%.

By: Sampath Kumar  May. 18, 2021

Aultman Hospital in Canton, OH, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9919 in the year 2021, which could result in an estimated penalty of $411,674. 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 Aultman 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 Aultman Hospital can avoid VBP penalties by reducing MSPB Cost by 10.4%.

By: Sharath Joji  May. 17, 2021

LewisGale Medical Center in Salem, VA, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9922 in the year 2021, which could result in an estimated penalty of $444,436. 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 LewisGale 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 LewisGale Medical Center can avoid VBP penalties by reducing MSPB Costs by 8%.

By: Sampath Kumar  May. 17, 2021

Community Hospital North in Indianapolis, IN, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9965 in the year 2021, which could result in an estimated penalty of $153,900. 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 Community Hospital North during the period was 0/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Community Hospital North can avoid VBP penalties by reducing MSPB Cost by 7.4%.

By: Debasish Choudhury  May. 17, 2021

University of California Irvine Medical Center, Orange, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9967 in the year 2021, which could result in an estimated penalty of $193,540. 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 University of California Irvine 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 University of California Irvine Medical Center can avoid VBP penalties by reducing MSPB Cost by 5.0%.

By: Sampath Kumar  May. 13, 2021

By: Debasish Choudhury  May. 13, 2021

St. Joseph’s Medical Center of Stockton, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9964 in the year 2021, which could result in an estimated penalty of $313,915. 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 Medical Center of Stockton during the period was 1/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that St. Joseph’s Medical Center of Stockton can avoid VBP penalties by reducing MSPB Cost by 3.2%.

By: Sampath Kumar  May. 12, 2021

Ascension St. Vincent Evansville in Evansville, IN, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9972 in the year 2021, which could result in an estimated penalty of $143,523. 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 St. Vincent Evansville 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 St. Vincent Evansville can avoid VBP penalties by reducing MSPB Cost by 4.8%.

By: Debasish Choudhury  May. 12, 2021

Dominican Hospital, CA, reported a CMS Value Based Purchasing (VBP) adjustment factor of 0.9973 in the year 2021, which could result in an estimated penalty of $200,525. 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 Dominican 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 Dominican Hospital can avoid VBP penalties by reducing MSPB Cost by 2.2%.

By: Sharath Joji  May. 12, 2021

Strong Memorial Hospital in Rochester, NY, reported a CMS Value Based Purchasing (VBP) Adjustment Factor of 0.9987 in the year 2021, which could result in an estimated penalty of $105,604. 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 Strong Memorial Hospital during the period was 4/10. Dexur is an approved purchaser of CMS Medicare claims data and based on our simulator, we estimate that Strong Memorial Hospital can avoid VBP penalties by reducing MSPB Costs by 1.3%.