By Dale Schumacher and Fern E. Nerhood
“Medicare spending per beneficiary (MSPB) performance rates can have a dramatic impact on a healthcare organization’s financial picture… Hospitals that have deteriorating MSPB scores are missing out on up to 25 percent of their potential VBP incentive payments.”
We analyzed four years of MSPB data to determine which hospitals have sustained improvement or deterioration for 1, 2, or 3 years. Do you know where your hospitals fall on the graph?
By Dale Schumacher
Decodes two years of a hypothetical hospital’s MSPB data and discusses how to use CMS reports to find opportunities.
By Dale N. Schumacher, M.D., Len Felgner, Eric D. Dobkin, M.D., Fern E. Nerhood, Margaret W. Paroski, M.D.
A hospital can achieve both clinical and financial performance improvements by decoding its MSPB data. Hospitals can use the MSPB data provided to them by CMS to improve their performance. The process of decoding and analyzing MSPB data involves:
- Analyzing MSPB measures by patient, major diagnostic category, and physician
- Understanding the technical aspects of the data
- Creating MSPB 30-day care pathways to identify episode variations and opportunities for joint clinical and financial scrutiny
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