CMS releases 2017 Medicare Spending Per Beneficiary Data

DATE: 04/16/2019

Medicare Spending per Beneficiary is a price-standardized, non-risk-adjusted measure designed by the Centers for Medicare and Medicaid Services to evaluate a hospital’s efficiency – as measured by program spending. Focusing on MSPB can lead to real savings in the Value-Based Purchasing and bundled payments programs.

A hospital’s efficiency during an episode of care is measured by the VBP program’s MSPB metric. Yet, many hospitals do not have an effective strategy for improving their outcomes and efficiency measures, such as MSPB.

Building a solid MSPB strategy involves careful attention to the episode’s performance metrics. DataGen’s MSPB report compares the average Medicare spending per beneficiary for the hospital to State and US benchmarks, using the following three time periods:

  • 1 to 3 days prior to the index hospital admission;
  • During the index hospital admission; and
  • 1 through 30 days after discharge from the index hospital admission.

Read “Making the Most of MSPB”, to learn more about the importance of MSPB and how to build an effective MSPB strategy.