The 2015 MSPB Report compares fee-for-service Medicare average spending per beneficiary at hospital/state/U.S. levels. The measure was designed by the Centers for Medicare & Medicaid Services (CMS) to evaluate a hospital’s efficiency, and the data in this report is from Jan. 1, 2015 to Dec. 31, 2015.
Medicare Spending per Beneficiary (MSPB) is a price-standardized, non-risk-adjusted measure designed by CMS to evaluate a hospital’s efficiency – as measured by program spending. This report compares the average Medicare spending per beneficiary for the hospital to state and U.S. benchmarks, using the following the three time periods:
- One to three days prior to the index hospital admission
- During the index hospital admission
- One through 30 days after discharge from the index hospital admission
Unlike in previous MSPB reports, SDAHO has also provided a hospital’s risk-adjusted estimated MSPB amount in the lower left table. CMS utilizes this MSPB amount and the risk-adjusted national median MSPB amount to calculate the MSPB score in the value-based purchasing program.