P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Flint, MI

3 of 3 hospitals take a cut in FY2027: 100% of the 3 measured on at least one condition. The average cut, counting all 3 hospitals, is 0.14%. Estimated total: $165Kestimate.

Flint, MI · FY2027Compared with all hospitals nationally

1Hospitals

3

2Penalized

100%

of 3 measured · +17 pts vs nation

3Average cut

0.14%

−0.21 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$165Kestimate

Hospitals on the map

Figure 1. 3 of the 3 hospitals here take a cut; the largest, 0.27%, is at McLaren Flint.
University of Michigan Health System, Ann Arbor, MI: cut 0.02%Beaumont Hospital Royal Oak, Royal Oak, MI: cut 0.03%Ascension Providence Hospital, Southfield and Novi, Southfield, MI: cut 0.11%Henry Ford Macomb Hospital, Clinton Township, MI: cut 0.36%Henry Ford Health Hospital, Detroit, MI: cut 0.42%Covenant Medical Center, Saginaw, MI: cut 0.48%Trinity Health Ann Arbor Hospital, Ann Arbor, MI: cut 0.02%Henry Ford Health St John Hospital, Detroit, MI: cut 0.09%Edward W Sparrow Hospital, Lansing, MI: no cutBeaumont Hospital, Troy, Troy, MI: cut 0.16%St Joe Mercy Hospital System Livonia, Livonia, MI: cut 0.37%Beaumont Hospital - Dearborn, Dearborn, MI: cut 0.56%Sinai-Grace Hospital, Detroit, MI: cut 0.51%Trinity Health Oakland Hospital, Pontiac, MI: cut 0.30%McLaren Bay Region, Bay City, MI: cut 1.64%Mymichigan Medical Center Saginaw, Saginaw, MI: cut 0.22%Beaumont Hospital - Grosse Pointe, Grosse Pointe, MI: cut 0.07%Henry Ford Allegiance Health, Jackson, MI: cut 0.60%ProMedica Monroe Regional Hospital, Monroe, MI: cut 1.06%Harper University Hospital, Detroit, MI: cut 0.42%Wyandotte Hospital and Medical Center, Wyandotte, MI: cut 0.46%Beaumont Hospital - Farmington Hills, Farmington Hills, MI: cut 0.35%McLaren Greater Lansing, Lansing, MI: cut 0.06%Corewell Health Trenton Hospital, Trenton, MI: cut 0.17%McLaren Lapeer Region, Lapeer, MI: cut 0.84%Henry Ford Health Warren Hospital, Warren, MI: no cutMymichigan Medical Center Midland, Midland, MI: cut 0.11%McLaren Macomb, Mount Clemens, MI: cut 0.76%Garden City Hospital, Garden City, MI: cut 1.46%Ascension Providence Rochester Hospital, Rochester, MI: cut 0.44%Detroit Receiving Hospital, Detroit, MI: cut 0.52%Huron Valley-Sinai Hospital, Commerce Township, MI: cut 0.30%Henry Ford Health West Bloomfield Hospital, W Bloomfield, MI: cut 0.46%ProMedica Charles and Virginia Hickman Hospital, Adrian, MI: cut 0.39%Mymichigan Medical Center Alma, Alma, MI: cut 0.21%Trinity Health Livingston Hospital, Howell, MI: cut 0.20%Memorial Healthcare, Owosso, MI: cut 0.57%Corewell Health Wayne Hospital, Wayne, MI: cut 0.29%McLaren Oakland, Pontiac, MI: cut 0.05%Chelsea Hospital, Chelsea, MI: cut 0.11%Southeast Michigan Surgical Hospital LLC, Warren, MI: no cutBeaumont Hospital - Taylor, Taylor, MI: cut 0.13%Karmanos Cancer Center, Detroit, MI: no cutSurgeons Choice Medical Center, Southfield, MI: no cutHurley Medical Center, Flint, MI: cut 0.06%Ascension Genesys Hospital, Grand Blanc, MI: cut 0.10%McLaren Flint, Flint, MI: cut 0.27% University of Michigan Health System, Ann Arbor, MI: cut 0.02%Beaumont Hospital Royal Oak, Royal Oak, MI: cut 0.03%Ascension Providence Hospital, Southfield and Novi, Southfield, MI: cut 0.11%Henry Ford Macomb Hospital, Clinton Township, MI: cut 0.36%Henry Ford Health Hospital, Detroit, MI: cut 0.42%Covenant Medical Center, Saginaw, MI: cut 0.48%Trinity Health Ann Arbor Hospital, Ann Arbor, MI: cut 0.02%Henry Ford Health St John Hospital, Detroit, MI: cut 0.09%Edward W Sparrow Hospital, Lansing, MI: no cutBeaumont Hospital, Troy, Troy, MI: cut 0.16%St Joe Mercy Hospital System Livonia, Livonia, MI: cut 0.37%Beaumont Hospital - Dearborn, Dearborn, MI: cut 0.56%Sinai-Grace Hospital, Detroit, MI: cut 0.51%Trinity Health Oakland Hospital, Pontiac, MI: cut 0.30%McLaren Bay Region, Bay City, MI: cut 1.64%Mymichigan Medical Center Saginaw, Saginaw, MI: cut 0.22%Beaumont Hospital - Grosse Pointe, Grosse Pointe, MI: cut 0.07%Henry Ford Allegiance Health, Jackson, MI: cut 0.60%ProMedica Monroe Regional Hospital, Monroe, MI: cut 1.06%Harper University Hospital, Detroit, MI: cut 0.42%Wyandotte Hospital and Medical Center, Wyandotte, MI: cut 0.46%Beaumont Hospital - Farmington Hills, Farmington Hills, MI: cut 0.35%McLaren Greater Lansing, Lansing, MI: cut 0.06%Corewell Health Trenton Hospital, Trenton, MI: cut 0.17%McLaren Lapeer Region, Lapeer, MI: cut 0.84%Henry Ford Health Warren Hospital, Warren, MI: no cutMymichigan Medical Center Midland, Midland, MI: cut 0.11%McLaren Macomb, Mount Clemens, MI: cut 0.76%Garden City Hospital, Garden City, MI: cut 1.46%Ascension Providence Rochester Hospital, Rochester, MI: cut 0.44%Detroit Receiving Hospital, Detroit, MI: cut 0.52%Huron Valley-Sinai Hospital, Commerce Township, MI: cut 0.30%Henry Ford Health West Bloomfield Hospital, W Bloomfield, MI: cut 0.46%ProMedica Charles and Virginia Hickman Hospital, Adrian, MI: cut 0.39%Mymichigan Medical Center Alma, Alma, MI: cut 0.21%Trinity Health Livingston Hospital, Howell, MI: cut 0.20%Memorial Healthcare, Owosso, MI: cut 0.57%Corewell Health Wayne Hospital, Wayne, MI: cut 0.29%McLaren Oakland, Pontiac, MI: cut 0.05%Chelsea Hospital, Chelsea, MI: cut 0.11%Southeast Michigan Surgical Hospital LLC, Warren, MI: no cutBeaumont Hospital - Taylor, Taylor, MI: cut 0.13%Karmanos Cancer Center, Detroit, MI: no cutSurgeons Choice Medical Center, Southfield, MI: no cutHurley Medical Center, Flint, MI: cut 0.06%Ascension Genesys Hospital, Grand Blanc, MI: cut 0.10%McLaren Flint, Flint, MI: cut 0.27%

Hospital dots, by cut

  • No cut
  • Under 0.25%
  • 0.25%–0.49%
  • 0.50%–0.99%
  • 1.00%–1.99%
  • 2.00%–3.00%
  • Other hospitals

Dots are sized by Medicare volume and shaded by cut. Select one to open it. Gray dots are other hospitals in the state.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File. Locations geocoded from street addresses (U.S. Census Bureau Geocoder), else ZIP or county centers.

Show table
HospitalCityCutBase payments (dot size)
McLaren FlintFlint0.27%$41.6M
Ascension Genesys HospitalGrand Blanc0.10%$37.8M
Hurley Medical CenterFlint0.06%$24.4M

Size of the cuts

Figure 2. All 3 hospitals here take a cut, 0.14% on average; across all hospitals 20% take none.
0%10%20%30% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 1 here (33%); 18% of all hospitals0.1% to 0.2%: 1 here (33%); 11% of all hospitals0.2% to 0.3%: 1 here (33%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 0 here (0%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 0 here (0%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 0 here (0%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 1%2%3%average 0.14%none 0%10%20%30% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 1 here (33%); 18% of all hospitals0.1% to 0.2%: 1 here (33%); 11% of all hospitals0.2% to 0.3%: 1 here (33%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 0 here (0%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 0 here (0%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 0 here (0%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 0.5%1%1.5%2%2.5%3%average 0.14%none

Bars: Flint, MI. Outline: all hospitals. Both as shares, so areas of any size compare. The bar at the left is hospitals with no cut.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Cut fromtoHospitals hereShare hereShare of all hospitals
No cut—00%20%
0.0%0.1%133%18%
0.1%0.2%133%11%
0.2%0.3%133%10%
0.3%0.4%00%8%
0.4%0.5%00%6%
0.5%0.6%00%6%
0.6%0.7%00%4%
0.7%0.8%00%3%
0.8%0.9%00%3%
0.9%1.0%00%2%
1.0%1.1%00%2%
1.1%1.2%00%1%
1.2%1.3%00%1%
1.3%1.4%00%1%
1.4%1.5%00%1%
1.5%1.6%00%1%
1.6%1.7%00%0%
1.7%1.8%00%0%
1.8%1.9%00%0%
1.9%2.0%00%0%
2.0%2.1%00%0%
2.1%2.2%00%0%
2.2%2.3%00%0%
2.3%2.4%00%0%
2.4%2.5%00%0%
2.5%2.6%00%0%
2.6%2.7%00%0%
2.7%2.8%00%0%
2.8%2.9%00%0%
2.9%3.0%00%0%

Peer groups

Figure 3. The largest group here is group 2, with 1 of the 3 hospitals.
Group 1: no hospital hereGroup 1none0Group 2: 1 hospital, average cut 0.10%Group 2avg cut 0.10%1Group 3: 1 hospital, average cut 0.27%Group 3avg cut 0.27%1Group 4: no hospital hereGroup 4none0Group 5: 1 hospital, average cut 0.06%Group 5avg cut 0.06%1 Group 1: no hospital hereGroup 1none0Group 2: 1 hospital, average cut 0.10%Group 2avg cut 0.10%1Group 3: 1 hospital, average cut 0.27%Group 3avg cut 0.27%1Group 4: no hospital hereGroup 4none0Group 5: 1 hospital, average cut 0.06%Group 5avg cut 0.06%1

How many hospitals here fall in each dual-eligible peer group. Group 1 serves the fewest low-income patients, group 5 the most. Under each group: its average cut here.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Peer groupHospitals hereAverage cut
Group 10none
Group 210.10%
Group 310.27%
Group 40none
Group 510.06%

Which conditions drive the penalties here

Figure 4. Heart attack is the largest part of the estimated dollars here, 40%.
  • All hospitals

Penalized on this condition

Heart attack: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Heart attack2 of 367%COPD: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%COPD1 of 333%Heart failure: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%Heart failure1 of 333%Pneumonia: 0 of 3 measured hospitals penalized, 0%; all hospitals 50%Pneumonia0 of 30%Bypass surgery: 1 of 2 measured hospitals penalized, 50%; all hospitals 49%Bypass (CABG)1 of 250%Hip/knee replacement: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Hip/knee2 of 367% Heart attack: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Heart attack2 of 3 measured67%COPD: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%COPD1 of 3 measured33%Heart failure: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%Heart failure1 of 3 measured33%Pneumonia: 0 of 3 measured hospitals penalized, 0%; all hospitals 50%Pneumonia0 of 3 measured0%Bypass surgery: 1 of 2 measured hospitals penalized, 50%; all hospitals 49%Bypass surgery1 of 2 measured50%Hip/knee replacement: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Hip/knee replacement2 of 3 measured67%

Share of estimated dollars

Heart attack: $66K of the modeled dollars, 40%Heart attack≈ $66K40%Hip/knee replacement: $33K of the modeled dollars, 20%Hip/knee≈ $33K20%Bypass surgery: $32K of the modeled dollars, 19%Bypass (CABG)≈ $32K19%Heart failure: $20K of the modeled dollars, 12%Heart failure≈ $20K12%COPD: $15K of the modeled dollars, 9%COPD≈ $15K9%Pneumonia: $0 of the modeled dollars, 0%Pneumonia≈ $00% Heart attack: $66K of the modeled dollars, 40%Heart attack≈ $66K40%Hip/knee replacement: $33K of the modeled dollars, 20%Hip/knee replacement≈ $33K20%Bypass surgery: $32K of the modeled dollars, 19%Bypass surgery≈ $32K19%Heart failure: $20K of the modeled dollars, 12%Heart failure≈ $20K12%COPD: $15K of the modeled dollars, 9%COPD≈ $15K9%Pneumonia: $0 of the modeled dollars, 0%Pneumonia≈ $00%

Left: share of measured hospitals penalized on each condition (tick: all hospitals, about half). Right: share of the estimated dollars. Each condition flags about half of the hospitals measured on it by design, because CMS compares a hospital with the median of its peer group, so a bar near the tick is not a finding on its own. Dollars are modeled here: each cut hospital’s estimated dollars split by its conditions’ parts of the cut.

Estimate · CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File; dollars are modeled here.

Show table
ConditionMeasured herePenalized hereShare penalizedAll hospitals’ shareModeled dollarsShare of dollars
Heart attack3267%50%$66K40%
COPD3133%50%$15K9%
Heart failure3133%50%$20K12%
Pneumonia300%50%$00%
Bypass surgery2150%49%$32K19%
Hip/knee replacement3267%50%$33K20%

Average cut over time

Figure 5. In FY2027, the average cut in Flint, MI was 0.14%, against 0.35% across all hospitals in the program.
Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1%1.5%2% 3% cap FY2013: 0.29% here; 0.28% across all hospitals in the programFY2014: 0.09% here; 0.26% across all hospitals in the programFY2015: 0.28% here; 0.50% across all hospitals in the programFY2016: 0.70% here; 0.49% across all hospitals in the programFY2017: 1.33% here; 0.60% across all hospitals in the programFY2018: 1.62% here; 0.61% across all hospitals in the programFY2019: 1.26% here; 0.59% across all hospitals in the programFY2020: 1.14% here; 0.60% across all hospitals in the programFY2021: 0.95% here; 0.58% across all hospitals in the programFY2022: 0.71% here; 0.54% across all hospitals in the programFY2023: 0.58% here; 0.33% across all hospitals in the programFY2024: 0.53% here; 0.34% across all hospitals in the programFY2025: 0.62% here; 0.33% across all hospitals in the programFY2026: 0.49% here; 0.35% across all hospitals in the programFY2027: 0.14% here; 0.35% across all hospitals in the program0.14% ’13’15’17’19’21’23’25’27 Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1%1.5%2% 2%3% cap FY2013: 0.29% here; 0.28% across all hospitals in the programFY2014: 0.09% here; 0.26% across all hospitals in the programFY2015: 0.28% here; 0.50% across all hospitals in the programFY2016: 0.70% here; 0.49% across all hospitals in the programFY2017: 1.33% here; 0.60% across all hospitals in the programFY2018: 1.62% here; 0.61% across all hospitals in the programFY2019: 1.26% here; 0.59% across all hospitals in the programFY2020: 1.14% here; 0.60% across all hospitals in the programFY2021: 0.95% here; 0.58% across all hospitals in the programFY2022: 0.71% here; 0.54% across all hospitals in the programFY2023: 0.58% here; 0.33% across all hospitals in the programFY2024: 0.53% here; 0.34% across all hospitals in the programFY2025: 0.62% here; 0.33% across all hospitals in the programFY2026: 0.49% here; 0.35% across all hospitals in the programFY2027: 0.14% here; 0.35% across all hospitals in the program0.14% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Flint, MI that are in the FY2027 program. Dashed: every hospital in the FY2027 program, nationwide. Each year averages those in that year’s file. The cap on the cut changed over the years, so a cut in one year is not the same size of penalty in another. Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out.

This site recomputes · CMS Hospital Readmissions Reduction Program supplemental data files, FY2013–FY2027.

Show table
Fiscal yearAverage cut hereAverage cut, all hospitals in the program
FY20130.29%0.28%
FY20140.09%0.26%
FY20150.28%0.50%
FY20160.70%0.49%
FY20171.33%0.60%
FY20181.62%0.61%
FY20191.26%0.59%
FY20201.14%0.60%
FY20210.95%0.58%
FY20220.71%0.54%
FY20230.58%0.33%
FY20240.53%0.34%
FY20250.62%0.33%
FY20260.49%0.35%
FY20270.14%0.35%

Hospitals in Flint, MI

Largest cut first. Select a hospital to open its page.

Hospitals in Flint, MI, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
McLaren FlintFlint, MI · CCN 2301410.27%$112K3Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: adds to the cut; Hip/knee replacement: adds to the cutCounted toward the cut: Heart attack, Bypass surgery, and Hip/knee replacement368
Ascension Genesys HospitalGrand Blanc, MI · CCN 2301970.10%$38K2Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: adds to the cutCounted toward the cut: Heart attack, Heart failure, and Hip/knee replacement410
Hurley Medical CenterFlint, MI · CCN 2301320.06%$15K5Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD383

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