4 of 6 hospitals take a cut in FY2027: 67% of the 6 measured on at least one condition. The average cut, counting all 6 hospitals, is 0.38%. Estimated total: $2.3Mestimate.
Fresno, CA · FY2027Compared with all hospitals nationally
Figure 1. 4 of the 6 hospitals here take a cut; the largest, 1.07%, is at Saint Agnes Medical Center.
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.
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Hospital
City
Cut
Base payments (dot size)
Saint Agnes Medical Center
Fresno
1.07%
$93.8M
Community Regional Medical Center
Fresno
0.71%
$124M
Clovis Community Medical Center
Clovis
0.43%
$90.2M
Kaiser Foundation Hospital - Fresno
Fresno
0.04%
$3.3M
Adventist Health Reedley
Reedley
0.00%
$849K
Fresno Surgical Hospital
Fresno
0.00%
$13.6M
Size of the cuts
Figure 2. 2 of the 6 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.38%.
Bars: Fresno, CA. 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.
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Cut from
to
Hospitals here
Share here
Share of all hospitals
No cut
—
2
33%
20%
0.0%
0.1%
1
17%
18%
0.1%
0.2%
0
0%
11%
0.2%
0.3%
0
0%
10%
0.3%
0.4%
0
0%
8%
0.4%
0.5%
1
17%
6%
0.5%
0.6%
0
0%
6%
0.6%
0.7%
0
0%
4%
0.7%
0.8%
1
17%
3%
0.8%
0.9%
0
0%
3%
0.9%
1.0%
0
0%
2%
1.0%
1.1%
1
17%
2%
1.1%
1.2%
0
0%
1%
1.2%
1.3%
0
0%
1%
1.3%
1.4%
0
0%
1%
1.4%
1.5%
0
0%
1%
1.5%
1.6%
0
0%
1%
1.6%
1.7%
0
0%
0%
1.7%
1.8%
0
0%
0%
1.8%
1.9%
0
0%
0%
1.9%
2.0%
0
0%
0%
2.0%
2.1%
0
0%
0%
2.1%
2.2%
0
0%
0%
2.2%
2.3%
0
0%
0%
2.3%
2.4%
0
0%
0%
2.4%
2.5%
0
0%
0%
2.5%
2.6%
0
0%
0%
2.6%
2.7%
0
0%
0%
2.7%
2.8%
0
0%
0%
2.8%
2.9%
0
0%
0%
2.9%
3.0%
0
0%
0%
Peer groups
Figure 3. Most of the 6 hospitals here are in group 5.
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.
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Peer group
Hospitals here
Average cut
Group 1
1
0.00%
Group 2
0
none
Group 3
0
none
Group 4
1
0.04%
Group 5
4
0.55%
Which conditions drive the penalties here
Figure 4. Bypass surgery is the largest part of the estimated dollars here, 36%.
All hospitals
Penalized on this condition
Share of estimated dollars
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.
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Condition
Measured here
Penalized here
Share penalized
All hospitals’ share
Modeled dollars
Share of dollars
Heart attack
4
4
100%
50%
$457K
20%
COPD
4
3
75%
50%
$102K
4%
Heart failure
4
4
100%
50%
$391K
17%
Pneumonia
5
3
60%
50%
$516K
23%
Bypass surgery
3
2
67%
49%
$809K
36%
Hip/knee replacement
3
0
0%
50%
$0
0%
Average cut over time
Figure 5. In FY2027, the average cut in Fresno, CA was 0.38%, against 0.35% across all hospitals in the program.
Red: hospitals in Fresno, CA 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.
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Fiscal year
Average cut here
Average cut, all hospitals in the program
FY2013
0.32%
0.28%
FY2014
0.17%
0.26%
FY2015
0.19%
0.50%
FY2016
0.23%
0.49%
FY2017
0.30%
0.60%
FY2018
0.39%
0.61%
FY2019
0.35%
0.59%
FY2020
0.35%
0.60%
FY2021
0.32%
0.58%
FY2022
0.49%
0.54%
FY2023
0.19%
0.33%
FY2024
0.15%
0.34%
FY2025
0.16%
0.33%
FY2026
0.33%
0.35%
FY2027
0.38%
0.35%
Hospitals in Fresno, CA
Largest cut first. Select a hospital to open its page.