P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Lexington-Fayette, KY

7 of 7 hospitals take a cut in FY2027: 100% of the 7 measured on at least one condition. The average cut, counting all 7 hospitals, is 0.33%. Estimated total: $337Kestimate.

Lexington-Fayette, KY · FY2027Compared with all hospitals nationally

1Hospitals

7

2Penalized

100%

of 7 measured · +17 pts vs nation

3Average cut

0.33%

−0.02 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$337Kestimate

Hospitals on the map

Figure 1. 7 of the 7 hospitals here take a cut; the largest, 0.64%, is at Georgetown Community Hospital.
St Elizabeth Edgewood, Edgewood, KY: cut 0.61%Saint Joseph London, London, KY: cut 0.54%Hazard ARH Regional Medical Center, Hazard, KY: cut 0.01%St Elizabeth Florence, Florence, KY: cut 0.59%Ephraim McDowell Regional Medical Center, Danville, KY: cut 0.41%Lake Cumberland Regional Hospital, Somerset, KY: no cutSt Elizabeth Ft Thomas, Fort Thomas, KY: cut 0.62%UofL Health - Shelbyville Hospital, Shelbyville, KY: cut 0.18%St Claire Regional Medical Center, Morehead, KY: cut 1.29%Meadowview Regional Medical Center, Maysville, KY: cut 0.06%Spring View Hospital, Lebanon, KY: cut 0.04%CHI Saint Joseph Flaget Memorial Hospital, Bardstown, KY: no cutAdventHealthManchester, Manchester, KY: no cutBaptist Health Richmond, Richmond, KY: cut 0.07%Saint Joseph Mount Sterling, Mount Sterling, KY: cut 0.48%Harrison Memorial Hospital, Cynthiana, KY: cut 0.11%Taylor Regional Hospital, Campbellsville, KY: cut 0.09%Rockcastle County Hospital, Inc., Mount Vernon, KY: no cutFrankfort Regional Medical Center, Frankfort, KY: cut 0.81%Baptist Health Lagrange, La Grange, KY: no cutTJ Health Columbia, Columbia, KY: no cutUniversity of Kentucky Hospital, Lexington, KY: cut 0.04%Baptist Health Lexington, Lexington, KY: cut 0.22%Clark Regional Medical Center, Winchester, KY: cut 0.11%Saint Joseph Hospital, Lexington, KY: cut 0.29%Bourbon Community Hospital, Paris, KY: cut 0.47%Georgetown Community Hospital, Georgetown, KY: cut 0.64%Saint Joseph East, Lexington, KY: cut 0.55% St Elizabeth Edgewood, Edgewood, KY: cut 0.61%Saint Joseph London, London, KY: cut 0.54%Hazard ARH Regional Medical Center, Hazard, KY: cut 0.01%St Elizabeth Florence, Florence, KY: cut 0.59%Ephraim McDowell Regional Medical Center, Danville, KY: cut 0.41%Lake Cumberland Regional Hospital, Somerset, KY: no cutSt Elizabeth Ft Thomas, Fort Thomas, KY: cut 0.62%UofL Health - Shelbyville Hospital, Shelbyville, KY: cut 0.18%St Claire Regional Medical Center, Morehead, KY: cut 1.29%Meadowview Regional Medical Center, Maysville, KY: cut 0.06%Spring View Hospital, Lebanon, KY: cut 0.04%CHI Saint Joseph Flaget Memorial Hospital, Bardstown, KY: no cutAdventHealthManchester, Manchester, KY: no cutBaptist Health Richmond, Richmond, KY: cut 0.07%Saint Joseph Mount Sterling, Mount Sterling, KY: cut 0.48%Harrison Memorial Hospital, Cynthiana, KY: cut 0.11%Taylor Regional Hospital, Campbellsville, KY: cut 0.09%Rockcastle County Hospital, Inc., Mount Vernon, KY: no cutFrankfort Regional Medical Center, Frankfort, KY: cut 0.81%Baptist Health Lagrange, La Grange, KY: no cutTJ Health Columbia, Columbia, KY: no cutUniversity of Kentucky Hospital, Lexington, KY: cut 0.04%Baptist Health Lexington, Lexington, KY: cut 0.22%Clark Regional Medical Center, Winchester, KY: cut 0.11%Saint Joseph Hospital, Lexington, KY: cut 0.29%Bourbon Community Hospital, Paris, KY: cut 0.47%Georgetown Community Hospital, Georgetown, KY: cut 0.64%Saint Joseph East, Lexington, KY: cut 0.55%

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)
Georgetown Community HospitalGeorgetown0.64%$3.2M
Saint Joseph EastLexington0.55%$4.0M
Bourbon Community HospitalParis0.47%$879K
Saint Joseph HospitalLexington0.29%$42.2M
Baptist Health LexingtonLexington0.22%$56.5M
Clark Regional Medical CenterWinchester0.11%$6.5M
University of Kentucky HospitalLexington0.04%$92.2M

Size of the cuts

Figure 2. All 7 hospitals here take a cut, 0.33% 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 (14%); 18% of all hospitals0.1% to 0.2%: 1 here (14%); 11% of all hospitals0.2% to 0.3%: 2 here (29%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 1 here (14%); 6% of all hospitals0.5% to 0.6%: 1 here (14%); 6% of all hospitals0.6% to 0.7%: 1 here (14%); 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 0.33%none 0%10%20%30% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 1 here (14%); 18% of all hospitals0.1% to 0.2%: 1 here (14%); 11% of all hospitals0.2% to 0.3%: 2 here (29%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 8% of all hospitals0.4% to 0.5%: 1 here (14%); 6% of all hospitals0.5% to 0.6%: 1 here (14%); 6% of all hospitals0.6% to 0.7%: 1 here (14%); 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 0.33%none

Bars: Lexington-Fayette, KY. 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%114%18%
0.1%0.2%114%11%
0.2%0.3%229%10%
0.3%0.4%00%8%
0.4%0.5%114%6%
0.5%0.6%114%6%
0.6%0.7%114%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. Most of the 7 hospitals here are in group 2.
Group 1: 2 hospitals, average cut 0.39%Group 1avg cut 0.39%2Group 2: 4 hospitals, average cut 0.27%Group 2avg cut 0.27%4Group 3: 1 hospital, average cut 0.47%Group 3avg cut 0.47%1Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0 Group 1: 2 hospitals, average cut 0.39%Group 1avg cut 0.39%2Group 2: 4 hospitals, average cut 0.27%Group 2avg cut 0.27%4Group 3: 1 hospital, average cut 0.47%Group 3avg cut 0.47%1Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0

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 120.39%
Group 240.27%
Group 310.47%
Group 40none
Group 50none

Which conditions drive the penalties here

Figure 4. Heart failure is the largest part of the estimated dollars here, 69%.
  • All hospitals

Penalized on this condition

Heart attack: 1 of 5 measured hospitals penalized, 20%; all hospitals 50%Heart attack1 of 520%COPD: 5 of 7 measured hospitals penalized, 71%; all hospitals 50%COPD5 of 771%Heart failure: 5 of 7 measured hospitals penalized, 71%; all hospitals 50%Heart failure5 of 771%Pneumonia: 5 of 7 measured hospitals penalized, 71%; all hospitals 50%Pneumonia5 of 771%Bypass surgery: 0 of 3 measured hospitals penalized, 0%; all hospitals 49%Bypass (CABG)0 of 30%Hip/knee replacement: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Hip/knee2 of 367% Heart attack: 1 of 5 measured hospitals penalized, 20%; all hospitals 50%Heart attack1 of 5 measured20%COPD: 5 of 7 measured hospitals penalized, 71%; all hospitals 50%COPD5 of 7 measured71%Heart failure: 5 of 7 measured hospitals penalized, 71%; all hospitals 50%Heart failure5 of 7 measured71%Pneumonia: 5 of 7 measured hospitals penalized, 71%; all hospitals 50%Pneumonia5 of 7 measured71%Bypass surgery: 0 of 3 measured hospitals penalized, 0%; all hospitals 49%Bypass surgery0 of 3 measured0%Hip/knee replacement: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Hip/knee replacement2 of 3 measured67%

Share of estimated dollars

Heart failure: $233K of the modeled dollars, 69%Heart failure≈ $233K69%Pneumonia: $78K of the modeled dollars, 23%Pneumonia≈ $78K23%Hip/knee replacement: $15K of the modeled dollars, 4%Hip/knee≈ $15K4%COPD: $9K of the modeled dollars, 3%COPD≈ $9K3%Heart attack: $3K of the modeled dollars, 1%Heart attack≈ $3K1%Bypass surgery: $0 of the modeled dollars, 0%Bypass (CABG)≈ $00% Heart failure: $233K of the modeled dollars, 69%Heart failure≈ $233K69%Pneumonia: $78K of the modeled dollars, 23%Pneumonia≈ $78K23%Hip/knee replacement: $15K of the modeled dollars, 4%Hip/knee replacement≈ $15K4%COPD: $9K of the modeled dollars, 3%COPD≈ $9K3%Heart attack: $3K of the modeled dollars, 1%Heart attack≈ $3K1%Bypass surgery: $0 of the modeled dollars, 0%Bypass surgery≈ $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 attack5120%50%$3K1%
COPD7571%50%$9K3%
Heart failure7571%50%$233K69%
Pneumonia7571%50%$78K23%
Bypass surgery300%49%$00%
Hip/knee replacement3267%50%$15K4%

Average cut over time

Figure 5. In FY2027, the average cut in Lexington-Fayette, KY was 0.33%, 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% 3% cap FY2013: 0.18% here; 0.28% across all hospitals in the programFY2014: 0.13% here; 0.26% across all hospitals in the programFY2015: 0.54% here; 0.50% across all hospitals in the programFY2016: 0.61% here; 0.49% across all hospitals in the programFY2017: 0.64% here; 0.60% across all hospitals in the programFY2018: 0.58% here; 0.61% across all hospitals in the programFY2019: 0.43% here; 0.59% across all hospitals in the programFY2020: 0.67% here; 0.60% across all hospitals in the programFY2021: 0.73% here; 0.58% across all hospitals in the programFY2022: 0.88% here; 0.54% across all hospitals in the programFY2023: 0.43% here; 0.33% across all hospitals in the programFY2024: 0.56% here; 0.34% across all hospitals in the programFY2025: 0.46% here; 0.33% across all hospitals in the programFY2026: 0.54% here; 0.35% across all hospitals in the programFY2027: 0.33% here; 0.35% across all hospitals in the program0.33% ’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% 2%3% cap FY2013: 0.18% here; 0.28% across all hospitals in the programFY2014: 0.13% here; 0.26% across all hospitals in the programFY2015: 0.54% here; 0.50% across all hospitals in the programFY2016: 0.61% here; 0.49% across all hospitals in the programFY2017: 0.64% here; 0.60% across all hospitals in the programFY2018: 0.58% here; 0.61% across all hospitals in the programFY2019: 0.43% here; 0.59% across all hospitals in the programFY2020: 0.67% here; 0.60% across all hospitals in the programFY2021: 0.73% here; 0.58% across all hospitals in the programFY2022: 0.88% here; 0.54% across all hospitals in the programFY2023: 0.43% here; 0.33% across all hospitals in the programFY2024: 0.56% here; 0.34% across all hospitals in the programFY2025: 0.46% here; 0.33% across all hospitals in the programFY2026: 0.54% here; 0.35% across all hospitals in the programFY2027: 0.33% here; 0.35% across all hospitals in the program0.33% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Lexington-Fayette, KY 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
FY20130.18%0.28%
FY20140.13%0.26%
FY20150.54%0.50%
FY20160.61%0.49%
FY20170.64%0.60%
FY20180.58%0.61%
FY20190.43%0.59%
FY20200.67%0.60%
FY20210.73%0.58%
FY20220.88%0.54%
FY20230.43%0.33%
FY20240.56%0.34%
FY20250.46%0.33%
FY20260.54%0.35%
FY20270.33%0.35%

Hospitals in Lexington-Fayette, KY

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

Hospitals in Lexington-Fayette, KY, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Georgetown Community HospitalGeorgetown, KY · CCN 1801010.64%$20K2Heart attack: too few cases to be measured; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: COPD, Heart failure, and Pneumonia75
Saint Joseph EastLexington, KY · CCN 1801430.55%$22K1Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart attack, COPD, Heart failure, and Pneumonia217
Bourbon Community HospitalParis, KY · CCN 1800460.47%$4K3Heart attack: too few cases to be measured; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: COPD and Pneumonia58
Saint Joseph HospitalLexington, KY · CCN 1800100.29%$122K2Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: measured, adds nothing; Hip/knee replacement: adds to the cutCounted toward the cut: COPD, Heart failure, Pneumonia, and Hip/knee replacement446
Baptist Health LexingtonLexington, KY · CCN 1801030.22%$124K1Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart failure371
Clark Regional Medical CenterWinchester, KY · CCN 1800920.11%$7K2Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Pneumonia69
University of Kentucky HospitalLexington, KY · CCN 1800670.04%$37K2Heart attack: measured, adds nothing; COPD: adds to the cut; 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: COPD, Heart failure, and Hip/knee replacement750

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