P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Madison, WI

5 of 5 hospitals take a cut in FY2027: 100% of the 5 measured on at least one condition. The average cut, counting all 5 hospitals, is 0.20%. Estimated total: $212Kestimate.

Madison, WI · FY2027Compared with all hospitals nationally

1Hospitals

5

2Penalized

100%

of 5 measured · +17 pts vs nation

3Average cut

0.20%

−0.15 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$212Kestimate

Hospitals on the map

Figure 1. 5 of the 5 hospitals here take a cut; the largest, 0.38%, is at Aspirus Divine Savior Hospital.
Ascension Ne Wisconsin - St Elizabeth Campus, Appleton, WI: cut 0.22%Thedacare Regional Med Ctr - Neenah, Neenah, WI: cut 0.01%Mercy Health System Corp, Janesville, WI: cut 0.08%SSM Health St Agnes Hospital-Fond Du LAC, Fond Du LAC, WI: cut 0.60%Beloit Health System, Beloit, WI: cut 0.66%Aurora Medical Center - Summit, Summit, WI: cut 0.22%Aspirus Stevens Point Hospital & Clinics, Inc., Stevens Point, WI: cut 0.21%Aspirus Riverview Hospital & Clinics Inc, Wisconsin Rapids, WI: no cutSSM Health St Clare Hospital - Baraboo, Baraboo, WI: cut 0.05%Oconomowoc Memorial Hospital, Oconomowoc, WI: cut 0.16%Fort Memorial Hospital, Fort Atkinson, WI: no cutMarshfield Medical Center - Beaver Dam (MMC-BD), Beaver Dam, WI: no cutSauk Prairie Hospital, Prairie Du Sac, WI: no cutAurora Lakeland Medical Center, Elkhorn, WI: no cutMile Bluff Medical Center, Mauston, WI: no cutWatertown Memorial Hospital, Watertown, WI: cut 0.17%Aurora Medical Ctr Oshkosh, Oshkosh, WI: no cutSSM Health St Mary's Hospital - Janesville, Janesville, WI: cut 0.09%University of WI Hospitals & Clinics Authority, Madison, WI: cut 0.03%SSM Health St Mary's Hospital - Madison, Madison, WI: cut 0.02%The Monroe Clinic, Monroe, WI: cut 0.22%UnityPoint Health - Meriter, Madison, WI: cut 0.33%Aspirus Divine Savior Hospital, Portage, WI: cut 0.38% Ascension Ne Wisconsin - St Elizabeth Campus, Appleton, WI: cut 0.22%Thedacare Regional Med Ctr - Neenah, Neenah, WI: cut 0.01%Mercy Health System Corp, Janesville, WI: cut 0.08%SSM Health St Agnes Hospital-Fond Du LAC, Fond Du LAC, WI: cut 0.60%Beloit Health System, Beloit, WI: cut 0.66%Aurora Medical Center - Summit, Summit, WI: cut 0.22%Aspirus Stevens Point Hospital & Clinics, Inc., Stevens Point, WI: cut 0.21%Aspirus Riverview Hospital & Clinics Inc, Wisconsin Rapids, WI: no cutSSM Health St Clare Hospital - Baraboo, Baraboo, WI: cut 0.05%Oconomowoc Memorial Hospital, Oconomowoc, WI: cut 0.16%Fort Memorial Hospital, Fort Atkinson, WI: no cutMarshfield Medical Center - Beaver Dam (MMC-BD), Beaver Dam, WI: no cutSauk Prairie Hospital, Prairie Du Sac, WI: no cutAurora Lakeland Medical Center, Elkhorn, WI: no cutMile Bluff Medical Center, Mauston, WI: no cutWatertown Memorial Hospital, Watertown, WI: cut 0.17%Aurora Medical Ctr Oshkosh, Oshkosh, WI: no cutSSM Health St Mary's Hospital - Janesville, Janesville, WI: cut 0.09%University of WI Hospitals & Clinics Authority, Madison, WI: cut 0.03%SSM Health St Mary's Hospital - Madison, Madison, WI: cut 0.02%The Monroe Clinic, Monroe, WI: cut 0.22%UnityPoint Health - Meriter, Madison, WI: cut 0.33%Aspirus Divine Savior Hospital, Portage, WI: cut 0.38%

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)
Aspirus Divine Savior HospitalPortage0.38%$3.1M
UnityPoint Health - MeriterMadison0.33%$37.5M
The Monroe ClinicMonroe0.22%$8.3M
University of WI Hospitals & Clinics AuthorityMadison0.03%$134M
SSM Health St Mary's Hospital - MadisonMadison0.02%$87.9M

Size of the cuts

Figure 2. All 5 hospitals here take a cut, 0.20% on average; across all hospitals 20% take none.
0%10%20%30%40% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 2 here (40%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (20%); 10% of all hospitals0.3% to 0.4%: 2 here (40%); 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 0.20%none 0%10%20%30%40% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 2 here (40%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (20%); 10% of all hospitals0.3% to 0.4%: 2 here (40%); 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 0.20%none

Bars: Madison, WI. 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%240%18%
0.1%0.2%00%11%
0.2%0.3%120%10%
0.3%0.4%240%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 3, with 2 of the 5 hospitals.
Group 1: no hospital hereGroup 1none0Group 2: 1 hospital, average cut 0.02%Group 2avg cut 0.02%1Group 3: 2 hospitals, average cut 0.13%Group 3avg cut 0.13%2Group 4: 2 hospitals, average cut 0.35%Group 4avg cut 0.35%2Group 5: no hospital hereGroup 5none0 Group 1: no hospital hereGroup 1none0Group 2: 1 hospital, average cut 0.02%Group 2avg cut 0.02%1Group 3: 2 hospitals, average cut 0.13%Group 3avg cut 0.13%2Group 4: 2 hospitals, average cut 0.35%Group 4avg cut 0.35%2Group 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 10none
Group 210.02%
Group 320.13%
Group 420.35%
Group 50none

Which conditions drive the penalties here

Figure 4. Heart failure is the largest part of the estimated dollars here, 55%.
  • All hospitals

Penalized on this condition

Heart attack: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Heart attack1 of 425%COPD: 3 of 5 measured hospitals penalized, 60%; all hospitals 50%COPD3 of 560%Heart failure: 3 of 5 measured hospitals penalized, 60%; all hospitals 50%Heart failure3 of 560%Pneumonia: 1 of 5 measured hospitals penalized, 20%; all hospitals 50%Pneumonia1 of 520%Bypass surgery: 0 of 2 measured hospitals penalized, 0%; all hospitals 49%Bypass (CABG)0 of 20%Hip/knee replacement: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Hip/knee1 of 250% Heart attack: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Heart attack1 of 4 measured25%COPD: 3 of 5 measured hospitals penalized, 60%; all hospitals 50%COPD3 of 5 measured60%Heart failure: 3 of 5 measured hospitals penalized, 60%; all hospitals 50%Heart failure3 of 5 measured60%Pneumonia: 1 of 5 measured hospitals penalized, 20%; all hospitals 50%Pneumonia1 of 5 measured20%Bypass surgery: 0 of 2 measured hospitals penalized, 0%; all hospitals 49%Bypass surgery0 of 2 measured0%Hip/knee replacement: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Hip/knee replacement1 of 2 measured50%

Share of estimated dollars

Heart failure: $117K of the modeled dollars, 55%Heart failure≈ $117K55%COPD: $43K of the modeled dollars, 20%COPD≈ $43K20%Pneumonia: $20K of the modeled dollars, 9%Pneumonia≈ $20K9%Hip/knee replacement: $18K of the modeled dollars, 8%Hip/knee≈ $18K8%Heart attack: $14K of the modeled dollars, 7%Heart attack≈ $14K7%Bypass surgery: $0 of the modeled dollars, 0%Bypass (CABG)≈ $00% Heart failure: $117K of the modeled dollars, 55%Heart failure≈ $117K55%COPD: $43K of the modeled dollars, 20%COPD≈ $43K20%Pneumonia: $20K of the modeled dollars, 9%Pneumonia≈ $20K9%Hip/knee replacement: $18K of the modeled dollars, 8%Hip/knee replacement≈ $18K8%Heart attack: $14K of the modeled dollars, 7%Heart attack≈ $14K7%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 attack4125%50%$14K7%
COPD5360%50%$43K20%
Heart failure5360%50%$117K55%
Pneumonia5120%50%$20K9%
Bypass surgery200%49%$00%
Hip/knee replacement2150%50%$18K8%

Average cut over time

Figure 5. In FY2027, the average cut in Madison, WI was 0.20%, 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: 0.10% here; 0.28% across all hospitals in the programFY2014: 0.00% here; 0.26% across all hospitals in the programFY2015: 0.41% here; 0.50% across all hospitals in the programFY2016: 0.45% here; 0.49% across all hospitals in the programFY2017: 0.37% here; 0.60% across all hospitals in the programFY2018: 0.46% here; 0.61% across all hospitals in the programFY2019: 0.44% here; 0.59% across all hospitals in the programFY2020: 0.31% here; 0.60% across all hospitals in the programFY2021: 0.26% here; 0.58% across all hospitals in the programFY2022: 0.23% here; 0.54% across all hospitals in the programFY2023: 0.15% here; 0.33% across all hospitals in the programFY2024: 0.17% here; 0.34% across all hospitals in the programFY2025: 0.14% here; 0.33% across all hospitals in the programFY2026: 0.11% here; 0.35% across all hospitals in the programFY2027: 0.20% here; 0.35% across all hospitals in the program0.20% ’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: 0.10% here; 0.28% across all hospitals in the programFY2014: 0.00% here; 0.26% across all hospitals in the programFY2015: 0.41% here; 0.50% across all hospitals in the programFY2016: 0.45% here; 0.49% across all hospitals in the programFY2017: 0.37% here; 0.60% across all hospitals in the programFY2018: 0.46% here; 0.61% across all hospitals in the programFY2019: 0.44% here; 0.59% across all hospitals in the programFY2020: 0.31% here; 0.60% across all hospitals in the programFY2021: 0.26% here; 0.58% across all hospitals in the programFY2022: 0.23% here; 0.54% across all hospitals in the programFY2023: 0.15% here; 0.33% across all hospitals in the programFY2024: 0.17% here; 0.34% across all hospitals in the programFY2025: 0.14% here; 0.33% across all hospitals in the programFY2026: 0.11% here; 0.35% across all hospitals in the programFY2027: 0.20% here; 0.35% across all hospitals in the program0.20% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Madison, WI 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
FY20130.10%0.28%
FY20140.00%0.26%
FY20150.41%0.50%
FY20160.45%0.49%
FY20170.37%0.60%
FY20180.46%0.61%
FY20190.44%0.59%
FY20200.31%0.60%
FY20210.26%0.58%
FY20220.23%0.54%
FY20230.15%0.33%
FY20240.17%0.34%
FY20250.14%0.33%
FY20260.11%0.35%
FY20270.20%0.35%

Hospitals in Madison, WI

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

Hospitals in Madison, WI, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Aspirus Divine Savior HospitalPortage, WI · CCN 5200410.38%$12K4Heart attack: too few cases to be measured; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: COPD and Heart failure73
UnityPoint Health - MeriterMadison, WI · CCN 5200890.33%$124K4Heart attack: measured, adds nothing; COPD: measured, adds nothing; 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: Heart failure and Pneumonia448
The Monroe ClinicMonroe, WI · CCN 5200280.22%$18K3Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart attack, COPD, and Heart failure100
University of WI Hospitals & Clinics AuthorityMadison, WI · CCN 5200980.03%$40K3Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD536
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 5200830.02%$18K2Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: adds to the cutCounted toward the cut: Hip/knee replacement440

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