P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area · spans NE, IA

Omaha, NE-IA

7 of 11 hospitals take a cut in FY2027: 70% of the 10 measured on at least one condition. The average cut, counting all 11 hospitals, is 0.23%. Estimated total: $1.1Mestimate.

Omaha, NE-IA · FY2027Compared with all hospitals nationally

1Hospitals

11

2Penalized

70%

of 10 measured · −13 pts vs nation

3Average cut

0.23%

−0.12 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$1.1Mestimate

Hospitals on the map

Figure 1. 7 of the 11 hospitals here take a cut; the largest, 0.86%, is at Bellevue Medical Center.
Bryan Medical Center, Lincoln, NE: no cutCHI Health St. Elizabeth, Lincoln, NE: cut 0.29%CHI Health Nebraska Heart, Lincoln, NE: cut 0.03%Methodist Fremont Health, Fremont, NE: cut 0.51%Lincoln Surgical Hospital, Lincoln, NE: cut 0.22%Methodist Jennie Edmundson, Council Bluffs, IA: no cutCHI Health Midlands, Papillion, NE: no cutNebraska Orthopaedic Hospital, Omaha, NE: no cutMidwest Surgical Hospital LLC, Omaha, NE: no cutThe Nebraska Medical Center, Omaha, NE: cut 0.04%CHI Health Lakeside, Omaha, NE: cut 0.01%CHI Health Bergan Mercy, Omaha, NE: cut 0.30%CHI Health Mercy Council Bluffs, Council Bluffs, IA: cut 0.29%CHI Health Immanuel, Omaha, NE: cut 0.29%The Nebraska Methodist Hospital, Omaha, NE: cut 0.78%Bellevue Medical Center, Bellevue, NE: cut 0.86% Bryan Medical Center, Lincoln, NE: no cutCHI Health St. Elizabeth, Lincoln, NE: cut 0.29%CHI Health Nebraska Heart, Lincoln, NE: cut 0.03%Methodist Fremont Health, Fremont, NE: cut 0.51%Lincoln Surgical Hospital, Lincoln, NE: cut 0.22%Methodist Jennie Edmundson, Council Bluffs, IA: no cutCHI Health Midlands, Papillion, NE: no cutNebraska Orthopaedic Hospital, Omaha, NE: no cutMidwest Surgical Hospital LLC, Omaha, NE: no cutThe Nebraska Medical Center, Omaha, NE: cut 0.04%CHI Health Lakeside, Omaha, NE: cut 0.01%CHI Health Bergan Mercy, Omaha, NE: cut 0.30%CHI Health Mercy Council Bluffs, Council Bluffs, IA: cut 0.29%CHI Health Immanuel, Omaha, NE: cut 0.29%The Nebraska Methodist Hospital, Omaha, NE: cut 0.78%Bellevue Medical Center, Bellevue, NE: cut 0.86%

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 states it reaches.

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)
Bellevue Medical CenterBellevue0.86%$18.1M
The Nebraska Methodist HospitalOmaha0.78%$79.8M
CHI Health Bergan MercyOmaha0.30%$55.3M
CHI Health ImmanuelOmaha0.29%$17.3M
CHI Health Mercy Council BluffsCouncil Bluffs0.29%$12.6M
The Nebraska Medical CenterOmaha0.04%$122M
CHI Health LakesideOmaha0.01%$22.3M
CHI Health MidlandsPapillion0.00%$3.0M
Methodist Jennie EdmundsonCouncil Bluffs0.00%$19.5M
Midwest Surgical Hospital LLCOmaha0.00%$4.4M
Nebraska Orthopaedic HospitalOmaha0.00%$3.5M

Size of the cuts

Figure 2. 4 of the 11 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.23%.
0%10%20%30%40% No cut: 4 here (36%); 20% of all hospitals0.0% to 0.1%: 2 here (18%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 2 here (18%); 10% of all hospitals0.3% to 0.4%: 1 here (9%); 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%: 1 here (9%); 3% of all hospitals0.8% to 0.9%: 1 here (9%); 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 0.23%none 0%10%20%30%40% No cut: 4 here (36%); 20% of all hospitals0.0% to 0.1%: 2 here (18%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 2 here (18%); 10% of all hospitals0.3% to 0.4%: 1 here (9%); 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%: 1 here (9%); 3% of all hospitals0.8% to 0.9%: 1 here (9%); 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 0.23%none

Bars: Omaha, NE-IA. 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—436%20%
0.0%0.1%218%18%
0.1%0.2%00%11%
0.2%0.3%218%10%
0.3%0.4%19%8%
0.4%0.5%00%6%
0.5%0.6%00%6%
0.6%0.7%00%4%
0.7%0.8%19%3%
0.8%0.9%19%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 1, with 4 of the 11 hospitals.
Group 1: 4 hospitals, average cut 0.41%Group 1avg cut 0.41%4Group 2: 1 hospital, average cut 0.01%Group 2avg cut 0.01%1Group 3: 3 hospitals, average cut 0.11%Group 3avg cut 0.11%3Group 4: 2 hospitals, average cut 0.14%Group 4avg cut 0.14%2Group 5: 1 hospital, average cut 0.29%Group 5avg cut 0.29%1 Group 1: 4 hospitals, average cut 0.41%Group 1avg cut 0.41%4Group 2: 1 hospital, average cut 0.01%Group 2avg cut 0.01%1Group 3: 3 hospitals, average cut 0.11%Group 3avg cut 0.11%3Group 4: 2 hospitals, average cut 0.14%Group 4avg cut 0.14%2Group 5: 1 hospital, average cut 0.29%Group 5avg cut 0.29%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 140.41%
Group 210.01%
Group 330.11%
Group 420.14%
Group 510.29%

Which conditions drive the penalties here

Figure 4. Heart failure is the largest part of the estimated dollars here, 30%.
  • All hospitals

Penalized on this condition

Heart attack: 5 of 8 measured hospitals penalized, 63%; all hospitals 50%Heart attack5 of 863%COPD: 3 of 8 measured hospitals penalized, 38%; all hospitals 50%COPD3 of 838%Heart failure: 3 of 9 measured hospitals penalized, 33%; all hospitals 50%Heart failure3 of 933%Pneumonia: 5 of 9 measured hospitals penalized, 56%; all hospitals 50%Pneumonia5 of 956%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass (CABG)1 of 333%Hip/knee replacement: 4 of 7 measured hospitals penalized, 57%; all hospitals 50%Hip/knee4 of 757% Heart attack: 5 of 8 measured hospitals penalized, 63%; all hospitals 50%Heart attack5 of 8 measured63%COPD: 3 of 8 measured hospitals penalized, 38%; all hospitals 50%COPD3 of 8 measured38%Heart failure: 3 of 9 measured hospitals penalized, 33%; all hospitals 50%Heart failure3 of 9 measured33%Pneumonia: 5 of 9 measured hospitals penalized, 56%; all hospitals 50%Pneumonia5 of 9 measured56%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass surgery1 of 3 measured33%Hip/knee replacement: 4 of 7 measured hospitals penalized, 57%; all hospitals 50%Hip/knee replacement4 of 7 measured57%

Share of estimated dollars

Heart failure: $324K of the modeled dollars, 30%Heart failure≈ $324K30%Heart attack: $312K of the modeled dollars, 29%Heart attack≈ $312K29%Hip/knee replacement: $253K of the modeled dollars, 23%Hip/knee≈ $253K23%Pneumonia: $169K of the modeled dollars, 16%Pneumonia≈ $169K16%COPD: $13K of the modeled dollars, 1%COPD≈ $13K1%Bypass surgery: $10K of the modeled dollars, 1%Bypass (CABG)≈ $10K1% Heart failure: $324K of the modeled dollars, 30%Heart failure≈ $324K30%Heart attack: $312K of the modeled dollars, 29%Heart attack≈ $312K29%Hip/knee replacement: $253K of the modeled dollars, 23%Hip/knee replacement≈ $253K23%Pneumonia: $169K of the modeled dollars, 16%Pneumonia≈ $169K16%COPD: $13K of the modeled dollars, 1%COPD≈ $13K1%Bypass surgery: $10K of the modeled dollars, 1%Bypass surgery≈ $10K1%

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 attack8563%50%$312K29%
COPD8338%50%$13K1%
Heart failure9333%50%$324K30%
Pneumonia9556%50%$169K16%
Bypass surgery3133%49%$10K1%
Hip/knee replacement7457%50%$253K23%

Average cut over time

Figure 5. In FY2027, the average cut in Omaha, NE-IA was 0.23%, 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: 0.31% here; 0.28% across all hospitals in the programFY2014: 0.09% here; 0.26% across all hospitals in the programFY2015: 0.14% here; 0.50% across all hospitals in the programFY2016: 0.26% here; 0.49% across all hospitals in the programFY2017: 0.34% here; 0.60% across all hospitals in the programFY2018: 0.34% here; 0.61% across all hospitals in the programFY2019: 0.31% here; 0.59% across all hospitals in the programFY2020: 0.38% here; 0.60% across all hospitals in the programFY2021: 0.25% here; 0.58% across all hospitals in the programFY2022: 0.20% here; 0.54% across all hospitals in the programFY2023: 0.06% here; 0.33% across all hospitals in the programFY2024: 0.20% here; 0.34% across all hospitals in the programFY2025: 0.14% here; 0.33% across all hospitals in the programFY2026: 0.12% here; 0.35% across all hospitals in the programFY2027: 0.23% here; 0.35% across all hospitals in the program0.23% ’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: 0.31% here; 0.28% across all hospitals in the programFY2014: 0.09% here; 0.26% across all hospitals in the programFY2015: 0.14% here; 0.50% across all hospitals in the programFY2016: 0.26% here; 0.49% across all hospitals in the programFY2017: 0.34% here; 0.60% across all hospitals in the programFY2018: 0.34% here; 0.61% across all hospitals in the programFY2019: 0.31% here; 0.59% across all hospitals in the programFY2020: 0.38% here; 0.60% across all hospitals in the programFY2021: 0.25% here; 0.58% across all hospitals in the programFY2022: 0.20% here; 0.54% across all hospitals in the programFY2023: 0.06% here; 0.33% across all hospitals in the programFY2024: 0.20% here; 0.34% across all hospitals in the programFY2025: 0.14% here; 0.33% across all hospitals in the programFY2026: 0.12% here; 0.35% across all hospitals in the programFY2027: 0.23% here; 0.35% across all hospitals in the program0.23% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Omaha, NE-IA 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
FY20130.31%0.28%
FY20140.09%0.26%
FY20150.14%0.50%
FY20160.26%0.49%
FY20170.34%0.60%
FY20180.34%0.61%
FY20190.31%0.59%
FY20200.38%0.60%
FY20210.25%0.58%
FY20220.20%0.54%
FY20230.06%0.33%
FY20240.20%0.34%
FY20250.14%0.33%
FY20260.12%0.35%
FY20270.23%0.35%

Hospitals in Omaha, NE-IA

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

Hospitals in Omaha, NE-IA, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Bellevue Medical CenterBellevue, NE · CCN 2801320.86%$156K1Heart 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: adds to the cutCounted toward the cut: Heart attack, COPD, Heart failure, Pneumonia, and Hip/knee replacement91
The Nebraska Methodist HospitalOmaha, NE · CCN 2800400.78%$623K1Heart attack: adds to the cut; COPD: measured, adds nothing; 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: Heart attack, Heart failure, Pneumonia, and Hip/knee replacement430
CHI Health Bergan MercyOmaha, NE · CCN 2800600.30%$166K3Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: measured, adds nothing; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart attack and Pneumonia400
CHI Health ImmanuelOmaha, NE · CCN 2800810.29%$50K5Heart attack: measured, adds nothing; 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 Pneumonia356
CHI Health Mercy Council BluffsCouncil Bluffs, IA · CCN 1600280.29%$36K4Heart attack: adds to the cut; 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: adds to the cutCounted toward the cut: Heart attack, COPD, Pneumonia, and Hip/knee replacement194
The Nebraska Medical CenterOmaha, NE · CCN 2800130.04%$49K3Heart 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: measured, adds nothingCounted toward the cut: Heart attack and Bypass surgery689
CHI Health LakesideOmaha, NE · CCN 2801300.01%$2K2Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: adds to the cutCounted toward the cut: Hip/knee replacement157
Methodist Jennie EdmundsonCouncil Bluffs, IA · CCN 1600470.00%$04Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingNo condition counted236
CHI Health MidlandsPapillion, NE · CCN 2801050.00%$03Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted131
Nebraska Orthopaedic HospitalOmaha, NE · CCN 2801290.00%$01Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted24
Midwest Surgical Hospital LLCOmaha, NE · CCN 2801310.00%$01Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingNo condition counted19

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