2 of 3 hospitals take a cut in FY2027: 67% of the 3 measured on at least one condition. The average cut, counting all 3 hospitals, is 0.19%. Estimated total: $341Kestimate.
San Rafael, CA · FY2027Compared with all hospitals nationally
Figure 1. 2 of the 3 hospitals here take a cut; the largest, 0.42%, is at Marinhealth 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)
Marinhealth Medical Center
Greenbrae
0.42%
$80.2M
Kaiser Foundation Hospital
San Rafael
0.16%
$2.5M
Novato Community Hospital
Novato
0.00%
$14.4M
Size of the cuts
Figure 2. 1 of the 3 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.19%.
Bars: San Rafael, 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
—
1
33%
20%
0.0%
0.1%
0
0%
18%
0.1%
0.2%
1
33%
11%
0.2%
0.3%
0
0%
10%
0.3%
0.4%
0
0%
8%
0.4%
0.5%
1
33%
6%
0.5%
0.6%
0
0%
6%
0.6%
0.7%
0
0%
4%
0.7%
0.8%
0
0%
3%
0.8%
0.9%
0
0%
3%
0.9%
1.0%
0
0%
2%
1.0%
1.1%
0
0%
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. The largest group here is group 1, with 1 of the 3 hospitals.
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
0.16%
Group 2
0
none
Group 3
1
0.42%
Group 4
1
0.00%
Group 5
0
none
Which conditions drive the penalties here
Figure 4. Pneumonia is the largest part of the estimated dollars here, 39%.
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
2
1
50%
50%
$4K
1%
COPD
3
0
0%
50%
$0
0%
Heart failure
3
1
33%
50%
$106K
31%
Pneumonia
3
2
67%
50%
$134K
39%
Bypass surgery
1
0
0%
49%
$0
0%
Hip/knee replacement
2
1
50%
50%
$97K
29%
Average cut over time
Figure 5. In FY2027, the average cut in San Rafael, CA was 0.19%, against 0.35% across all hospitals in the program.
Red: hospitals in San Rafael, 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.
Show table
Fiscal year
Average cut here
Average cut, all hospitals in the program
FY2013
0.00%
0.28%
FY2014
0.00%
0.26%
FY2015
0.18%
0.50%
FY2016
0.56%
0.49%
FY2017
0.07%
0.60%
FY2018
0.06%
0.61%
FY2019
0.06%
0.59%
FY2020
0.10%
0.60%
FY2021
0.25%
0.58%
FY2022
0.08%
0.54%
FY2023
0.14%
0.33%
FY2024
0.02%
0.34%
FY2025
0.04%
0.33%
FY2026
0.01%
0.35%
FY2027
0.19%
0.35%
Hospitals in San Rafael, CA
Largest cut first. Select a hospital to open its page.