P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

South Bend-Mishawaka, IN-MI

2 of 3 hospitals take a cut in FY2027: 100% of the 2 measured on at least one condition. The average cut, counting all 3 hospitals, is 0.10%. Estimated total: $124Kestimate.

South Bend-Mishawaka, IN-MI · FY2027Compared with all hospitals nationally

1Hospitals

3

2Penalized

100%

of 2 measured · +17 pts vs nation

3Average cut

0.10%

−0.25 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$124Kestimate

Hospitals on the map

Figure 1. 2 of the 3 hospitals here take a cut; the largest, 0.20%, is at Memorial Hospital of South Bend.
Lutheran Hospital of Indiana, Fort Wayne, IN: cut 0.49%Northwest Health-La Porte, La Porte, IN: cut 0.66%Franciscan Health Michigan City, Michigan City, IN: cut 0.87%Elkhart General Hospital, Elkhart, IN: cut 0.14%Goshen Hospital, Goshen, IN: cut 0.28%Northwest Health - Porter, Valparaiso, IN: cut 0.58%St Joseph Health System, LLC, Fort Wayne, IN: no cutMemorial Hospital, Logansport, IN: no cutBluffton Regional Medical Center, Bluffton, IN: cut 0.18%Saint Joseph Regional Medical Center - Plymouth, Plymouth, IN: cut 0.04%Parkview Huntington Hospital, Huntington, IN: cut 0.31%Parkview Whitley Hospital, Columbia City, IN: no cutNorthwest Health - Starke, Knox, IN: cut 0.79%Kosciusko Community Hospital, Warsaw, IN: cut 1.22%Parkview Noble Hospital, Kendallville, IN: cut 0.17%The Orthopaedic Hospital of Lutheran Health Networ, Ft Wayne, IN: cut 0.60%Unity Physicians Hospital, Mishawaka, IN: no cutSaint Joseph Regional Medical Center, Mishawaka, IN: cut 0.11%Memorial Hospital of South Bend, South Bend, IN: cut 0.20% Lutheran Hospital of Indiana, Fort Wayne, IN: cut 0.49%Northwest Health-La Porte, La Porte, IN: cut 0.66%Franciscan Health Michigan City, Michigan City, IN: cut 0.87%Elkhart General Hospital, Elkhart, IN: cut 0.14%Goshen Hospital, Goshen, IN: cut 0.28%Northwest Health - Porter, Valparaiso, IN: cut 0.58%St Joseph Health System, LLC, Fort Wayne, IN: no cutMemorial Hospital, Logansport, IN: no cutBluffton Regional Medical Center, Bluffton, IN: cut 0.18%Saint Joseph Regional Medical Center - Plymouth, Plymouth, IN: cut 0.04%Parkview Huntington Hospital, Huntington, IN: cut 0.31%Parkview Whitley Hospital, Columbia City, IN: no cutNorthwest Health - Starke, Knox, IN: cut 0.79%Kosciusko Community Hospital, Warsaw, IN: cut 1.22%Parkview Noble Hospital, Kendallville, IN: cut 0.17%The Orthopaedic Hospital of Lutheran Health Networ, Ft Wayne, IN: cut 0.60%Unity Physicians Hospital, Mishawaka, IN: no cutSaint Joseph Regional Medical Center, Mishawaka, IN: cut 0.11%Memorial Hospital of South Bend, South Bend, IN: cut 0.20%

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)
Memorial Hospital of South BendSouth Bend0.20%$45.5M
Saint Joseph Regional Medical CenterMishawaka0.11%$30.1M
Unity Physicians HospitalMishawaka0.00%$2.1M

Size of the cuts

Figure 2. 1 of the 3 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.10%.
0%10%20%30% No cut: 1 here (33%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 1 here (33%); 11% of all hospitals0.2% to 0.3%: 1 here (33%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 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 0.10%none 0%10%20%30% No cut: 1 here (33%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 1 here (33%); 11% of all hospitals0.2% to 0.3%: 1 here (33%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 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 0.10%none

Bars: South Bend-Mishawaka, IN-MI. 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—133%20%
0.0%0.1%00%18%
0.1%0.2%133%11%
0.2%0.3%133%10%
0.3%0.4%00%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. Most of the 3 hospitals here are in group 3.
Group 1: 1 hospital, average cut 0.00%Group 1avg cut 0.00%1Group 2: no hospital hereGroup 2none0Group 3: 2 hospitals, average cut 0.15%Group 3avg cut 0.15%2Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0 Group 1: 1 hospital, average cut 0.00%Group 1avg cut 0.00%1Group 2: no hospital hereGroup 2none0Group 3: 2 hospitals, average cut 0.15%Group 3avg cut 0.15%2Group 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 110.00%
Group 20none
Group 320.15%
Group 40none
Group 50none

Which conditions drive the penalties here

Figure 4. Pneumonia is the largest part of the estimated dollars here, 54%.
  • All hospitals

Penalized on this condition

Heart attack: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 20%COPD: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%COPD0 of 20%Heart failure: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%Heart failure0 of 20%Pneumonia: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Pneumonia1 of 250%Bypass surgery: 2 of 2 measured hospitals penalized, 100%; all hospitals 49%Bypass (CABG)2 of 2100%Hip/knee replacement: 1 of 1 measured hospitals penalized, 100%; all hospitals 50%Hip/knee1 of 1100% Heart attack: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 2 measured0%COPD: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%COPD0 of 2 measured0%Heart failure: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%Heart failure0 of 2 measured0%Pneumonia: 1 of 2 measured hospitals penalized, 50%; all hospitals 50%Pneumonia1 of 2 measured50%Bypass surgery: 2 of 2 measured hospitals penalized, 100%; all hospitals 49%Bypass surgery2 of 2 measured100%Hip/knee replacement: 1 of 1 measured hospitals penalized, 100%; all hospitals 50%Hip/knee replacement1 of 1 measured100%

Share of estimated dollars

Pneumonia: $68K of the modeled dollars, 54%Pneumonia≈ $68K54%Bypass surgery: $38K of the modeled dollars, 31%Bypass (CABG)≈ $38K31%Hip/knee replacement: $18K of the modeled dollars, 15%Hip/knee≈ $18K15%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%COPD: $0 of the modeled dollars, 0%COPD≈ $00%Heart failure: $0 of the modeled dollars, 0%Heart failure≈ $00% Pneumonia: $68K of the modeled dollars, 54%Pneumonia≈ $68K54%Bypass surgery: $38K of the modeled dollars, 31%Bypass surgery≈ $38K31%Hip/knee replacement: $18K of the modeled dollars, 15%Hip/knee replacement≈ $18K15%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%COPD: $0 of the modeled dollars, 0%COPD≈ $00%Heart failure: $0 of the modeled dollars, 0%Heart failure≈ $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 attack200%50%$00%
COPD200%50%$00%
Heart failure200%50%$00%
Pneumonia2150%50%$68K54%
Bypass surgery22100%49%$38K31%
Hip/knee replacement11100%50%$18K15%

Average cut over time

Figure 5. In FY2027, the average cut in South Bend-Mishawaka, IN-MI was 0.10%, 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: 0.00% here; 0.28% across all hospitals in the programFY2014: 0.00% here; 0.26% across all hospitals in the programFY2015: 0.50% here; 0.50% across all hospitals in the programFY2016: 0.27% here; 0.49% across all hospitals in the programFY2017: 0.02% here; 0.60% across all hospitals in the programFY2018: 0.04% here; 0.61% across all hospitals in the programFY2019: 0.13% here; 0.59% across all hospitals in the programFY2020: 0.00% here; 0.60% across all hospitals in the programFY2021: 0.16% here; 0.58% across all hospitals in the programFY2022: 0.09% here; 0.54% across all hospitals in the programFY2023: 0.68% here; 0.33% across all hospitals in the programFY2024: 0.54% here; 0.34% across all hospitals in the programFY2025: 0.55% here; 0.33% across all hospitals in the programFY2026: 0.12% here; 0.35% across all hospitals in the programFY2027: 0.10% here; 0.35% across all hospitals in the program0.10% ’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: 0.00% here; 0.28% across all hospitals in the programFY2014: 0.00% here; 0.26% across all hospitals in the programFY2015: 0.50% here; 0.50% across all hospitals in the programFY2016: 0.27% here; 0.49% across all hospitals in the programFY2017: 0.02% here; 0.60% across all hospitals in the programFY2018: 0.04% here; 0.61% across all hospitals in the programFY2019: 0.13% here; 0.59% across all hospitals in the programFY2020: 0.00% here; 0.60% across all hospitals in the programFY2021: 0.16% here; 0.58% across all hospitals in the programFY2022: 0.09% here; 0.54% across all hospitals in the programFY2023: 0.68% here; 0.33% across all hospitals in the programFY2024: 0.54% here; 0.34% across all hospitals in the programFY2025: 0.55% here; 0.33% across all hospitals in the programFY2026: 0.12% here; 0.35% across all hospitals in the programFY2027: 0.10% here; 0.35% across all hospitals in the program0.10% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in South Bend-Mishawaka, IN-MI 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
FY20130.00%0.28%
FY20140.00%0.26%
FY20150.50%0.50%
FY20160.27%0.49%
FY20170.02%0.60%
FY20180.04%0.61%
FY20190.13%0.59%
FY20200.00%0.60%
FY20210.16%0.58%
FY20220.09%0.54%
FY20230.68%0.33%
FY20240.54%0.34%
FY20250.55%0.33%
FY20260.12%0.35%
FY20270.10%0.35%

Hospitals in South Bend-Mishawaka, IN-MI

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

Hospitals in South Bend-Mishawaka, IN-MI, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Memorial Hospital of South BendSouth Bend, IN · CCN 1500580.20%$91K3Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Pneumonia and Bypass surgery463
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 1500120.11%$33K3Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: adds to the cut; Hip/knee replacement: adds to the cutCounted toward the cut: Bypass surgery and Hip/knee replacement301
Unity Physicians HospitalMishawaka, IN · CCN 1501770.00%$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 counted29

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