P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Spokane-Spokane Valley, WA

4 of 4 hospitals take a cut in FY2027: 100% of the 4 measured on at least one condition. The average cut, counting all 4 hospitals, is 0.03%. Estimated total: $38Kestimate.

Spokane-Spokane Valley, WA · FY2027Compared with all hospitals nationally

1Hospitals

4

2Penalized

100%

of 4 measured · +17 pts vs nation

3Average cut

0.03%

−0.32 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$38Kestimate

Hospitals on the map

Figure 1. 4 of the 4 hospitals here take a cut; the largest, 0.05%, is at Multicare Valley Hospital.
Prov Sacred HRT Med Ctr & Childs Hosp., Spokane, WA: cut 0.01%Deaconess Medical Center, Spokane, WA: cut 0.03%Providence Holy Family Hospital, Spokane, WA: cut 0.02%Multicare Valley Hospital, Spokane Valley, WA: cut 0.05% Prov Sacred HRT Med Ctr & Childs Hosp., Spokane, WA: cut 0.01%Deaconess Medical Center, Spokane, WA: cut 0.03%Providence Holy Family Hospital, Spokane, WA: cut 0.02%Multicare Valley Hospital, Spokane Valley, WA: cut 0.05%

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%

Dots are sized by Medicare volume and shaded by cut. Select one to open it.

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)
Multicare Valley HospitalSpokane Valley0.05%$16.2M
Deaconess Medical CenterSpokane0.03%$46.8M
Providence Holy Family HospitalSpokane0.02%$24.0M
Prov Sacred HRT Med Ctr & Childs Hosp.Spokane0.01%$111M

Size of the cuts

Figure 2. All 4 hospitals here take a cut, 0.03% on average; across all hospitals 20% take none.
0%20%40%60%80%100% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 4 here (100%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 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 0.03%none 0%20%40%60%80%100% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 4 here (100%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 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 0.03%none

Bars: Spokane-Spokane Valley, WA. 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%4100%18%
0.1%0.2%00%11%
0.2%0.3%00%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 4 hospitals here are in group 3.
Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: 3 hospitals, average cut 0.03%Group 3avg cut 0.03%3Group 4: 1 hospital, average cut 0.02%Group 4avg cut 0.02%1Group 5: no hospital hereGroup 5none0 Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: 3 hospitals, average cut 0.03%Group 3avg cut 0.03%3Group 4: 1 hospital, average cut 0.02%Group 4avg cut 0.02%1Group 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 20none
Group 330.03%
Group 410.02%
Group 50none

Which conditions drive the penalties here

Figure 4. COPD is the largest part of the estimated dollars here, 48%.
  • All hospitals

Penalized on this condition

Heart attack: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 20%COPD: 3 of 4 measured hospitals penalized, 75%; all hospitals 50%COPD3 of 475%Heart failure: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Heart failure1 of 425%Pneumonia: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Pneumonia1 of 425%Bypass surgery: 1 of 2 measured hospitals penalized, 50%; all hospitals 49%Bypass (CABG)1 of 250%Hip/knee replacement: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Hip/knee1 of 425% Heart attack: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 2 measured0%COPD: 3 of 4 measured hospitals penalized, 75%; all hospitals 50%COPD3 of 4 measured75%Heart failure: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Heart failure1 of 4 measured25%Pneumonia: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Pneumonia1 of 4 measured25%Bypass surgery: 1 of 2 measured hospitals penalized, 50%; all hospitals 49%Bypass surgery1 of 2 measured50%Hip/knee replacement: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Hip/knee replacement1 of 4 measured25%

Share of estimated dollars

COPD: $18K of the modeled dollars, 48%COPD≈ $18K48%Bypass surgery: $6K of the modeled dollars, 16%Bypass (CABG)≈ $6K16%Hip/knee replacement: $5K of the modeled dollars, 14%Hip/knee≈ $5K14%Pneumonia: $5K of the modeled dollars, 14%Pneumonia≈ $5K14%Heart failure: $3K of the modeled dollars, 7%Heart failure≈ $3K7%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00% COPD: $18K of the modeled dollars, 48%COPD≈ $18K48%Bypass surgery: $6K of the modeled dollars, 16%Bypass surgery≈ $6K16%Hip/knee replacement: $5K of the modeled dollars, 14%Hip/knee replacement≈ $5K14%Pneumonia: $5K of the modeled dollars, 14%Pneumonia≈ $5K14%Heart failure: $3K of the modeled dollars, 7%Heart failure≈ $3K7%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $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%
COPD4375%50%$18K48%
Heart failure4125%50%$3K7%
Pneumonia4125%50%$5K14%
Bypass surgery2150%49%$6K16%
Hip/knee replacement4125%50%$5K14%

Average cut over time

Figure 5. In FY2027, the average cut in Spokane-Spokane Valley, WA was 0.03%, 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: 0.08% here; 0.28% across all hospitals in the programFY2014: 0.06% here; 0.26% across all hospitals in the programFY2015: 0.67% here; 0.50% across all hospitals in the programFY2016: 0.37% here; 0.49% across all hospitals in the programFY2017: 0.35% here; 0.60% across all hospitals in the programFY2018: 0.14% here; 0.61% across all hospitals in the programFY2019: 0.36% here; 0.59% across all hospitals in the programFY2020: 0.72% here; 0.60% across all hospitals in the programFY2021: 0.80% here; 0.58% across all hospitals in the programFY2022: 0.42% here; 0.54% across all hospitals in the programFY2023: 0.13% here; 0.33% across all hospitals in the programFY2024: 0.09% here; 0.34% across all hospitals in the programFY2025: 0.02% here; 0.33% across all hospitals in the programFY2026: 0.03% here; 0.35% across all hospitals in the programFY2027: 0.03% here; 0.35% across all hospitals in the program0.03% ’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: 0.08% here; 0.28% across all hospitals in the programFY2014: 0.06% here; 0.26% across all hospitals in the programFY2015: 0.67% here; 0.50% across all hospitals in the programFY2016: 0.37% here; 0.49% across all hospitals in the programFY2017: 0.35% here; 0.60% across all hospitals in the programFY2018: 0.14% here; 0.61% across all hospitals in the programFY2019: 0.36% here; 0.59% across all hospitals in the programFY2020: 0.72% here; 0.60% across all hospitals in the programFY2021: 0.80% here; 0.58% across all hospitals in the programFY2022: 0.42% here; 0.54% across all hospitals in the programFY2023: 0.13% here; 0.33% across all hospitals in the programFY2024: 0.09% here; 0.34% across all hospitals in the programFY2025: 0.02% here; 0.33% across all hospitals in the programFY2026: 0.03% here; 0.35% across all hospitals in the programFY2027: 0.03% here; 0.35% across all hospitals in the program0.03% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Spokane-Spokane Valley, WA 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
FY20130.08%0.28%
FY20140.06%0.26%
FY20150.67%0.50%
FY20160.37%0.49%
FY20170.35%0.60%
FY20180.14%0.61%
FY20190.36%0.59%
FY20200.72%0.60%
FY20210.80%0.58%
FY20220.42%0.54%
FY20230.13%0.33%
FY20240.09%0.34%
FY20250.02%0.33%
FY20260.03%0.35%
FY20270.03%0.35%

Hospitals in Spokane-Spokane Valley, WA

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

Hospitals in Spokane-Spokane Valley, WA, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Multicare Valley HospitalSpokane Valley, WA · CCN 5001190.05%$8K3Heart attack: too few cases to be measured; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: adds to the cutCounted toward the cut: Heart failure and Hip/knee replacement123
Deaconess Medical CenterSpokane, WA · CCN 5000440.03%$14K3Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD, Pneumonia, and Bypass surgery388
Providence Holy Family HospitalSpokane, WA · CCN 5000770.02%$5K4Heart attack: too few cases to be measured; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD272
Prov Sacred HRT Med Ctr & Childs Hosp.Spokane, WA · CCN 5000540.01%$11K3Heart 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: COPD615

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