P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Tyler, TX

2 of 4 hospitals take a cut in FY2027: 50% of the 4 measured on at least one condition. The average cut, counting all 4 hospitals, is 0.57%. Estimated total: $1.9Mestimate.

Tyler, TX · FY2027Compared with all hospitals nationally

1Hospitals

4

2Penalized

50%

of 4 measured · −33 pts vs nation

3Average cut

0.57%

+0.22 pts vs nation

4Cut 1% or more

1

25% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$1.9Mestimate

Hospitals on the map

Figure 1. 2 of the 4 hospitals here take a cut; the largest, 1.99%, is at UT Health East Texas Tyler Regional Hospital.
CHRISTUS Good Shepherd Medical Center, Longview, TX: cut 2.06%CHI St Lukes Health Memorial Lufkin, Lufkin, TX: cut 1.52%Hunt Regional Medical Center, Greenville, TX: cut 0.94%Nacogdoches Medical Center, Nacogdoches, TX: cut 2.26%Longview Regional Medical Center, Longview, TX: cut 0.75%Titus Regional Medical Center, Mount Pleasant, TX: cut 0.16%UT Health East Texas Jacksonville Hospital, Jacksonville, TX: cut 0.19%UT Health East Texas Carthage Hospital, Carthage, TX: no cutCHRISTUS Mother Frances Hospital Sulphur Springs, Sulphur Springs, TX: no cutTexas Health Presbyterian Hospital Kaufman, Kaufman, TX: no cutUT Health East Texas Athens Hospital, Athens, TX: cut 1.06%UT Health East Texas Henderson Hospital, Henderson, TX: no cutNacogdoches Memorial Hospital, Nacogdoches, TX: cut 0.75%Freestone Medical Center, Fairfield, TX: cut 0.07%Palestine Regional Medical Center, Palestine, TX: cut 0.32%Baylor Scott & White Texas Spine & Joint Hospital, Tyler, TX: no cutUniversity of Texas Health Science Center at Tyler, Tyler, TX: no cutCHRISTUS Mother Frances Hospital, Tyler, TX: cut 0.29%UT Health East Texas Tyler Regional Hospital, Tyler, TX: cut 1.99% CHRISTUS Good Shepherd Medical Center, Longview, TX: cut 2.06%CHI St Lukes Health Memorial Lufkin, Lufkin, TX: cut 1.52%Hunt Regional Medical Center, Greenville, TX: cut 0.94%Nacogdoches Medical Center, Nacogdoches, TX: cut 2.26%Longview Regional Medical Center, Longview, TX: cut 0.75%Titus Regional Medical Center, Mount Pleasant, TX: cut 0.16%UT Health East Texas Jacksonville Hospital, Jacksonville, TX: cut 0.19%UT Health East Texas Carthage Hospital, Carthage, TX: no cutCHRISTUS Mother Frances Hospital Sulphur Springs, Sulphur Springs, TX: no cutTexas Health Presbyterian Hospital Kaufman, Kaufman, TX: no cutUT Health East Texas Athens Hospital, Athens, TX: cut 1.06%UT Health East Texas Henderson Hospital, Henderson, TX: no cutNacogdoches Memorial Hospital, Nacogdoches, TX: cut 0.75%Freestone Medical Center, Fairfield, TX: cut 0.07%Palestine Regional Medical Center, Palestine, TX: cut 0.32%Baylor Scott & White Texas Spine & Joint Hospital, Tyler, TX: no cutUniversity of Texas Health Science Center at Tyler, Tyler, TX: no cutCHRISTUS Mother Frances Hospital, Tyler, TX: cut 0.29%UT Health East Texas Tyler Regional Hospital, Tyler, TX: cut 1.99%

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)
UT Health East Texas Tyler Regional HospitalTyler1.99%$79.6M
CHRISTUS Mother Frances HospitalTyler0.29%$108M
Baylor Scott & White Texas Spine & Joint HospitalTyler0.00%$13.9M
University of Texas Health Science Center at TylerTyler0.00%$1.9M

Size of the cuts

Figure 2. 2 of the 4 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.57%.
0%10%20%30%40%50% No cut: 2 here (50%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (25%); 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%: 1 here (25%); 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 0.57%none 0%10%20%30%40%50% No cut: 2 here (50%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (25%); 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%: 1 here (25%); 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 0.57%none

Bars: Tyler, TX. 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—250%20%
0.0%0.1%00%18%
0.1%0.2%00%11%
0.2%0.3%125%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%125%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 2 of the 4 hospitals.
Group 1: 2 hospitals, average cut 0.14%Group 1avg cut 0.14%2Group 2: 1 hospital, average cut 1.99%Group 2avg cut 1.99%1Group 3: 1 hospital, average cut 0.00%Group 3avg cut 0.00%1Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0 Group 1: 2 hospitals, average cut 0.14%Group 1avg cut 0.14%2Group 2: 1 hospital, average cut 1.99%Group 2avg cut 1.99%1Group 3: 1 hospital, average cut 0.00%Group 3avg cut 0.00%1Group 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 120.14%
Group 211.99%
Group 310.00%
Group 40none
Group 50none

Which conditions drive the penalties here

Figure 4. Bypass surgery is the largest part of the estimated dollars here, 33%.
  • All hospitals

Penalized on this condition

Heart attack: 2 of 2 measured hospitals penalized, 100%; all hospitals 50%Heart attack2 of 2100%COPD: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%COPD2 of 367%Heart failure: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%Heart failure1 of 333%Pneumonia: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%Pneumonia1 of 333%Bypass surgery: 1 of 2 measured hospitals penalized, 50%; all hospitals 49%Bypass (CABG)1 of 250%Hip/knee replacement: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Hip/knee2 of 367% Heart attack: 2 of 2 measured hospitals penalized, 100%; all hospitals 50%Heart attack2 of 2 measured100%COPD: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%COPD2 of 3 measured67%Heart failure: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%Heart failure1 of 3 measured33%Pneumonia: 1 of 3 measured hospitals penalized, 33%; all hospitals 50%Pneumonia1 of 3 measured33%Bypass surgery: 1 of 2 measured hospitals penalized, 50%; all hospitals 49%Bypass surgery1 of 2 measured50%Hip/knee replacement: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Hip/knee replacement2 of 3 measured67%

Share of estimated dollars

Bypass surgery: $624K of the modeled dollars, 33%Bypass (CABG)≈ $624K33%Heart attack: $565K of the modeled dollars, 30%Heart attack≈ $565K30%Hip/knee replacement: $292K of the modeled dollars, 15%Hip/knee≈ $292K15%Pneumonia: $236K of the modeled dollars, 12%Pneumonia≈ $236K12%COPD: $105K of the modeled dollars, 6%COPD≈ $105K6%Heart failure: $75K of the modeled dollars, 4%Heart failure≈ $75K4% Bypass surgery: $624K of the modeled dollars, 33%Bypass surgery≈ $624K33%Heart attack: $565K of the modeled dollars, 30%Heart attack≈ $565K30%Hip/knee replacement: $292K of the modeled dollars, 15%Hip/knee replacement≈ $292K15%Pneumonia: $236K of the modeled dollars, 12%Pneumonia≈ $236K12%COPD: $105K of the modeled dollars, 6%COPD≈ $105K6%Heart failure: $75K of the modeled dollars, 4%Heart failure≈ $75K4%

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 attack22100%50%$565K30%
COPD3267%50%$105K6%
Heart failure3133%50%$75K4%
Pneumonia3133%50%$236K12%
Bypass surgery2150%49%$624K33%
Hip/knee replacement3267%50%$292K15%

Average cut over time

Figure 5. In FY2027, the average cut in Tyler, TX was 0.57%, 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: 0.09% here; 0.28% across all hospitals in the programFY2014: 0.03% here; 0.26% across all hospitals in the programFY2015: 0.07% here; 0.50% across all hospitals in the programFY2016: 0.07% here; 0.49% across all hospitals in the programFY2017: 0.24% here; 0.60% across all hospitals in the programFY2018: 0.46% here; 0.61% across all hospitals in the programFY2019: 0.41% here; 0.59% across all hospitals in the programFY2020: 0.23% here; 0.60% across all hospitals in the programFY2021: 0.39% here; 0.58% across all hospitals in the programFY2022: 0.05% here; 0.54% across all hospitals in the programFY2023: 0.05% here; 0.33% across all hospitals in the programFY2024: 0.33% here; 0.34% across all hospitals in the programFY2025: 0.39% here; 0.33% across all hospitals in the programFY2026: 0.25% here; 0.35% across all hospitals in the programFY2027: 0.57% here; 0.35% across all hospitals in the program0.57% ’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: 0.09% here; 0.28% across all hospitals in the programFY2014: 0.03% here; 0.26% across all hospitals in the programFY2015: 0.07% here; 0.50% across all hospitals in the programFY2016: 0.07% here; 0.49% across all hospitals in the programFY2017: 0.24% here; 0.60% across all hospitals in the programFY2018: 0.46% here; 0.61% across all hospitals in the programFY2019: 0.41% here; 0.59% across all hospitals in the programFY2020: 0.23% here; 0.60% across all hospitals in the programFY2021: 0.39% here; 0.58% across all hospitals in the programFY2022: 0.05% here; 0.54% across all hospitals in the programFY2023: 0.05% here; 0.33% across all hospitals in the programFY2024: 0.33% here; 0.34% across all hospitals in the programFY2025: 0.39% here; 0.33% across all hospitals in the programFY2026: 0.25% here; 0.35% across all hospitals in the programFY2027: 0.57% here; 0.35% across all hospitals in the program0.57% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Tyler, TX 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
FY20130.09%0.28%
FY20140.03%0.26%
FY20150.07%0.50%
FY20160.07%0.49%
FY20170.24%0.60%
FY20180.46%0.61%
FY20190.41%0.59%
FY20200.23%0.60%
FY20210.39%0.58%
FY20220.05%0.54%
FY20230.05%0.33%
FY20240.33%0.34%
FY20250.39%0.33%
FY20260.25%0.35%
FY20270.57%0.35%

Hospitals in Tyler, TX

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

Hospitals in Tyler, TX, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 4500831.99%$1.6M2Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: adds to the cutCounted toward the cut: Heart attack, COPD, Heart failure, Pneumonia, Bypass surgery, and Hip/knee replacement335
CHRISTUS Mother Frances HospitalTyler, TX · CCN 4501020.29%$314K1Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: adds to the cutCounted toward the cut: Heart attack, COPD, and Hip/knee replacement337
University of Texas Health Science Center at TylerTyler, TX · CCN 4506900.00%$03Heart attack: too few cases to be measured; COPD: measured, adds nothing; 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 counted254
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 4508640.00%$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 counted18

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