P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Urban Honolulu, HI

5 of 6 hospitals take a cut in FY2027: 83% of the 6 measured on at least one condition. The average cut, counting all 6 hospitals, is 0.08%. Estimated total: $140Kestimate.

Urban Honolulu, HI · FY2027Compared with all hospitals nationally

1Hospitals

6

2Penalized

83%

of 6 measured · same as nation

3Average cut

0.08%

−0.27 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$140Kestimate

Hospitals on the map

Figure 1. 5 of the 6 hospitals here take a cut; the largest, 0.13%, is at Kuakini Medical Center.
Adventist Health Castle, Kailua, HI: no cutThe Queens Medical Center, Honolulu, HI: cut 0.06%Kuakini Medical Center, Honolulu, HI: cut 0.13%Straub Clinic and Hospital, Honolulu, HI: cut 0.04%Pali Momi Medical Center, Aiea, HI: cut 0.11%Kaiser Foundation Hospital, Honolulu, HI: cut 0.12% Adventist Health Castle, Kailua, HI: no cutThe Queens Medical Center, Honolulu, HI: cut 0.06%Kuakini Medical Center, Honolulu, HI: cut 0.13%Straub Clinic and Hospital, Honolulu, HI: cut 0.04%Pali Momi Medical Center, Aiea, HI: cut 0.11%Kaiser Foundation Hospital, Honolulu, HI: cut 0.12%

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)
Kuakini Medical CenterHonolulu0.13%$15.0M
Kaiser Foundation HospitalHonolulu0.12%$6.3M
Pali Momi Medical CenterAiea0.11%$29.8M
The Queens Medical CenterHonolulu0.06%$103M
Straub Clinic and HospitalHonolulu0.04%$45.6M
Adventist Health CastleKailua0.00%$16.8M

Size of the cuts

Figure 2. 1 of the 6 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.08%.
0%10%20%30%40%50% No cut: 1 here (17%); 20% of all hospitals0.0% to 0.1%: 2 here (33%); 18% of all hospitals0.1% to 0.2%: 3 here (50%); 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 0.08%none 0%10%20%30%40%50% No cut: 1 here (17%); 20% of all hospitals0.0% to 0.1%: 2 here (33%); 18% of all hospitals0.1% to 0.2%: 3 here (50%); 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 0.08%none

Bars: Urban Honolulu, HI. 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—117%20%
0.0%0.1%233%18%
0.1%0.2%350%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. The largest group here is group 4, with 3 of the 6 hospitals.
Group 1: no hospital hereGroup 1none0Group 2: 1 hospital, average cut 0.12%Group 2avg cut 0.12%1Group 3: 2 hospitals, average cut 0.07%Group 3avg cut 0.07%2Group 4: 3 hospitals, average cut 0.06%Group 4avg cut 0.06%3Group 5: no hospital hereGroup 5none0 Group 1: no hospital hereGroup 1none0Group 2: 1 hospital, average cut 0.12%Group 2avg cut 0.12%1Group 3: 2 hospitals, average cut 0.07%Group 3avg cut 0.07%2Group 4: 3 hospitals, average cut 0.06%Group 4avg cut 0.06%3Group 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 210.12%
Group 320.07%
Group 430.06%
Group 50none

Which conditions drive the penalties here

Figure 4. Heart attack is the largest part of the estimated dollars here, 37%.
  • All hospitals

Penalized on this condition

Heart attack: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%Heart attack2 of 633%COPD: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%COPD2 of 633%Heart failure: 1 of 6 measured hospitals penalized, 17%; all hospitals 50%Heart failure1 of 617%Pneumonia: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%Pneumonia2 of 633%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass (CABG)1 of 333%Hip/knee replacement: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Hip/knee2 of 450% Heart attack: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%Heart attack2 of 6 measured33%COPD: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%COPD2 of 6 measured33%Heart failure: 1 of 6 measured hospitals penalized, 17%; all hospitals 50%Heart failure1 of 6 measured17%Pneumonia: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%Pneumonia2 of 6 measured33%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass surgery1 of 3 measured33%Hip/knee replacement: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Hip/knee replacement2 of 4 measured50%

Share of estimated dollars

Heart attack: $52K of the modeled dollars, 37%Heart attack≈ $52K37%Pneumonia: $36K of the modeled dollars, 26%Pneumonia≈ $36K26%Hip/knee replacement: $33K of the modeled dollars, 24%Hip/knee≈ $33K24%Bypass surgery: $18K of the modeled dollars, 13%Bypass (CABG)≈ $18K13%Heart failure: $458 of the modeled dollars, 0%Heart failure≈ $4580%COPD: $385 of the modeled dollars, 0%COPD≈ $3850% Heart attack: $52K of the modeled dollars, 37%Heart attack≈ $52K37%Pneumonia: $36K of the modeled dollars, 26%Pneumonia≈ $36K26%Hip/knee replacement: $33K of the modeled dollars, 24%Hip/knee replacement≈ $33K24%Bypass surgery: $18K of the modeled dollars, 13%Bypass surgery≈ $18K13%Heart failure: $458 of the modeled dollars, 0%Heart failure≈ $4580%COPD: $385 of the modeled dollars, 0%COPD≈ $3850%

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 attack6233%50%$52K37%
COPD6233%50%$3850%
Heart failure6117%50%$4580%
Pneumonia6233%50%$36K26%
Bypass surgery3133%49%$18K13%
Hip/knee replacement4250%50%$33K24%

Average cut over time

Figure 5. In FY2027, the average cut in Urban Honolulu, HI was 0.08%, 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: 0.21% here; 0.26% across all hospitals in the programFY2015: 0.23% here; 0.50% across all hospitals in the programFY2016: 0.33% here; 0.49% across all hospitals in the programFY2017: 0.25% here; 0.60% across all hospitals in the programFY2018: 0.08% here; 0.61% across all hospitals in the programFY2019: 0.05% here; 0.59% across all hospitals in the programFY2020: 0.04% here; 0.60% across all hospitals in the programFY2021: 0.11% here; 0.58% across all hospitals in the programFY2022: 0.06% here; 0.54% across all hospitals in the programFY2023: 0.12% here; 0.33% across all hospitals in the programFY2024: 0.21% here; 0.34% across all hospitals in the programFY2025: 0.26% here; 0.33% across all hospitals in the programFY2026: 0.15% here; 0.35% across all hospitals in the programFY2027: 0.08% here; 0.35% across all hospitals in the program0.08% ’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: 0.21% here; 0.26% across all hospitals in the programFY2015: 0.23% here; 0.50% across all hospitals in the programFY2016: 0.33% here; 0.49% across all hospitals in the programFY2017: 0.25% here; 0.60% across all hospitals in the programFY2018: 0.08% here; 0.61% across all hospitals in the programFY2019: 0.05% here; 0.59% across all hospitals in the programFY2020: 0.04% here; 0.60% across all hospitals in the programFY2021: 0.11% here; 0.58% across all hospitals in the programFY2022: 0.06% here; 0.54% across all hospitals in the programFY2023: 0.12% here; 0.33% across all hospitals in the programFY2024: 0.21% here; 0.34% across all hospitals in the programFY2025: 0.26% here; 0.33% across all hospitals in the programFY2026: 0.15% here; 0.35% across all hospitals in the programFY2027: 0.08% here; 0.35% across all hospitals in the program0.08% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Urban Honolulu, HI 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%
FY20140.21%0.26%
FY20150.23%0.50%
FY20160.33%0.49%
FY20170.25%0.60%
FY20180.08%0.61%
FY20190.05%0.59%
FY20200.04%0.60%
FY20210.11%0.58%
FY20220.06%0.54%
FY20230.12%0.33%
FY20240.21%0.34%
FY20250.26%0.33%
FY20260.15%0.35%
FY20270.08%0.35%

Hospitals in Urban Honolulu, HI

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

Hospitals in Urban Honolulu, HI, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Kuakini Medical CenterHonolulu, HI · CCN 1200070.13%$20K4Heart attack: adds to the cut; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart attack, COPD, and Heart failure212
Kaiser Foundation HospitalHonolulu, HI · CCN 1200110.12%$8K2Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: measured, adds nothing; Hip/knee replacement: adds to the cutCounted toward the cut: COPD, Pneumonia, and Hip/knee replacement250
Pali Momi Medical CenterAiea, HI · CCN 1200260.11%$33K3Heart attack: adds to the cut; 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 measuredCounted toward the cut: Heart attack116
The Queens Medical CenterHonolulu, HI · CCN 1200010.06%$62K4Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: measured, adds nothing; Hip/knee replacement: adds to the cutCounted toward the cut: Pneumonia and Hip/knee replacement585
Straub Clinic and HospitalHonolulu, HI · CCN 1200220.04%$18K3Heart 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: measured, adds nothingCounted toward the cut: Bypass surgery159
Adventist Health CastleKailua, HI · CCN 1200060.00%$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: too few cases to be measuredNo condition counted160

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