P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Washington, DC-MD

6 of 6 hospitals take a cut in FY2027: 100% of the 6 measured on at least one condition. The average cut, counting all 6 hospitals, is 0.19%. Estimated total: $560Kestimate.

Washington, DC-MD · FY2027Compared with all hospitals nationally

1Hospitals

6

2Penalized

100%

of 6 measured · +17 pts vs nation

3Average cut

0.19%

−0.16 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$560Kestimate

Hospitals on the map

Figure 1. 6 of the 6 hospitals here take a cut; the largest, 0.41%, is at Howard University Hospital Corp.
MedStar Washington Hospital Center, Washington, DC: cut 0.09%MedStar Georgetown University Hospital, Washington, DC: cut 0.02%Sibley Memorial Hospital, Washington, DC: cut 0.18%United Medical Center, Washington, DC: cut 0.09%George Washington Univ Hospital, Washington, DC: cut 0.33%Howard University Hospital Corp, Washington, DC: cut 0.41% MedStar Washington Hospital Center, Washington, DC: cut 0.09%MedStar Georgetown University Hospital, Washington, DC: cut 0.02%Sibley Memorial Hospital, Washington, DC: cut 0.18%United Medical Center, Washington, DC: cut 0.09%George Washington Univ Hospital, Washington, DC: cut 0.33%Howard University Hospital Corp, Washington, DC: cut 0.41%

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)
Howard University Hospital CorpWashington0.41%$15.9M
George Washington Univ HospitalWashington0.33%$63.9M
Sibley Memorial HospitalWashington0.18%$53.7M
MedStar Washington Hospital CenterWashington0.09%$182M
United Medical CenterWashington0.09%$3.3M
MedStar Georgetown University HospitalWashington0.02%$101M

Size of the cuts

Figure 2. All 6 hospitals here take a cut, 0.19% on average; across all hospitals 20% take none.
0%10%20%30%40%50% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 3 here (50%); 18% of all hospitals0.1% to 0.2%: 1 here (17%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 10% of all hospitals0.3% to 0.4%: 1 here (17%); 8% of all hospitals0.4% to 0.5%: 1 here (17%); 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 0.19%none 0%10%20%30%40%50% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 3 here (50%); 18% of all hospitals0.1% to 0.2%: 1 here (17%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 10% of all hospitals0.3% to 0.4%: 1 here (17%); 8% of all hospitals0.4% to 0.5%: 1 here (17%); 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 0.19%none

Bars: Washington, DC-MD. 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%350%18%
0.1%0.2%117%11%
0.2%0.3%00%10%
0.3%0.4%117%8%
0.4%0.5%117%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 5, with 3 of the 6 hospitals.
Group 1: 1 hospital, average cut 0.18%Group 1avg cut 0.18%1Group 2: no hospital hereGroup 2none0Group 3: 1 hospital, average cut 0.02%Group 3avg cut 0.02%1Group 4: 1 hospital, average cut 0.09%Group 4avg cut 0.09%1Group 5: 3 hospitals, average cut 0.28%Group 5avg cut 0.28%3 Group 1: 1 hospital, average cut 0.18%Group 1avg cut 0.18%1Group 2: no hospital hereGroup 2none0Group 3: 1 hospital, average cut 0.02%Group 3avg cut 0.02%1Group 4: 1 hospital, average cut 0.09%Group 4avg cut 0.09%1Group 5: 3 hospitals, average cut 0.28%Group 5avg cut 0.28%3

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 110.18%
Group 20none
Group 310.02%
Group 410.09%
Group 530.28%

Which conditions drive the penalties here

Figure 4. Heart attack is the largest part of the estimated dollars here, 29%.
  • All hospitals

Penalized on this condition

Heart attack: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Heart attack1 of 425%COPD: 3 of 6 measured hospitals penalized, 50%; all hospitals 50%COPD3 of 650%Heart failure: 4 of 6 measured hospitals penalized, 67%; all hospitals 50%Heart failure4 of 667%Pneumonia: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%Pneumonia2 of 633%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: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Heart attack1 of 4 measured25%COPD: 3 of 6 measured hospitals penalized, 50%; all hospitals 50%COPD3 of 6 measured50%Heart failure: 4 of 6 measured hospitals penalized, 67%; all hospitals 50%Heart failure4 of 6 measured67%Pneumonia: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%Pneumonia2 of 6 measured33%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

Heart attack: $164K of the modeled dollars, 29%Heart attack≈ $164K29%Bypass surgery: $148K of the modeled dollars, 26%Bypass (CABG)≈ $148K26%Heart failure: $141K of the modeled dollars, 25%Heart failure≈ $141K25%Pneumonia: $66K of the modeled dollars, 12%Pneumonia≈ $66K12%Hip/knee replacement: $26K of the modeled dollars, 5%Hip/knee≈ $26K5%COPD: $17K of the modeled dollars, 3%COPD≈ $17K3% Heart attack: $164K of the modeled dollars, 29%Heart attack≈ $164K29%Bypass surgery: $148K of the modeled dollars, 26%Bypass surgery≈ $148K26%Heart failure: $141K of the modeled dollars, 25%Heart failure≈ $141K25%Pneumonia: $66K of the modeled dollars, 12%Pneumonia≈ $66K12%Hip/knee replacement: $26K of the modeled dollars, 5%Hip/knee replacement≈ $26K5%COPD: $17K of the modeled dollars, 3%COPD≈ $17K3%

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 attack4125%50%$164K29%
COPD6350%50%$17K3%
Heart failure6467%50%$141K25%
Pneumonia6233%50%$66K12%
Bypass surgery2150%49%$148K26%
Hip/knee replacement4125%50%$26K5%

Average cut over time

Figure 5. In FY2027, the average cut in Washington, DC-MD was 0.19%, 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: 0.44% here; 0.28% across all hospitals in the programFY2014: 0.29% here; 0.26% across all hospitals in the programFY2015: 0.73% here; 0.50% across all hospitals in the programFY2016: 0.47% here; 0.49% across all hospitals in the programFY2017: 0.37% here; 0.60% across all hospitals in the programFY2018: 0.41% here; 0.61% across all hospitals in the programFY2019: 0.33% here; 0.59% across all hospitals in the programFY2020: 0.39% here; 0.60% across all hospitals in the programFY2021: 0.38% here; 0.58% across all hospitals in the programFY2022: 0.28% here; 0.54% across all hospitals in the programFY2023: 0.25% here; 0.33% across all hospitals in the programFY2024: 0.28% here; 0.34% across all hospitals in the programFY2025: 0.20% here; 0.33% across all hospitals in the programFY2026: 0.13% here; 0.35% across all hospitals in the programFY2027: 0.19% here; 0.35% across all hospitals in the program0.19% ’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: 0.44% here; 0.28% across all hospitals in the programFY2014: 0.29% here; 0.26% across all hospitals in the programFY2015: 0.73% here; 0.50% across all hospitals in the programFY2016: 0.47% here; 0.49% across all hospitals in the programFY2017: 0.37% here; 0.60% across all hospitals in the programFY2018: 0.41% here; 0.61% across all hospitals in the programFY2019: 0.33% here; 0.59% across all hospitals in the programFY2020: 0.39% here; 0.60% across all hospitals in the programFY2021: 0.38% here; 0.58% across all hospitals in the programFY2022: 0.28% here; 0.54% across all hospitals in the programFY2023: 0.25% here; 0.33% across all hospitals in the programFY2024: 0.28% here; 0.34% across all hospitals in the programFY2025: 0.20% here; 0.33% across all hospitals in the programFY2026: 0.13% here; 0.35% across all hospitals in the programFY2027: 0.19% here; 0.35% across all hospitals in the program0.19% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Washington, DC-MD 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
FY20130.44%0.28%
FY20140.29%0.26%
FY20150.73%0.50%
FY20160.47%0.49%
FY20170.37%0.60%
FY20180.41%0.61%
FY20190.33%0.59%
FY20200.39%0.60%
FY20210.38%0.58%
FY20220.28%0.54%
FY20230.25%0.33%
FY20240.28%0.34%
FY20250.20%0.33%
FY20260.13%0.35%
FY20270.19%0.35%

Hospitals in Washington, DC-MD

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

Hospitals in Washington, DC-MD, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Howard University Hospital CorpWashington, DC · CCN 0900030.41%$65K5Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: COPD, Heart failure, and Pneumonia479
George Washington Univ HospitalWashington, DC · CCN 0900010.33%$211K5Heart attack: measured, adds nothing; 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: measured, adds nothingCounted toward the cut: COPD, Heart failure, Pneumonia, and Bypass surgery371
Sibley Memorial HospitalWashington, DC · CCN 0900050.18%$97K1Heart attack: measured, adds nothing; 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 replacement362
MedStar Washington Hospital CenterWashington, DC · CCN 0900110.09%$164K4Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart attack818
United Medical Center inactiveWashington, DC · CCN 0900080.09%$3K5Heart 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: too few cases to be measuredCounted toward the cut: COPD184
MedStar Georgetown University HospitalWashington, DC · CCN 0900040.02%$20K3Heart 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: measured, adds nothingCounted toward the cut: Heart failure535

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