P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Winston-Salem, NC

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 0.36%. Estimated total: $452Kestimate.

Winston-Salem, NC · FY2027Compared with all hospitals nationally

1Hospitals

4

2Penalized

100%

of 4 measured · +17 pts vs nation

3Average cut

0.36%

+0.01 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$452Kestimate

Hospitals on the map

Figure 1. 4 of the 4 hospitals here take a cut; the largest, 0.99%, is at Lexington Memorial Hospital Inc.
Carolinas Medical Center/Behav Health, Charlotte, NC: cut 0.01%Carolinas Medical Center-Northeast, Concord, NC: cut 0.11%Caromont Regional Medical Center, Gastonia, NC: cut 0.33%Novant Health Presbyterian Medical Center, Charlotte, NC: cut 0.30%Moses H. Cone Memorial Hospital, The, Greensboro, NC: cut 0.07%Atrium Health Pineville, Charlotte, NC: cut 0.80%Firsthealth Moore Regional Hospital, Pinehurst, NC: cut 0.10%High Point Regional Health System, High Point, NC: cut 0.37%Novant Health Rowan Medical Center, Salisbury, NC: cut 0.14%Iredell Memorial Hospital Inc, Statesville, NC: cut 0.08%Alamance Regional Medical Center, Burlington, NC: cut 0.08%Atrium Health Union, Monroe, NC: cut 0.54%Catawba Valley Medical Center, Hickory, NC: cut 0.01%Novant Health Matthews Medical Center, Matthews, NC: cut 0.02%Novant Health Huntersville Medical Center, Huntersville, NC: cut 0.32%Northern Regional Hospital, Mount Airy, NC: cut 0.19%Central Carolina Hospital, Sanford, NC: cut 0.07%UNC Rockingham, Eden, NC: cut 0.68%Wilkes Regional Medical Center, North Wilkesboro, NC: no cutAtrium Health Anson, Wadesboro, NC: no cutHugh Chatham Memorial Hospital, Elkin, NC: cut 0.48%Stanly Regional Medical Center, Albemarle, NC: cut 0.84%Randolph Hospital, Asheboro, NC: no cutDuke Health Lake Norman Hospital, Mooresville, NC: cut 1.35%Atrium Health Lincoln, Lincolnton, NC: cut 0.63%Atrium Health University City, Charlotte, NC: no cutCape Fear Valley Hoke Hospital, Raeford, NC: cut 0.40%Novant Health Mint Hill Medical Center, Charlotte, NC: cut 0.03%Novant Health Ballantyne Medical Center, Charlotte, NC: no cutNorth Carolina Baptist Hospital, Winston-Salem, NC: cut 0.07%Novant Health Thomasville Medical Center, Thomasville, NC: cut 0.03%Novant Health Forsyth Medical Center, Winston-Salem, NC: cut 0.35%Lexington Memorial Hospital Inc, Lexington, NC: cut 0.99% Carolinas Medical Center/Behav Health, Charlotte, NC: cut 0.01%Carolinas Medical Center-Northeast, Concord, NC: cut 0.11%Caromont Regional Medical Center, Gastonia, NC: cut 0.33%Novant Health Presbyterian Medical Center, Charlotte, NC: cut 0.30%Moses H. Cone Memorial Hospital, The, Greensboro, NC: cut 0.07%Atrium Health Pineville, Charlotte, NC: cut 0.80%Firsthealth Moore Regional Hospital, Pinehurst, NC: cut 0.10%High Point Regional Health System, High Point, NC: cut 0.37%Novant Health Rowan Medical Center, Salisbury, NC: cut 0.14%Iredell Memorial Hospital Inc, Statesville, NC: cut 0.08%Alamance Regional Medical Center, Burlington, NC: cut 0.08%Atrium Health Union, Monroe, NC: cut 0.54%Catawba Valley Medical Center, Hickory, NC: cut 0.01%Novant Health Matthews Medical Center, Matthews, NC: cut 0.02%Novant Health Huntersville Medical Center, Huntersville, NC: cut 0.32%Northern Regional Hospital, Mount Airy, NC: cut 0.19%Central Carolina Hospital, Sanford, NC: cut 0.07%UNC Rockingham, Eden, NC: cut 0.68%Wilkes Regional Medical Center, North Wilkesboro, NC: no cutAtrium Health Anson, Wadesboro, NC: no cutHugh Chatham Memorial Hospital, Elkin, NC: cut 0.48%Stanly Regional Medical Center, Albemarle, NC: cut 0.84%Randolph Hospital, Asheboro, NC: no cutDuke Health Lake Norman Hospital, Mooresville, NC: cut 1.35%Atrium Health Lincoln, Lincolnton, NC: cut 0.63%Atrium Health University City, Charlotte, NC: no cutCape Fear Valley Hoke Hospital, Raeford, NC: cut 0.40%Novant Health Mint Hill Medical Center, Charlotte, NC: cut 0.03%Novant Health Ballantyne Medical Center, Charlotte, NC: no cutNorth Carolina Baptist Hospital, Winston-Salem, NC: cut 0.07%Novant Health Thomasville Medical Center, Thomasville, NC: cut 0.03%Novant Health Forsyth Medical Center, Winston-Salem, NC: cut 0.35%Lexington Memorial Hospital Inc, Lexington, NC: cut 0.99%

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)
Lexington Memorial Hospital IncLexington0.99%$5.1M
Novant Health Forsyth Medical CenterWinston-Salem0.35%$95.4M
North Carolina Baptist HospitalWinston-Salem0.07%$96.2M
Novant Health Thomasville Medical CenterThomasville0.03%$3.6M

Size of the cuts

Figure 2. All 4 hospitals here take a cut, 0.36% 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%: 2 here (50%); 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%: 1 here (25%); 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%: 1 here (25%); 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 0.36%none 0%10%20%30%40%50% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 2 here (50%); 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%: 1 here (25%); 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%: 1 here (25%); 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 0.36%none

Bars: Winston-Salem, NC. 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%250%18%
0.1%0.2%00%11%
0.2%0.3%00%10%
0.3%0.4%125%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%125%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 2 of the 4 hospitals.
Group 1: no hospital hereGroup 1none0Group 2: 1 hospital, average cut 0.35%Group 2avg cut 0.35%1Group 3: 1 hospital, average cut 0.07%Group 3avg cut 0.07%1Group 4: 2 hospitals, average cut 0.51%Group 4avg cut 0.51%2Group 5: no hospital hereGroup 5none0 Group 1: no hospital hereGroup 1none0Group 2: 1 hospital, average cut 0.35%Group 2avg cut 0.35%1Group 3: 1 hospital, average cut 0.07%Group 3avg cut 0.07%1Group 4: 2 hospitals, average cut 0.51%Group 4avg cut 0.51%2Group 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 210.35%
Group 310.07%
Group 420.51%
Group 50none

Which conditions drive the penalties here

Figure 4. Bypass surgery is the largest part of the estimated dollars here, 72%.
  • All hospitals

Penalized on this condition

Heart attack: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 20%COPD: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%COPD2 of 450%Heart failure: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Heart failure2 of 450%Pneumonia: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Pneumonia2 of 450%Bypass surgery: 2 of 2 measured hospitals penalized, 100%; all hospitals 49%Bypass (CABG)2 of 2100%Hip/knee replacement: 0 of 3 measured hospitals penalized, 0%; all hospitals 50%Hip/knee0 of 30% Heart attack: 0 of 2 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 2 measured0%COPD: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%COPD2 of 4 measured50%Heart failure: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Heart failure2 of 4 measured50%Pneumonia: 2 of 4 measured hospitals penalized, 50%; all hospitals 50%Pneumonia2 of 4 measured50%Bypass surgery: 2 of 2 measured hospitals penalized, 100%; all hospitals 49%Bypass surgery2 of 2 measured100%Hip/knee replacement: 0 of 3 measured hospitals penalized, 0%; all hospitals 50%Hip/knee replacement0 of 3 measured0%

Share of estimated dollars

Bypass surgery: $328K of the modeled dollars, 72%Bypass (CABG)≈ $328K72%Pneumonia: $66K of the modeled dollars, 15%Pneumonia≈ $66K15%COPD: $37K of the modeled dollars, 8%COPD≈ $37K8%Heart failure: $21K of the modeled dollars, 5%Heart failure≈ $21K5%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Hip/knee replacement: $0 of the modeled dollars, 0%Hip/knee≈ $00% Bypass surgery: $328K of the modeled dollars, 72%Bypass surgery≈ $328K72%Pneumonia: $66K of the modeled dollars, 15%Pneumonia≈ $66K15%COPD: $37K of the modeled dollars, 8%COPD≈ $37K8%Heart failure: $21K of the modeled dollars, 5%Heart failure≈ $21K5%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Hip/knee replacement: $0 of the modeled dollars, 0%Hip/knee replacement≈ $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%
COPD4250%50%$37K8%
Heart failure4250%50%$21K5%
Pneumonia4250%50%$66K15%
Bypass surgery22100%49%$328K72%
Hip/knee replacement300%50%$00%

Average cut over time

Figure 5. In FY2027, the average cut in Winston-Salem, NC was 0.36%, 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%1.5% 3% cap FY2013: 0.32% here; 0.28% across all hospitals in the programFY2014: 0.27% here; 0.26% across all hospitals in the programFY2015: 0.33% here; 0.50% across all hospitals in the programFY2016: 0.25% here; 0.49% across all hospitals in the programFY2017: 0.29% here; 0.60% across all hospitals in the programFY2018: 0.38% here; 0.61% across all hospitals in the programFY2019: 0.21% here; 0.59% across all hospitals in the programFY2020: 0.15% here; 0.60% across all hospitals in the programFY2021: 0.55% here; 0.58% across all hospitals in the programFY2022: 0.84% here; 0.54% across all hospitals in the programFY2023: 1.11% here; 0.33% across all hospitals in the programFY2024: 0.33% here; 0.34% across all hospitals in the programFY2025: 0.25% here; 0.33% across all hospitals in the programFY2026: 0.12% here; 0.35% across all hospitals in the programFY2027: 0.36% here; 0.35% across all hospitals in the program0.36% ’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%1.5% 2%3% cap FY2013: 0.32% here; 0.28% across all hospitals in the programFY2014: 0.27% here; 0.26% across all hospitals in the programFY2015: 0.33% here; 0.50% across all hospitals in the programFY2016: 0.25% here; 0.49% across all hospitals in the programFY2017: 0.29% here; 0.60% across all hospitals in the programFY2018: 0.38% here; 0.61% across all hospitals in the programFY2019: 0.21% here; 0.59% across all hospitals in the programFY2020: 0.15% here; 0.60% across all hospitals in the programFY2021: 0.55% here; 0.58% across all hospitals in the programFY2022: 0.84% here; 0.54% across all hospitals in the programFY2023: 1.11% here; 0.33% across all hospitals in the programFY2024: 0.33% here; 0.34% across all hospitals in the programFY2025: 0.25% here; 0.33% across all hospitals in the programFY2026: 0.12% here; 0.35% across all hospitals in the programFY2027: 0.36% here; 0.35% across all hospitals in the program0.36% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Winston-Salem, NC 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
FY20130.32%0.28%
FY20140.27%0.26%
FY20150.33%0.50%
FY20160.25%0.49%
FY20170.29%0.60%
FY20180.38%0.61%
FY20190.21%0.59%
FY20200.15%0.60%
FY20210.55%0.58%
FY20220.84%0.54%
FY20231.11%0.33%
FY20240.33%0.34%
FY20250.25%0.33%
FY20260.12%0.35%
FY20270.36%0.35%

Hospitals in Winston-Salem, NC

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

Hospitals in Winston-Salem, NC, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Lexington Memorial Hospital IncLexington, NC · CCN 3400960.99%$50K4Heart attack: too few cases to be measured; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: Heart failure and Pneumonia94
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 3400140.35%$334K2Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: adds to the cut; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD and Bypass surgery912
North Carolina Baptist HospitalWinston-Salem, NC · CCN 3400470.07%$67K3Heart 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 surgery830
Novant Health Thomasville Medical CenterThomasville, NC · CCN 3400850.03%$1K4Heart 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: too few cases to be measuredCounted toward the cut: Heart failure149

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