P&P, Paid & Penalized

Public Medicare data, made visible.

State

Alaska

6 of 8 hospitals take a cut in FY2027: 75% of the 8 measured on at least one condition. The average cut, counting all 8 hospitals, is 0.17%, the 43rd-largest among the 49 states and DC in the program. Estimated total: $486Kestimate.

Alaska · FY2027Compared with all hospitals nationally

1Hospitals

8

2Penalized

75%

of 8 measured · −8 pts vs nation

3Average cut

0.17%

−0.18 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$486Kestimate

Hospitals on the map

Figure 1. 6 of the 8 hospitals here take a cut; the largest, 0.56%, is at Central Peninsula General Hospital.
Bartlett Regional Hospital, Juneau, AK: no cutYukon Kuskokwim Delta Reg Hospital, Bethel, AK: no cutProvidence Alaska Medical Center, Anchorage, AK: cut 0.13%Mat-Su Regional Medical Center, Palmer, AK: cut 0.01%Fairbanks Memorial Hospital, Fairbanks, AK: cut 0.07%Alaska Regional Hospital, Anchorage, AK: cut 0.28%Alaska Native Medical Center, Anchorage, AK: cut 0.27%Central Peninsula General Hospital, Soldotna, AK: cut 0.56% Bartlett Regional Hospital, Juneau, AK: no cutYukon Kuskokwim Delta Reg Hospital, Bethel, AK: no cutProvidence Alaska Medical Center, Anchorage, AK: cut 0.13%Mat-Su Regional Medical Center, Palmer, AK: cut 0.01%Fairbanks Memorial Hospital, Fairbanks, AK: cut 0.07%Alaska Regional Hospital, Anchorage, AK: cut 0.28%Alaska Native Medical Center, Anchorage, AK: cut 0.27%Central Peninsula General Hospital, Soldotna, AK: cut 0.56%

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)
Central Peninsula General HospitalSoldotna0.56%$14.7M
Alaska Regional HospitalAnchorage0.28%$51.4M
Alaska Native Medical CenterAnchorage0.27%$43.8M
Providence Alaska Medical CenterAnchorage0.13%$96.4M
Fairbanks Memorial HospitalFairbanks0.07%$18.8M
Mat-Su Regional Medical CenterPalmer0.01%$30.2M
Bartlett Regional HospitalJuneau0.00%$6.2M
Yukon Kuskokwim Delta Reg HospitalBethel0.00%$2.4M

Size of the cuts

Figure 2. 2 of the 8 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.17%.
0%5%10%15%20%25% No cut: 2 here (25%); 20% of all hospitals0.0% to 0.1%: 2 here (25%); 18% of all hospitals0.1% to 0.2%: 1 here (13%); 11% of all hospitals0.2% to 0.3%: 2 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%: 1 here (13%); 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 0.17%none 0%5%10%15%20%25% No cut: 2 here (25%); 20% of all hospitals0.0% to 0.1%: 2 here (25%); 18% of all hospitals0.1% to 0.2%: 1 here (13%); 11% of all hospitals0.2% to 0.3%: 2 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%: 1 here (13%); 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 0.17%none

Bars: Alaska. 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—225%20%
0.0%0.1%225%18%
0.1%0.2%113%11%
0.2%0.3%225%10%
0.3%0.4%00%8%
0.4%0.5%00%6%
0.5%0.6%113%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 4 of the 8 hospitals.
Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: 4 hospitals, average cut 0.18%Group 4avg cut 0.18%4Group 5: 4 hospitals, average cut 0.16%Group 5avg cut 0.16%4 Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: no hospital hereGroup 3none0Group 4: 4 hospitals, average cut 0.18%Group 4avg cut 0.18%4Group 5: 4 hospitals, average cut 0.16%Group 5avg cut 0.16%4

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 30none
Group 440.18%
Group 540.16%

Which conditions drive the penalties here

Figure 4. Hip/knee replacement is the largest part of the estimated dollars here, 47%.
  • All hospitals

Penalized on this condition

Heart attack: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Heart attack1 of 425%COPD: 2 of 7 measured hospitals penalized, 29%; all hospitals 50%COPD2 of 729%Heart failure: 2 of 7 measured hospitals penalized, 29%; all hospitals 50%Heart failure2 of 729%Pneumonia: 1 of 8 measured hospitals penalized, 13%; all hospitals 50%Pneumonia1 of 813%Bypass surgery: 1 of 1 measured hospitals penalized, 100%; all hospitals 49%Bypass (CABG)1 of 1100%Hip/knee replacement: 3 of 4 measured hospitals penalized, 75%; all hospitals 50%Hip/knee3 of 475% Heart attack: 1 of 4 measured hospitals penalized, 25%; all hospitals 50%Heart attack1 of 4 measured25%COPD: 2 of 7 measured hospitals penalized, 29%; all hospitals 50%COPD2 of 7 measured29%Heart failure: 2 of 7 measured hospitals penalized, 29%; all hospitals 50%Heart failure2 of 7 measured29%Pneumonia: 1 of 8 measured hospitals penalized, 13%; all hospitals 50%Pneumonia1 of 8 measured13%Bypass surgery: 1 of 1 measured hospitals penalized, 100%; all hospitals 49%Bypass surgery1 of 1 measured100%Hip/knee replacement: 3 of 4 measured hospitals penalized, 75%; all hospitals 50%Hip/knee replacement3 of 4 measured75%

Share of estimated dollars

Hip/knee replacement: $229K of the modeled dollars, 47%Hip/knee≈ $229K47%Bypass surgery: $125K of the modeled dollars, 26%Bypass (CABG)≈ $125K26%Heart failure: $79K of the modeled dollars, 16%Heart failure≈ $79K16%Pneumonia: $32K of the modeled dollars, 7%Pneumonia≈ $32K7%Heart attack: $13K of the modeled dollars, 3%Heart attack≈ $13K3%COPD: $8K of the modeled dollars, 2%COPD≈ $8K2% Hip/knee replacement: $229K of the modeled dollars, 47%Hip/knee replacement≈ $229K47%Bypass surgery: $125K of the modeled dollars, 26%Bypass surgery≈ $125K26%Heart failure: $79K of the modeled dollars, 16%Heart failure≈ $79K16%Pneumonia: $32K of the modeled dollars, 7%Pneumonia≈ $32K7%Heart attack: $13K of the modeled dollars, 3%Heart attack≈ $13K3%COPD: $8K of the modeled dollars, 2%COPD≈ $8K2%

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%$13K3%
COPD7229%50%$8K2%
Heart failure7229%50%$79K16%
Pneumonia8113%50%$32K7%
Bypass surgery11100%49%$125K26%
Hip/knee replacement4375%50%$229K47%

Average cut over time

Figure 5. In FY2027, the average cut in Alaska was 0.17%, 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: 0.10% here; 0.26% across all hospitals in the programFY2015: 0.52% here; 0.50% across all hospitals in the programFY2016: 0.39% here; 0.49% across all hospitals in the programFY2017: 0.47% here; 0.60% across all hospitals in the programFY2018: 0.45% here; 0.61% across all hospitals in the programFY2019: 0.36% here; 0.59% across all hospitals in the programFY2020: 0.28% here; 0.60% across all hospitals in the programFY2021: 0.30% here; 0.58% across all hospitals in the programFY2022: 0.67% here; 0.54% across all hospitals in the programFY2023: 0.54% here; 0.33% across all hospitals in the programFY2024: 0.19% here; 0.34% across all hospitals in the programFY2025: 0.26% here; 0.33% across all hospitals in the programFY2026: 0.35% here; 0.35% across all hospitals in the programFY2027: 0.17% here; 0.35% across all hospitals in the program0.17% ’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: 0.10% here; 0.26% across all hospitals in the programFY2015: 0.52% here; 0.50% across all hospitals in the programFY2016: 0.39% here; 0.49% across all hospitals in the programFY2017: 0.47% here; 0.60% across all hospitals in the programFY2018: 0.45% here; 0.61% across all hospitals in the programFY2019: 0.36% here; 0.59% across all hospitals in the programFY2020: 0.28% here; 0.60% across all hospitals in the programFY2021: 0.30% here; 0.58% across all hospitals in the programFY2022: 0.67% here; 0.54% across all hospitals in the programFY2023: 0.54% here; 0.33% across all hospitals in the programFY2024: 0.19% here; 0.34% across all hospitals in the programFY2025: 0.26% here; 0.33% across all hospitals in the programFY2026: 0.35% here; 0.35% across all hospitals in the programFY2027: 0.17% here; 0.35% across all hospitals in the program0.17% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Alaska 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%
FY20140.10%0.26%
FY20150.52%0.50%
FY20160.39%0.49%
FY20170.47%0.60%
FY20180.45%0.61%
FY20190.36%0.59%
FY20200.28%0.60%
FY20210.30%0.58%
FY20220.67%0.54%
FY20230.54%0.33%
FY20240.19%0.34%
FY20250.26%0.33%
FY20260.35%0.35%
FY20270.17%0.35%

Metro areas

Largest first, by hospitals.

Metro areaHospitalsPenalizedAverage cutCut 1% or moreEstimated dollars
Anchorage, AK4100%0.17%0$391K
Outside metro areas333%0.19%0$83K
Fairbanks-College, AK1100%0.07%0$13K

Download the table as a CSV

Hospitals in Alaska

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

Hospitals in Alaska, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Central Peninsula General HospitalSoldotna, AK · CCN 0200240.56%$83K4Heart attack: too few cases to be measured; 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: COPD and Heart failure49
Alaska Regional HospitalAnchorage, AK · CCN 0200170.28%$144K5Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: adds to the cutCounted toward the cut: COPD, Pneumonia, and Hip/knee replacement250
Alaska Native Medical CenterAnchorage, AK · CCN 0200260.27%$118K5Heart 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 replacement167
Providence Alaska Medical CenterAnchorage, AK · CCN 0200010.13%$125K4Heart 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: too few cases to be measuredCounted toward the cut: Bypass surgery401
Fairbanks Memorial HospitalFairbanks, AK · CCN 0200120.07%$13K5Heart 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 attack162
Mat-Su Regional Medical CenterPalmer, AK · CCN 0200060.01%$3K4Heart 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: adds to the cutCounted toward the cut: Hip/knee replacement74
Bartlett Regional HospitalJuneau, AK · CCN 0200080.00%$04Heart 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 counted57
Yukon Kuskokwim Delta Reg HospitalBethel, AK · CCN 0200180.00%$05Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted50

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