P&P, Paid & Penalized

Public Medicare data, made visible.

State

Delaware

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 0.44%, the 12th-largest among the 49 states and DC in the program. Estimated total: $1.5Mestimate.

Delaware · FY2027Compared with all hospitals nationally

1Hospitals

6

2Penalized

100%

of 6 measured · +17 pts vs nation

3Average cut

0.44%

+0.09 pts vs nation

4Cut 1% or more

1

17% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$1.5Mestimate

Hospitals on the map

Figure 1. 6 of the 6 hospitals here take a cut; the largest, 1.45%, is at Bayhealth Medical Center, Kent Campus.
Christiana Hospital, Newark, DE: cut 0.09%Tidalhealth Nanticoke, Inc., Seaford, DE: cut 0.14%Beebe Medical Center, Lewes, DE: cut 0.26%Bayhealth Hospital, Sussex Campus, Milford, DE: cut 0.42%St Francis Hospital, Wilmington, DE: cut 0.29%Bayhealth Medical Center, Kent Campus, Dover, DE: cut 1.45% Christiana Hospital, Newark, DE: cut 0.09%Tidalhealth Nanticoke, Inc., Seaford, DE: cut 0.14%Beebe Medical Center, Lewes, DE: cut 0.26%Bayhealth Hospital, Sussex Campus, Milford, DE: cut 0.42%St Francis Hospital, Wilmington, DE: cut 0.29%Bayhealth Medical Center, Kent Campus, Dover, DE: cut 1.45%

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)
Bayhealth Medical Center, Kent CampusDover1.45%$63.8M
Bayhealth Hospital, Sussex CampusMilford0.42%$28.7M
St Francis HospitalWilmington0.29%$8.8M
Beebe Medical CenterLewes0.26%$58.7M
Tidalhealth Nanticoke, Inc.Seaford0.14%$19.7M
Christiana HospitalNewark0.09%$238M

Size of the cuts

Figure 2. All 6 hospitals here take a cut, 0.44% on average; across all hospitals 20% take none.
0%10%20%30% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 1 here (17%); 18% of all hospitals0.1% to 0.2%: 1 here (17%); 11% of all hospitals0.2% to 0.3%: 2 here (33%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 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%: 1 here (17%); 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 0.44%none 0%10%20%30% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 1 here (17%); 18% of all hospitals0.1% to 0.2%: 1 here (17%); 11% of all hospitals0.2% to 0.3%: 2 here (33%); 10% of all hospitals0.3% to 0.4%: 0 here (0%); 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%: 1 here (17%); 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 0.44%none

Bars: Delaware. 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%117%18%
0.1%0.2%117%11%
0.2%0.3%233%10%
0.3%0.4%00%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%117%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. Most of the 6 hospitals here are in group 2.
Group 1: 1 hospital, average cut 0.26%Group 1avg cut 0.26%1Group 2: 4 hospitals, average cut 0.53%Group 2avg cut 0.53%4Group 3: no hospital hereGroup 3none0Group 4: 1 hospital, average cut 0.29%Group 4avg cut 0.29%1Group 5: no hospital hereGroup 5none0 Group 1: 1 hospital, average cut 0.26%Group 1avg cut 0.26%1Group 2: 4 hospitals, average cut 0.53%Group 2avg cut 0.53%4Group 3: no hospital hereGroup 3none0Group 4: 1 hospital, average cut 0.29%Group 4avg cut 0.29%1Group 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 110.26%
Group 240.53%
Group 30none
Group 410.29%
Group 50none

Which conditions drive the penalties here

Figure 4. Pneumonia is the largest part of the estimated dollars here, 43%.
  • All hospitals

Penalized on this condition

Heart attack: 3 of 6 measured hospitals penalized, 50%; all hospitals 50%Heart attack3 of 650%COPD: 3 of 6 measured hospitals penalized, 50%; all hospitals 50%COPD3 of 650%Heart failure: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%Heart failure2 of 633%Pneumonia: 4 of 6 measured hospitals penalized, 67%; all hospitals 50%Pneumonia4 of 667%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass (CABG)1 of 333%Hip/knee replacement: 1 of 1 measured hospitals penalized, 100%; all hospitals 50%Hip/knee1 of 1100% Heart attack: 3 of 6 measured hospitals penalized, 50%; all hospitals 50%Heart attack3 of 6 measured50%COPD: 3 of 6 measured hospitals penalized, 50%; all hospitals 50%COPD3 of 6 measured50%Heart failure: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%Heart failure2 of 6 measured33%Pneumonia: 4 of 6 measured hospitals penalized, 67%; all hospitals 50%Pneumonia4 of 6 measured67%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass surgery1 of 3 measured33%Hip/knee replacement: 1 of 1 measured hospitals penalized, 100%; all hospitals 50%Hip/knee replacement1 of 1 measured100%

Share of estimated dollars

Pneumonia: $624K of the modeled dollars, 43%Pneumonia≈ $624K43%Heart attack: $466K of the modeled dollars, 32%Heart attack≈ $466K32%Bypass surgery: $109K of the modeled dollars, 7%Bypass (CABG)≈ $109K7%Hip/knee replacement: $104K of the modeled dollars, 7%Hip/knee≈ $104K7%COPD: $81K of the modeled dollars, 6%COPD≈ $81K6%Heart failure: $81K of the modeled dollars, 6%Heart failure≈ $81K6% Pneumonia: $624K of the modeled dollars, 43%Pneumonia≈ $624K43%Heart attack: $466K of the modeled dollars, 32%Heart attack≈ $466K32%Bypass surgery: $109K of the modeled dollars, 7%Bypass surgery≈ $109K7%Hip/knee replacement: $104K of the modeled dollars, 7%Hip/knee replacement≈ $104K7%COPD: $81K of the modeled dollars, 6%COPD≈ $81K6%Heart failure: $81K of the modeled dollars, 6%Heart failure≈ $81K6%

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 attack6350%50%$466K32%
COPD6350%50%$81K6%
Heart failure6233%50%$81K6%
Pneumonia6467%50%$624K43%
Bypass surgery3133%49%$109K7%
Hip/knee replacement11100%50%$104K7%

Average cut over time

Figure 5. In FY2027, the average cut in Delaware was 0.44%, 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: 0.21% here; 0.28% across all hospitals in the programFY2014: 0.08% here; 0.26% across all hospitals in the programFY2015: 0.21% here; 0.50% across all hospitals in the programFY2016: 0.29% here; 0.49% across all hospitals in the programFY2017: 0.64% here; 0.60% across all hospitals in the programFY2018: 0.76% here; 0.61% across all hospitals in the programFY2019: 0.68% here; 0.59% across all hospitals in the programFY2020: 0.64% here; 0.60% across all hospitals in the programFY2021: 0.60% here; 0.58% across all hospitals in the programFY2022: 0.58% here; 0.54% across all hospitals in the programFY2023: 0.23% here; 0.33% across all hospitals in the programFY2024: 0.07% here; 0.34% across all hospitals in the programFY2025: 0.20% here; 0.33% across all hospitals in the programFY2026: 0.16% here; 0.35% across all hospitals in the programFY2027: 0.44% here; 0.35% across all hospitals in the program0.44% ’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: 0.21% here; 0.28% across all hospitals in the programFY2014: 0.08% here; 0.26% across all hospitals in the programFY2015: 0.21% here; 0.50% across all hospitals in the programFY2016: 0.29% here; 0.49% across all hospitals in the programFY2017: 0.64% here; 0.60% across all hospitals in the programFY2018: 0.76% here; 0.61% across all hospitals in the programFY2019: 0.68% here; 0.59% across all hospitals in the programFY2020: 0.64% here; 0.60% across all hospitals in the programFY2021: 0.60% here; 0.58% across all hospitals in the programFY2022: 0.58% here; 0.54% across all hospitals in the programFY2023: 0.23% here; 0.33% across all hospitals in the programFY2024: 0.07% here; 0.34% across all hospitals in the programFY2025: 0.20% here; 0.33% across all hospitals in the programFY2026: 0.16% here; 0.35% across all hospitals in the programFY2027: 0.44% here; 0.35% across all hospitals in the program0.44% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Delaware 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
FY20130.21%0.28%
FY20140.08%0.26%
FY20150.21%0.50%
FY20160.29%0.49%
FY20170.64%0.60%
FY20180.76%0.61%
FY20190.68%0.59%
FY20200.64%0.60%
FY20210.60%0.58%
FY20220.58%0.54%
FY20230.23%0.33%
FY20240.07%0.34%
FY20250.20%0.33%
FY20260.16%0.35%
FY20270.44%0.35%

Metro areas

Largest first, by hospitals. A metro area across a state line counts the hospitals in this state only.

Metro areaHospitalsPenalizedAverage cutCut 1% or moreEstimated dollars
Outside metro areas3100%0.27%0$301K
Wilmington, DE-MD-NJ (DE part)2100%0.19%0$240K
Dover, DE1100%1.45%1$926K

Download the table as a CSV

Hospitals in Delaware

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

Hospitals in Delaware, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Bayhealth Medical Center, Kent CampusDover, DE · CCN 0800041.45%$926K2Heart attack: adds to the cut; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: adds to the cut; Bypass surgery: adds to the cut; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart attack, Heart failure, Pneumonia, and Bypass surgery304
Bayhealth Hospital, Sussex CampusMilford, DE · CCN 0800090.42%$121K2Heart 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 Pneumonia168
St Francis HospitalWilmington, DE · CCN 0800030.29%$26K4Heart 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: too few cases to be measuredCounted toward the cut: COPD and Pneumonia395
Beebe Medical CenterLewes, DE · CCN 0800070.26%$153K1Heart 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: too few cases to be measuredCounted toward the cut: Heart attack155
Tidalhealth Nanticoke, Inc.Seaford, DE · CCN 0800060.14%$28K2Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; 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: Pneumonia119
Christiana HospitalNewark, DE · CCN 0800010.09%$214K2Heart 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 replacement1,196

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