P&P, Paid & Penalized

Public Medicare data, made visible.

State

Hawaii

8 of 11 hospitals take a cut in FY2027: 73% of the 11 measured on at least one condition. The average cut, counting all 11 hospitals, is 0.12%, the 47th-largest among the 49 states and DC in the program. Estimated total: $246Kestimate.

Hawaii · FY2027Compared with all hospitals nationally

1Hospitals

11

2Penalized

73%

of 11 measured · −10 pts vs nation

3Average cut

0.12%

−0.23 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$246Kestimate

Hospitals on the map

Figure 1. 8 of the 11 hospitals here take a cut; the largest, 0.30%, is at Kona Community Hospital.
Maui Memorial Medical Center, Wailuku, HI: no cutAdventist Health Castle, Kailua, HI: no cutWilcox Memorial Hospital, Lihue, 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%Hilo Benioff Medical Center, Hilo, HI: cut 0.29%Kona Community Hospital, Kealakekua, HI: cut 0.30%North Hawaii Community Hospital, Inc, Kamuela, HI: cut 0.28% Maui Memorial Medical Center, Wailuku, HI: no cutAdventist Health Castle, Kailua, HI: no cutWilcox Memorial Hospital, Lihue, 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%Hilo Benioff Medical Center, Hilo, HI: cut 0.29%Kona Community Hospital, Kealakekua, HI: cut 0.30%North Hawaii Community Hospital, Inc, Kamuela, HI: cut 0.28%

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)
Kona Community HospitalKealakekua0.30%$7.7M
Hilo Benioff Medical CenterHilo0.29%$24.6M
North Hawaii Community Hospital, IncKamuela0.28%$4.3M
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
Maui Memorial Medical CenterWailuku0.00%$20.7M
Wilcox Memorial HospitalLihue0.00%$7.9M

Size of the cuts

Figure 2. 3 of the 11 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.12%.
0%5%10%15%20%25% No cut: 3 here (27%); 20% of all hospitals0.0% to 0.1%: 2 here (18%); 18% of all hospitals0.1% to 0.2%: 3 here (27%); 11% of all hospitals0.2% to 0.3%: 2 here (18%); 10% of all hospitals0.3% to 0.4%: 1 here (9%); 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 0.12%none 0%5%10%15%20%25% No cut: 3 here (27%); 20% of all hospitals0.0% to 0.1%: 2 here (18%); 18% of all hospitals0.1% to 0.2%: 3 here (27%); 11% of all hospitals0.2% to 0.3%: 2 here (18%); 10% of all hospitals0.3% to 0.4%: 1 here (9%); 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 0.12%none

Bars: Hawaii. 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—327%20%
0.0%0.1%218%18%
0.1%0.2%327%11%
0.2%0.3%218%10%
0.3%0.4%19%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 3, with 4 of the 11 hospitals.
Group 1: 1 hospital, average cut 0.28%Group 1avg cut 0.28%1Group 2: 1 hospital, average cut 0.12%Group 2avg cut 0.12%1Group 3: 4 hospitals, average cut 0.11%Group 3avg cut 0.11%4Group 4: 4 hospitals, average cut 0.05%Group 4avg cut 0.05%4Group 5: 1 hospital, average cut 0.29%Group 5avg cut 0.29%1 Group 1: 1 hospital, average cut 0.28%Group 1avg cut 0.28%1Group 2: 1 hospital, average cut 0.12%Group 2avg cut 0.12%1Group 3: 4 hospitals, average cut 0.11%Group 3avg cut 0.11%4Group 4: 4 hospitals, average cut 0.05%Group 4avg cut 0.05%4Group 5: 1 hospital, average cut 0.29%Group 5avg cut 0.29%1

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 110.28%
Group 210.12%
Group 340.11%
Group 440.05%
Group 510.29%

Which conditions drive the penalties here

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

Penalized on this condition

Heart attack: 3 of 8 measured hospitals penalized, 38%; all hospitals 50%Heart attack3 of 838%COPD: 3 of 11 measured hospitals penalized, 27%; all hospitals 50%COPD3 of 1127%Heart failure: 3 of 11 measured hospitals penalized, 27%; all hospitals 50%Heart failure3 of 1127%Pneumonia: 5 of 11 measured hospitals penalized, 45%; all hospitals 50%Pneumonia5 of 1145%Bypass surgery: 1 of 4 measured hospitals penalized, 25%; all hospitals 49%Bypass (CABG)1 of 425%Hip/knee replacement: 2 of 5 measured hospitals penalized, 40%; all hospitals 50%Hip/knee2 of 540% Heart attack: 3 of 8 measured hospitals penalized, 38%; all hospitals 50%Heart attack3 of 8 measured38%COPD: 3 of 11 measured hospitals penalized, 27%; all hospitals 50%COPD3 of 11 measured27%Heart failure: 3 of 11 measured hospitals penalized, 27%; all hospitals 50%Heart failure3 of 11 measured27%Pneumonia: 5 of 11 measured hospitals penalized, 45%; all hospitals 50%Pneumonia5 of 11 measured45%Bypass surgery: 1 of 4 measured hospitals penalized, 25%; all hospitals 49%Bypass surgery1 of 4 measured25%Hip/knee replacement: 2 of 5 measured hospitals penalized, 40%; all hospitals 50%Hip/knee replacement2 of 5 measured40%

Share of estimated dollars

Pneumonia: $90K of the modeled dollars, 37%Pneumonia≈ $90K37%Heart attack: $54K of the modeled dollars, 22%Heart attack≈ $54K22%Heart failure: $48K of the modeled dollars, 19%Heart failure≈ $48K19%Hip/knee replacement: $33K of the modeled dollars, 13%Hip/knee≈ $33K13%Bypass surgery: $18K of the modeled dollars, 7%Bypass (CABG)≈ $18K7%COPD: $4K of the modeled dollars, 1%COPD≈ $4K1% Pneumonia: $90K of the modeled dollars, 37%Pneumonia≈ $90K37%Heart attack: $54K of the modeled dollars, 22%Heart attack≈ $54K22%Heart failure: $48K of the modeled dollars, 19%Heart failure≈ $48K19%Hip/knee replacement: $33K of the modeled dollars, 13%Hip/knee replacement≈ $33K13%Bypass surgery: $18K of the modeled dollars, 7%Bypass surgery≈ $18K7%COPD: $4K of the modeled dollars, 1%COPD≈ $4K1%

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 attack8338%50%$54K22%
COPD11327%50%$4K1%
Heart failure11327%50%$48K19%
Pneumonia11545%50%$90K37%
Bypass surgery4125%49%$18K7%
Hip/knee replacement5240%50%$33K13%

Average cut over time

Figure 5. In FY2027, the average cut in Hawaii was 0.12%, 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: 0.18% here; 0.28% across all hospitals in the programFY2014: 0.14% here; 0.26% across all hospitals in the programFY2015: 0.15% here; 0.50% across all hospitals in the programFY2016: 0.26% here; 0.49% across all hospitals in the programFY2017: 0.22% here; 0.60% across all hospitals in the programFY2018: 0.11% here; 0.61% across all hospitals in the programFY2019: 0.09% here; 0.59% across all hospitals in the programFY2020: 0.10% here; 0.60% across all hospitals in the programFY2021: 0.15% here; 0.58% across all hospitals in the programFY2022: 0.11% here; 0.54% across all hospitals in the programFY2023: 0.13% here; 0.33% across all hospitals in the programFY2024: 0.20% here; 0.34% across all hospitals in the programFY2025: 0.24% here; 0.33% across all hospitals in the programFY2026: 0.19% here; 0.35% across all hospitals in the programFY2027: 0.12% here; 0.35% across all hospitals in the program0.12% ’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: 0.18% here; 0.28% across all hospitals in the programFY2014: 0.14% here; 0.26% across all hospitals in the programFY2015: 0.15% here; 0.50% across all hospitals in the programFY2016: 0.26% here; 0.49% across all hospitals in the programFY2017: 0.22% here; 0.60% across all hospitals in the programFY2018: 0.11% here; 0.61% across all hospitals in the programFY2019: 0.09% here; 0.59% across all hospitals in the programFY2020: 0.10% here; 0.60% across all hospitals in the programFY2021: 0.15% here; 0.58% across all hospitals in the programFY2022: 0.11% here; 0.54% across all hospitals in the programFY2023: 0.13% here; 0.33% across all hospitals in the programFY2024: 0.20% here; 0.34% across all hospitals in the programFY2025: 0.24% here; 0.33% across all hospitals in the programFY2026: 0.19% here; 0.35% across all hospitals in the programFY2027: 0.12% here; 0.35% across all hospitals in the program0.12% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Hawaii 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
FY20130.18%0.28%
FY20140.14%0.26%
FY20150.15%0.50%
FY20160.26%0.49%
FY20170.22%0.60%
FY20180.11%0.61%
FY20190.09%0.59%
FY20200.10%0.60%
FY20210.15%0.58%
FY20220.11%0.54%
FY20230.13%0.33%
FY20240.20%0.34%
FY20250.24%0.33%
FY20260.19%0.35%
FY20270.12%0.35%

Metro areas

Largest first, by hospitals.

Metro areaHospitalsPenalizedAverage cutCut 1% or moreEstimated dollars
Urban Honolulu, HI683%0.08%0$140K
Outside metro areas475%0.22%0$106K
Kahului-Wailuku, HI10%0.00%0$0

Download the table as a CSV

Hospitals in Hawaii

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

Hospitals in Hawaii, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Kona Community HospitalKealakekua, HI · CCN 1200190.30%$23K3Heart attack: too few cases to be measured; 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 Pneumonia60
Hilo Benioff Medical CenterHilo, HI · CCN 1200050.29%$71K5Heart attack: adds to the cut; 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 attack, Heart failure, and Pneumonia142
North Hawaii Community Hospital, IncKamuela, HI · CCN 1200280.28%$12K1Heart 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: too few cases to be measuredCounted toward the cut: Heart failure and Pneumonia33
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
Maui Memorial Medical CenterWailuku, HI · CCN 1200020.00%$04Heart attack: measured, adds nothing; 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 measuredNo condition counted213
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
Wilcox Memorial HospitalLihue, HI · CCN 1200140.00%$03Heart 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 counted71

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