P&P, Paid & Penalized

Public Medicare data, made visible.

State

Idaho

4 of 14 hospitals take a cut in FY2027: 31% of the 13 measured on at least one condition. The average cut, counting all 14 hospitals, is 0.02%, the 50th-largest among the 49 states and DC in the program. Estimated total: $31Kestimate.

Idaho · FY2027Compared with all hospitals nationally

1Hospitals

14

2Penalized

31%

of 13 measured · −52 pts vs nation

3Average cut

0.02%

−0.33 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$31Kestimate

Hospitals on the map

Figure 1. 4 of the 14 hospitals here take a cut; the largest, 0.15%, is at West Valley Medical Center.
St Luke's Regional Medical Center, Boise, ID: no cutKootenai Health, Coeur D'Alene, ID: no cutSt Lukes Magic Valley Medical Center, Twin Falls, ID: no cutSt Joseph Regional Medical Center, Lewiston, ID: no cutSaint Alphonsus Medical Center - Nampa, Nampa, ID: no cutPortneuf Medical Center, Pocatello, ID: no cutMountain View Hospital, Idaho Falls, ID: no cutNorthwest Specialty Hospital, Post Falls, ID: no cutSt Luke's Nampa Medical Center, Nampa, ID: no cutIdaho Falls Community Hospital, LLC, Idaho Falls, ID: no cutSaint Alphonsus Regional Medical Center, Boise, ID: cut 0.03%Eastern Idaho Regional Medical Center, Idaho Falls, ID: cut 0.01%West Valley Medical Center, Caldwell, ID: cut 0.15%Madison Memorial Hospital, Rexburg, ID: cut 0.06% St Luke's Regional Medical Center, Boise, ID: no cutKootenai Health, Coeur D'Alene, ID: no cutSt Lukes Magic Valley Medical Center, Twin Falls, ID: no cutSt Joseph Regional Medical Center, Lewiston, ID: no cutSaint Alphonsus Medical Center - Nampa, Nampa, ID: no cutPortneuf Medical Center, Pocatello, ID: no cutMountain View Hospital, Idaho Falls, ID: no cutNorthwest Specialty Hospital, Post Falls, ID: no cutSt Luke's Nampa Medical Center, Nampa, ID: no cutIdaho Falls Community Hospital, LLC, Idaho Falls, ID: no cutSaint Alphonsus Regional Medical Center, Boise, ID: cut 0.03%Eastern Idaho Regional Medical Center, Idaho Falls, ID: cut 0.01%West Valley Medical Center, Caldwell, ID: cut 0.15%Madison Memorial Hospital, Rexburg, ID: cut 0.06%

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)
West Valley Medical CenterCaldwell0.15%$4.9M
Madison Memorial HospitalRexburg0.06%$2.3M
Saint Alphonsus Regional Medical CenterBoise0.03%$61.7M
Eastern Idaho Regional Medical CenterIdaho Falls0.01%$35.0M
Idaho Falls Community Hospital, LLCIdaho Falls0.00%$11.8M
Kootenai HealthCoeur D'Alene0.00%$82.3M
Mountain View HospitalIdaho Falls0.00%$2.6M
Northwest Specialty HospitalPost Falls0.00%$10.5M
Portneuf Medical CenterPocatello0.00%$24.8M
Saint Alphonsus Medical Center - NampaNampa0.00%$13.4M
St Joseph Regional Medical CenterLewiston0.00%$19.4M
St Luke's Nampa Medical CenterNampa0.00%$9.4M
St Luke's Regional Medical CenterBoise0.00%$84.6M
St Lukes Magic Valley Medical CenterTwin Falls0.00%$24.4M

Size of the cuts

Figure 2. 10 of the 14 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.02%.
0%20%40%60%80% No cut: 10 here (71%); 20% of all hospitals0.0% to 0.1%: 3 here (21%); 18% of all hospitals0.1% to 0.2%: 1 here (7%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 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%: 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 0.02%none 0%20%40%60%80% No cut: 10 here (71%); 20% of all hospitals0.0% to 0.1%: 3 here (21%); 18% of all hospitals0.1% to 0.2%: 1 here (7%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 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%: 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 0.02%none

Bars: Idaho. 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—1071%20%
0.0%0.1%321%18%
0.1%0.2%17%11%
0.2%0.3%00%10%
0.3%0.4%00%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 1, with 6 of the 14 hospitals.
Group 1: 6 hospitals, average cut 0.01%Group 1avg cut 0.01%6Group 2: 5 hospitals, average cut 0.01%Group 2avg cut 0.01%5Group 3: 3 hospitals, average cut 0.05%Group 3avg cut 0.05%3Group 4: no hospital hereGroup 4none0Group 5: no hospital hereGroup 5none0 Group 1: 6 hospitals, average cut 0.01%Group 1avg cut 0.01%6Group 2: 5 hospitals, average cut 0.01%Group 2avg cut 0.01%5Group 3: 3 hospitals, average cut 0.05%Group 3avg cut 0.05%3Group 4: no hospital hereGroup 4none0Group 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 160.01%
Group 250.01%
Group 330.05%
Group 40none
Group 50none

Which conditions drive the penalties here

Figure 4. COPD is the largest part of the estimated dollars here, 52%.
  • All hospitals

Penalized on this condition

Heart attack: 0 of 9 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 90%COPD: 4 of 11 measured hospitals penalized, 36%; all hospitals 50%COPD4 of 1136%Heart failure: 0 of 11 measured hospitals penalized, 0%; all hospitals 50%Heart failure0 of 110%Pneumonia: 2 of 12 measured hospitals penalized, 17%; all hospitals 50%Pneumonia2 of 1217%Bypass surgery: 1 of 5 measured hospitals penalized, 20%; all hospitals 49%Bypass (CABG)1 of 520%Hip/knee replacement: 3 of 8 measured hospitals penalized, 38%; all hospitals 50%Hip/knee3 of 838% Heart attack: 0 of 9 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 9 measured0%COPD: 4 of 11 measured hospitals penalized, 36%; all hospitals 50%COPD4 of 11 measured36%Heart failure: 0 of 11 measured hospitals penalized, 0%; all hospitals 50%Heart failure0 of 11 measured0%Pneumonia: 2 of 12 measured hospitals penalized, 17%; all hospitals 50%Pneumonia2 of 12 measured17%Bypass surgery: 1 of 5 measured hospitals penalized, 20%; all hospitals 49%Bypass surgery1 of 5 measured20%Hip/knee replacement: 3 of 8 measured hospitals penalized, 38%; all hospitals 50%Hip/knee replacement3 of 8 measured38%

Share of estimated dollars

COPD: $16K of the modeled dollars, 52%COPD≈ $16K52%Hip/knee replacement: $8K of the modeled dollars, 25%Hip/knee≈ $8K25%Pneumonia: $7K of the modeled dollars, 23%Pneumonia≈ $7K23%Bypass surgery: $163 of the modeled dollars, 1%Bypass (CABG)≈ $1631%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Heart failure: $0 of the modeled dollars, 0%Heart failure≈ $00% COPD: $16K of the modeled dollars, 52%COPD≈ $16K52%Hip/knee replacement: $8K of the modeled dollars, 25%Hip/knee replacement≈ $8K25%Pneumonia: $7K of the modeled dollars, 23%Pneumonia≈ $7K23%Bypass surgery: $163 of the modeled dollars, 1%Bypass surgery≈ $1631%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Heart failure: $0 of the modeled dollars, 0%Heart failure≈ $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 attack900%50%$00%
COPD11436%50%$16K52%
Heart failure1100%50%$00%
Pneumonia12217%50%$7K23%
Bypass surgery5120%49%$1631%
Hip/knee replacement8338%50%$8K25%

Average cut over time

Figure 5. In FY2027, the average cut in Idaho was 0.02%, 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: 0.00% here; 0.28% across all hospitals in the programFY2014: 0.02% here; 0.26% across all hospitals in the programFY2015: 0.26% here; 0.50% across all hospitals in the programFY2016: 0.19% here; 0.49% across all hospitals in the programFY2017: 0.24% here; 0.60% across all hospitals in the programFY2018: 0.46% here; 0.61% across all hospitals in the programFY2019: 0.48% here; 0.59% across all hospitals in the programFY2020: 0.47% here; 0.60% across all hospitals in the programFY2021: 0.12% here; 0.58% across all hospitals in the programFY2022: 0.17% here; 0.54% across all hospitals in the programFY2023: 0.09% here; 0.33% across all hospitals in the programFY2024: 0.09% here; 0.34% across all hospitals in the programFY2025: 0.04% here; 0.33% across all hospitals in the programFY2026: 0.05% here; 0.35% across all hospitals in the programFY2027: 0.02% here; 0.35% across all hospitals in the program0.02% ’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: 0.00% here; 0.28% across all hospitals in the programFY2014: 0.02% here; 0.26% across all hospitals in the programFY2015: 0.26% here; 0.50% across all hospitals in the programFY2016: 0.19% here; 0.49% across all hospitals in the programFY2017: 0.24% here; 0.60% across all hospitals in the programFY2018: 0.46% here; 0.61% across all hospitals in the programFY2019: 0.48% here; 0.59% across all hospitals in the programFY2020: 0.47% here; 0.60% across all hospitals in the programFY2021: 0.12% here; 0.58% across all hospitals in the programFY2022: 0.17% here; 0.54% across all hospitals in the programFY2023: 0.09% here; 0.33% across all hospitals in the programFY2024: 0.09% here; 0.34% across all hospitals in the programFY2025: 0.04% here; 0.33% across all hospitals in the programFY2026: 0.05% here; 0.35% across all hospitals in the programFY2027: 0.02% here; 0.35% across all hospitals in the program0.02% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Idaho 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
FY20130.00%0.28%
FY20140.02%0.26%
FY20150.26%0.50%
FY20160.19%0.49%
FY20170.24%0.60%
FY20180.46%0.61%
FY20190.48%0.59%
FY20200.47%0.60%
FY20210.12%0.58%
FY20220.17%0.54%
FY20230.09%0.33%
FY20240.09%0.34%
FY20250.04%0.33%
FY20260.05%0.35%
FY20270.02%0.35%

Metro areas

Largest first, by hospitals.

Metro areaHospitalsPenalizedAverage cutCut 1% or moreEstimated dollars
Boise City, ID540%0.04%0$26K
Idaho Falls, ID333%0.00%0$4K
Coeur d'Alene, ID20%0.00%0$0
Lewiston, ID-WA10%0.00%0$0
Outside metro areas1100%0.06%0$1K
Pocatello, ID10%0.00%0$0
Twin Falls, ID10%0.00%0$0

Download the table as a CSV

Hospitals in Idaho

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

Hospitals in Idaho, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
West Valley Medical CenterCaldwell, ID · CCN 1300140.15%$7K3Heart 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 Pneumonia150
Madison Memorial HospitalRexburg, ID · CCN 1300250.06%$1K1Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; 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: Pneumonia81
Saint Alphonsus Regional Medical CenterBoise, ID · CCN 1300070.03%$18K2Heart attack: measured, adds nothing; 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: COPD and Hip/knee replacement365
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 1300180.01%$4K2Heart 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: adds to the cutCounted toward the cut: Bypass surgery and Hip/knee replacement330
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 1300020.00%$02Heart attack: measured, adds nothing; 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: measured, adds nothingCounted toward the cut: COPD226
St Joseph Regional Medical CenterLewiston, ID · CCN 1300030.00%$02Heart 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 counted145
St Luke's Regional Medical CenterBoise, ID · CCN 1300060.00%$01Heart 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: measured, adds nothingNo condition counted544
Saint Alphonsus Medical Center - NampaNampa, ID · CCN 1300130.00%$03Heart 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 replacement152
Portneuf Medical CenterPocatello, ID · CCN 1300280.00%$03Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD187
Kootenai HealthCoeur D'Alene, ID · CCN 1300490.00%$01Heart 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: measured, adds nothingNo condition counted321
Mountain View HospitalIdaho Falls, ID · CCN 1300650.00%$01Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingNo condition counted43
Northwest Specialty HospitalPost Falls, ID · CCN 1300660.00%$01Heart attack: too few cases to be measured; COPD: too few cases to be measured; Heart failure: too few cases to be measured; Pneumonia: too few cases to be measured; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted34
St Luke's Nampa Medical CenterNampa, ID · CCN 1300710.00%$02Heart 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 counted87
Idaho Falls Community Hospital, LLCIdaho Falls, ID · CCN 1300740.00%$01Heart 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 counted88

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