P&P, Paid & Penalized

Public Medicare data, made visible.

State

Maine

10 of 13 hospitals take a cut in FY2027: 77% of the 13 measured on at least one condition. The average cut, counting all 13 hospitals, is 0.20%, the 38th-largest among the 49 states and DC in the program. Estimated total: $273Kestimate.

Maine · FY2027Compared with all hospitals nationally

1Hospitals

13

2Penalized

77%

of 13 measured · −6 pts vs nation

3Average cut

0.20%

−0.15 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$273Kestimate

Hospitals on the map

Figure 1. 10 of the 13 hospitals here take a cut; the largest, 0.68%, is at St Joseph Hospital.
Mainehealth Maine Medical Center, Portland, ME: no cutMaine General Medical Center, Augusta, ME: no cutNorthern Light Maine Coast Hospital, Ellsworth, ME: no cutNorthern Light Eastern Maine Medical Center, Bangor, ME: cut 0.04%Central Maine Medical Center, Lewiston, ME: cut 0.14%Northern Light Mercy Hospital, Portland, ME: cut 0.13%Northern Light A R Gould Hospital, Presque Isle, ME: cut 0.06%Cary Medical Center, Caribou, ME: cut 0.11%Mainehealth Pen Bay Hospital, Rockport, ME: cut 0.16%Mainehealth Mid Coast Hospital, Brunswick, ME: cut 0.38%St Mary's Regional Medical Center, Lewiston, ME: cut 0.30%St Joseph Hospital, Bangor, ME: cut 0.68%York Hospital, York, ME: cut 0.66% Mainehealth Maine Medical Center, Portland, ME: no cutMaine General Medical Center, Augusta, ME: no cutNorthern Light Maine Coast Hospital, Ellsworth, ME: no cutNorthern Light Eastern Maine Medical Center, Bangor, ME: cut 0.04%Central Maine Medical Center, Lewiston, ME: cut 0.14%Northern Light Mercy Hospital, Portland, ME: cut 0.13%Northern Light A R Gould Hospital, Presque Isle, ME: cut 0.06%Cary Medical Center, Caribou, ME: cut 0.11%Mainehealth Pen Bay Hospital, Rockport, ME: cut 0.16%Mainehealth Mid Coast Hospital, Brunswick, ME: cut 0.38%St Mary's Regional Medical Center, Lewiston, ME: cut 0.30%St Joseph Hospital, Bangor, ME: cut 0.68%York Hospital, York, ME: cut 0.66%

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)
St Joseph HospitalBangor0.68%$12.6M
York HospitalYork0.66%$7.7M
Mainehealth Mid Coast HospitalBrunswick0.38%$12.5M
St Mary's Regional Medical CenterLewiston0.30%$2.8M
Mainehealth Pen Bay HospitalRockport0.16%$7.8M
Central Maine Medical CenterLewiston0.14%$20.1M
Northern Light Mercy HospitalPortland0.13%$10.0M
Cary Medical CenterCaribou0.11%$3.0M
Northern Light A R Gould HospitalPresque Isle0.06%$4.7M
Northern Light Eastern Maine Medical CenterBangor0.04%$52.9M
Maine General Medical CenterAugusta0.00%$17.0M
Mainehealth Maine Medical CenterPortland0.00%$124M
Northern Light Maine Coast HospitalEllsworth0.00%$5.3M

Size of the cuts

Figure 2. 3 of the 13 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.20%.
0%10%20%30% No cut: 3 here (23%); 20% of all hospitals0.0% to 0.1%: 2 here (15%); 18% of all hospitals0.1% to 0.2%: 4 here (31%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 10% of all hospitals0.3% to 0.4%: 2 here (15%); 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%: 2 here (15%); 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 0.20%none 0%10%20%30% No cut: 3 here (23%); 20% of all hospitals0.0% to 0.1%: 2 here (15%); 18% of all hospitals0.1% to 0.2%: 4 here (31%); 11% of all hospitals0.2% to 0.3%: 0 here (0%); 10% of all hospitals0.3% to 0.4%: 2 here (15%); 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%: 2 here (15%); 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 0.20%none

Bars: Maine. 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—323%20%
0.0%0.1%215%18%
0.1%0.2%431%11%
0.2%0.3%00%10%
0.3%0.4%215%8%
0.4%0.5%00%6%
0.5%0.6%00%6%
0.6%0.7%215%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. Most of the 13 hospitals here are in group 4.
Group 1: 1 hospital, average cut 0.66%Group 1avg cut 0.66%1Group 2: no hospital hereGroup 2none0Group 3: 3 hospitals, average cut 0.17%Group 3avg cut 0.17%3Group 4: 7 hospitals, average cut 0.15%Group 4avg cut 0.15%7Group 5: 2 hospitals, average cut 0.20%Group 5avg cut 0.20%2 Group 1: 1 hospital, average cut 0.66%Group 1avg cut 0.66%1Group 2: no hospital hereGroup 2none0Group 3: 3 hospitals, average cut 0.17%Group 3avg cut 0.17%3Group 4: 7 hospitals, average cut 0.15%Group 4avg cut 0.15%7Group 5: 2 hospitals, average cut 0.20%Group 5avg cut 0.20%2

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 110.66%
Group 20none
Group 330.17%
Group 470.15%
Group 520.20%

Which conditions drive the penalties here

Figure 4. Pneumonia is the largest part of the estimated dollars here, 53%.
  • All hospitals

Penalized on this condition

Heart attack: 4 of 8 measured hospitals penalized, 50%; all hospitals 50%Heart attack4 of 850%COPD: 6 of 13 measured hospitals penalized, 46%; all hospitals 50%COPD6 of 1346%Heart failure: 6 of 13 measured hospitals penalized, 46%; all hospitals 50%Heart failure6 of 1346%Pneumonia: 7 of 13 measured hospitals penalized, 54%; all hospitals 50%Pneumonia7 of 1354%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass (CABG)1 of 333%Hip/knee replacement: 4 of 7 measured hospitals penalized, 57%; all hospitals 50%Hip/knee4 of 757% Heart attack: 4 of 8 measured hospitals penalized, 50%; all hospitals 50%Heart attack4 of 8 measured50%COPD: 6 of 13 measured hospitals penalized, 46%; all hospitals 50%COPD6 of 13 measured46%Heart failure: 6 of 13 measured hospitals penalized, 46%; all hospitals 50%Heart failure6 of 13 measured46%Pneumonia: 7 of 13 measured hospitals penalized, 54%; all hospitals 50%Pneumonia7 of 13 measured54%Bypass surgery: 1 of 3 measured hospitals penalized, 33%; all hospitals 49%Bypass surgery1 of 3 measured33%Hip/knee replacement: 4 of 7 measured hospitals penalized, 57%; all hospitals 50%Hip/knee replacement4 of 7 measured57%

Share of estimated dollars

Pneumonia: $145K of the modeled dollars, 53%Pneumonia≈ $145K53%COPD: $45K of the modeled dollars, 16%COPD≈ $45K16%Heart failure: $41K of the modeled dollars, 15%Heart failure≈ $41K15%Bypass surgery: $24K of the modeled dollars, 9%Bypass (CABG)≈ $24K9%Hip/knee replacement: $18K of the modeled dollars, 6%Hip/knee≈ $18K6%Heart attack: $1K of the modeled dollars, 1%Heart attack≈ $1K1% Pneumonia: $145K of the modeled dollars, 53%Pneumonia≈ $145K53%COPD: $45K of the modeled dollars, 16%COPD≈ $45K16%Heart failure: $41K of the modeled dollars, 15%Heart failure≈ $41K15%Bypass surgery: $24K of the modeled dollars, 9%Bypass surgery≈ $24K9%Hip/knee replacement: $18K of the modeled dollars, 6%Hip/knee replacement≈ $18K6%Heart attack: $1K of the modeled dollars, 1%Heart attack≈ $1K1%

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 attack8450%50%$1K1%
COPD13646%50%$45K16%
Heart failure13646%50%$41K15%
Pneumonia13754%50%$145K53%
Bypass surgery3133%49%$24K9%
Hip/knee replacement7457%50%$18K6%

Average cut over time

Figure 5. In FY2027, the average cut in Maine was 0.20%, 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: 0.11% here; 0.28% across all hospitals in the programFY2014: 0.06% here; 0.26% across all hospitals in the programFY2015: 0.28% here; 0.50% across all hospitals in the programFY2016: 0.33% here; 0.49% across all hospitals in the programFY2017: 0.32% here; 0.60% across all hospitals in the programFY2018: 0.38% here; 0.61% across all hospitals in the programFY2019: 0.33% here; 0.59% across all hospitals in the programFY2020: 0.50% here; 0.60% across all hospitals in the programFY2021: 0.51% here; 0.58% across all hospitals in the programFY2022: 0.31% here; 0.54% across all hospitals in the programFY2023: 0.10% here; 0.33% across all hospitals in the programFY2024: 0.16% here; 0.34% across all hospitals in the programFY2025: 0.15% here; 0.33% across all hospitals in the programFY2026: 0.23% here; 0.35% across all hospitals in the programFY2027: 0.20% here; 0.35% across all hospitals in the program0.20% ’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: 0.11% here; 0.28% across all hospitals in the programFY2014: 0.06% here; 0.26% across all hospitals in the programFY2015: 0.28% here; 0.50% across all hospitals in the programFY2016: 0.33% here; 0.49% across all hospitals in the programFY2017: 0.32% here; 0.60% across all hospitals in the programFY2018: 0.38% here; 0.61% across all hospitals in the programFY2019: 0.33% here; 0.59% across all hospitals in the programFY2020: 0.50% here; 0.60% across all hospitals in the programFY2021: 0.51% here; 0.58% across all hospitals in the programFY2022: 0.31% here; 0.54% across all hospitals in the programFY2023: 0.10% here; 0.33% across all hospitals in the programFY2024: 0.16% here; 0.34% across all hospitals in the programFY2025: 0.15% here; 0.33% across all hospitals in the programFY2026: 0.23% here; 0.35% across all hospitals in the programFY2027: 0.20% here; 0.35% across all hospitals in the program0.20% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Maine 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
FY20130.11%0.28%
FY20140.06%0.26%
FY20150.28%0.50%
FY20160.33%0.49%
FY20170.32%0.60%
FY20180.38%0.61%
FY20190.33%0.59%
FY20200.50%0.60%
FY20210.51%0.58%
FY20220.31%0.54%
FY20230.10%0.33%
FY20240.16%0.34%
FY20250.15%0.33%
FY20260.23%0.35%
FY20270.20%0.35%

Metro areas

Largest first, by hospitals.

Metro areaHospitalsPenalizedAverage cutCut 1% or moreEstimated dollars
Outside metro areas560%0.07%0$19K
Portland-South Portland, ME475%0.29%0$111K
Bangor, ME2100%0.36%0$107K
Lewiston-Auburn, ME2100%0.22%0$37K

Download the table as a CSV

Hospitals in Maine

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

Hospitals in Maine, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
St Joseph HospitalBangor, ME · CCN 2000010.68%$86K4Heart attack: adds to the cut; 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: measured, adds nothingCounted toward the cut: Heart attack, COPD, Heart failure, and Pneumonia112
York HospitalYork, ME · CCN 2000200.66%$51K1Heart attack: measured, adds nothing; 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 Pneumonia79
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 2000210.38%$47K3Heart 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: adds to the cutCounted toward the cut: Heart attack, Heart failure, Pneumonia, and Hip/knee replacement92
St Mary's Regional Medical CenterLewiston, ME · CCN 2000340.30%$8K5Heart 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: adds to the cutCounted toward the cut: COPD, Heart failure, and Hip/knee replacement233
Mainehealth Pen Bay HospitalRockport, ME · CCN 2000630.16%$12K4Heart attack: adds to the cut; 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: adds to the cutCounted toward the cut: Heart attack, COPD, Heart failure, Pneumonia, and Hip/knee replacement109
Central Maine Medical CenterLewiston, ME · CCN 2000240.14%$28K4Heart 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: too few cases to be measuredCounted toward the cut: COPD and Bypass surgery250
Northern Light Mercy HospitalPortland, ME · CCN 2000080.13%$13K3Heart attack: too few cases to be measured; 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: COPD230
Cary Medical CenterCaribou, ME · CCN 2000310.11%$3K5Heart attack: too few cases to be measured; 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: Pneumonia65
Northern Light A R Gould HospitalPresque Isle, ME · CCN 2000180.06%$3K4Heart 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 Pneumonia89
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 2000330.04%$21K4Heart 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: too few cases to be measuredCounted toward the cut: COPD and Pneumonia411
Mainehealth Maine Medical CenterPortland, ME · CCN 2000090.00%$03Heart 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 counted606
Maine General Medical CenterAugusta, ME · CCN 2000390.00%$04Heart 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: adds to the cutCounted toward the cut: Heart attack and Hip/knee replacement287
Northern Light Maine Coast HospitalEllsworth, ME · CCN 2000500.00%$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 counted64

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