5 of 7 hospitals take a cut in FY2027: 71% of the 7 measured on at least one condition. The average cut, counting all 7 hospitals, is 0.17%, the 42nd-largest among the 49 states and DC in the program. Estimated total: $392Kestimate.
North Dakota · FY2027Compared with all hospitals nationally
Figure 1. 5 of the 7 hospitals here take a cut; the largest, 0.57%, is at Trinity Hospitals.
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.
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Hospital
City
Cut
Base payments (dot size)
Trinity Hospitals
Minot
0.57%
$31.6M
Sanford Medical Center Bismarck
Bismarck
0.32%
$48.8M
CHI St Alexius Health
Bismarck
0.15%
$28.4M
P H S Indian Hosp at Belcourt-Quentin N Burdick
Belcourt
0.12%
$1.4M
Essentia Health
Fargo
0.03%
$39.8M
Altru Hospital
Grand Forks
0.00%
$46.8M
Sanford Medical Center Fargo
Fargo
0.00%
$108M
Size of the cuts
Figure 2. 2 of the 7 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.17%.
Bars: North Dakota. 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.
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Cut from
to
Hospitals here
Share here
Share of all hospitals
No cut
—
2
29%
20%
0.0%
0.1%
1
14%
18%
0.1%
0.2%
2
29%
11%
0.2%
0.3%
0
0%
10%
0.3%
0.4%
1
14%
8%
0.4%
0.5%
0
0%
6%
0.5%
0.6%
1
14%
6%
0.6%
0.7%
0
0%
4%
0.7%
0.8%
0
0%
3%
0.8%
0.9%
0
0%
3%
0.9%
1.0%
0
0%
2%
1.0%
1.1%
0
0%
2%
1.1%
1.2%
0
0%
1%
1.2%
1.3%
0
0%
1%
1.3%
1.4%
0
0%
1%
1.4%
1.5%
0
0%
1%
1.5%
1.6%
0
0%
1%
1.6%
1.7%
0
0%
0%
1.7%
1.8%
0
0%
0%
1.8%
1.9%
0
0%
0%
1.9%
2.0%
0
0%
0%
2.0%
2.1%
0
0%
0%
2.1%
2.2%
0
0%
0%
2.2%
2.3%
0
0%
0%
2.3%
2.4%
0
0%
0%
2.4%
2.5%
0
0%
0%
2.5%
2.6%
0
0%
0%
2.6%
2.7%
0
0%
0%
2.7%
2.8%
0
0%
0%
2.8%
2.9%
0
0%
0%
2.9%
3.0%
0
0%
0%
Peer groups
Figure 3. The largest group here is group 2, with 3 of the 7 hospitals.
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.
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Peer group
Hospitals here
Average cut
Group 1
0
none
Group 2
3
0.35%
Group 3
3
0.01%
Group 4
1
0.12%
Group 5
0
none
Which conditions drive the penalties here
Figure 4. Bypass surgery is the largest part of the estimated dollars here, 48%.
All hospitals
Penalized on this condition
Share of estimated dollars
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.
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Condition
Measured here
Penalized here
Share penalized
All hospitals’ share
Modeled dollars
Share of dollars
Heart attack
6
1
17%
50%
$26K
7%
COPD
6
1
17%
50%
$2K
1%
Heart failure
6
2
33%
50%
$104K
26%
Pneumonia
7
3
43%
50%
$20K
5%
Bypass surgery
6
2
33%
49%
$189K
48%
Hip/knee replacement
4
2
50%
50%
$51K
13%
Average cut over time
Figure 5. In FY2027, the average cut in North Dakota was 0.17%, against 0.35% across all hospitals in the program.
Red: hospitals in North Dakota 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.