P&P, Paid & Penalized

Public Medicare data, made visible.

State

Vermont

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 0.29%, the 27th-largest among the 49 states and DC in the program. Estimated total: $317Kestimate.

Vermont · FY2027Compared with all hospitals nationally

1Hospitals

6

2Penalized

100%

of 6 measured · +17 pts vs nation

3Average cut

0.29%

−0.06 pts vs nation

4Cut 1% or more

1

17% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$317Kestimate

Hospitals on the map

Figure 1. 6 of the 6 hospitals here take a cut; the largest, 1.28%, is at Central Vermont Medical Center.
Univ. of Vermont - Fletcher Allen Health Care, Burlington, VT: cut 0.05%Rutland Regional Medical Center, Rutland, VT: cut 0.18%Brattleboro Memorial Hospital, Brattleboro, VT: cut 0.05%Southwestern Vermont Medical Center, Bennington, VT: cut 0.05%Northwestern Medical Center Inc, Saint Albans, VT: cut 0.15%Central Vermont Medical Center, Barre, VT: cut 1.28% Univ. of Vermont - Fletcher Allen Health Care, Burlington, VT: cut 0.05%Rutland Regional Medical Center, Rutland, VT: cut 0.18%Brattleboro Memorial Hospital, Brattleboro, VT: cut 0.05%Southwestern Vermont Medical Center, Bennington, VT: cut 0.05%Northwestern Medical Center Inc, Saint Albans, VT: cut 0.15%Central Vermont Medical Center, Barre, VT: cut 1.28%

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)
Central Vermont Medical CenterBarre1.28%$16.4M
Rutland Regional Medical CenterRutland0.18%$20.8M
Northwestern Medical Center IncSaint Albans0.15%$8.5M
Brattleboro Memorial HospitalBrattleboro0.05%$5.8M
Southwestern Vermont Medical CenterBennington0.05%$11.0M
Univ. of Vermont - Fletcher Allen Health CareBurlington0.05%$98.1M

Size of the cuts

Figure 2. All 6 hospitals here take a cut, 0.29% on average; across all hospitals 20% take none.
0%10%20%30%40%50% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 3 here (50%); 18% of all hospitals0.1% to 0.2%: 2 here (33%); 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%: 1 here (17%); 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 0.29%none 0%10%20%30%40%50% No cut: 0 here (0%); 20% of all hospitals0.0% to 0.1%: 3 here (50%); 18% of all hospitals0.1% to 0.2%: 2 here (33%); 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%: 1 here (17%); 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 0.29%none

Bars: Vermont. 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%350%18%
0.1%0.2%233%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%117%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 6 hospitals here are in group 4.
Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: 1 hospital, average cut 0.05%Group 3avg cut 0.05%1Group 4: 5 hospitals, average cut 0.34%Group 4avg cut 0.34%5Group 5: no hospital hereGroup 5none0 Group 1: no hospital hereGroup 1none0Group 2: no hospital hereGroup 2none0Group 3: 1 hospital, average cut 0.05%Group 3avg cut 0.05%1Group 4: 5 hospitals, average cut 0.34%Group 4avg cut 0.34%5Group 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 10none
Group 20none
Group 310.05%
Group 450.34%
Group 50none

Which conditions drive the penalties here

Figure 4. Heart failure is the largest part of the estimated dollars here, 30%.
  • All hospitals

Penalized on this condition

Heart attack: 0 of 1 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 10%COPD: 4 of 6 measured hospitals penalized, 67%; all hospitals 50%COPD4 of 667%Heart failure: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%Heart failure2 of 633%Pneumonia: 3 of 6 measured hospitals penalized, 50%; all hospitals 50%Pneumonia3 of 650%Bypass surgery: 0 of 1 measured hospitals penalized, 0%; all hospitals 49%Bypass (CABG)0 of 10%Hip/knee replacement: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Hip/knee2 of 367% Heart attack: 0 of 1 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 1 measured0%COPD: 4 of 6 measured hospitals penalized, 67%; all hospitals 50%COPD4 of 6 measured67%Heart failure: 2 of 6 measured hospitals penalized, 33%; all hospitals 50%Heart failure2 of 6 measured33%Pneumonia: 3 of 6 measured hospitals penalized, 50%; all hospitals 50%Pneumonia3 of 6 measured50%Bypass surgery: 0 of 1 measured hospitals penalized, 0%; all hospitals 49%Bypass surgery0 of 1 measured0%Hip/knee replacement: 2 of 3 measured hospitals penalized, 67%; all hospitals 50%Hip/knee replacement2 of 3 measured67%

Share of estimated dollars

Heart failure: $96K of the modeled dollars, 30%Heart failure≈ $96K30%Pneumonia: $90K of the modeled dollars, 28%Pneumonia≈ $90K28%COPD: $84K of the modeled dollars, 27%COPD≈ $84K27%Hip/knee replacement: $47K of the modeled dollars, 15%Hip/knee≈ $47K15%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Bypass surgery: $0 of the modeled dollars, 0%Bypass (CABG)≈ $00% Heart failure: $96K of the modeled dollars, 30%Heart failure≈ $96K30%Pneumonia: $90K of the modeled dollars, 28%Pneumonia≈ $90K28%COPD: $84K of the modeled dollars, 27%COPD≈ $84K27%Hip/knee replacement: $47K of the modeled dollars, 15%Hip/knee replacement≈ $47K15%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Bypass surgery: $0 of the modeled dollars, 0%Bypass surgery≈ $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 attack100%50%$00%
COPD6467%50%$84K27%
Heart failure6233%50%$96K30%
Pneumonia6350%50%$90K28%
Bypass surgery100%49%$00%
Hip/knee replacement3267%50%$47K15%

Average cut over time

Figure 5. In FY2027, the average cut in Vermont was 0.29%, 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: 0.02% here; 0.28% across all hospitals in the programFY2014: 0.02% here; 0.26% across all hospitals in the programFY2015: 0.07% here; 0.50% across all hospitals in the programFY2016: 0.05% here; 0.49% across all hospitals in the programFY2017: 0.30% here; 0.60% across all hospitals in the programFY2018: 0.23% here; 0.61% across all hospitals in the programFY2019: 0.35% here; 0.59% across all hospitals in the programFY2020: 0.38% here; 0.60% across all hospitals in the programFY2021: 0.41% here; 0.58% across all hospitals in the programFY2022: 0.42% here; 0.54% across all hospitals in the programFY2023: 0.60% here; 0.33% across all hospitals in the programFY2024: 0.59% here; 0.34% across all hospitals in the programFY2025: 0.49% here; 0.33% across all hospitals in the programFY2026: 0.21% here; 0.35% across all hospitals in the programFY2027: 0.29% here; 0.35% across all hospitals in the program0.29% ’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: 0.02% here; 0.28% across all hospitals in the programFY2014: 0.02% here; 0.26% across all hospitals in the programFY2015: 0.07% here; 0.50% across all hospitals in the programFY2016: 0.05% here; 0.49% across all hospitals in the programFY2017: 0.30% here; 0.60% across all hospitals in the programFY2018: 0.23% here; 0.61% across all hospitals in the programFY2019: 0.35% here; 0.59% across all hospitals in the programFY2020: 0.38% here; 0.60% across all hospitals in the programFY2021: 0.41% here; 0.58% across all hospitals in the programFY2022: 0.42% here; 0.54% across all hospitals in the programFY2023: 0.60% here; 0.33% across all hospitals in the programFY2024: 0.59% here; 0.34% across all hospitals in the programFY2025: 0.49% here; 0.33% across all hospitals in the programFY2026: 0.21% here; 0.35% across all hospitals in the programFY2027: 0.29% here; 0.35% across all hospitals in the program0.29% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Vermont 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
FY20130.02%0.28%
FY20140.02%0.26%
FY20150.07%0.50%
FY20160.05%0.49%
FY20170.30%0.60%
FY20180.23%0.61%
FY20190.35%0.59%
FY20200.38%0.60%
FY20210.41%0.58%
FY20220.42%0.54%
FY20230.60%0.33%
FY20240.59%0.34%
FY20250.49%0.33%
FY20260.21%0.35%
FY20270.29%0.35%

Metro areas

Largest first, by hospitals.

Metro areaHospitalsPenalizedAverage cutCut 1% or moreEstimated dollars
Outside metro areas4100%0.39%1$256K
Burlington-South Burlington, VT2100%0.10%0$62K

Download the table as a CSV

Hospitals in Vermont

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

Hospitals in Vermont, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Central Vermont Medical CenterBarre, VT · CCN 4700011.28%$210K4Heart attack: too few cases to be measured; 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: COPD, Heart failure, Pneumonia, and Hip/knee replacement175
Rutland Regional Medical CenterRutland, VT · CCN 4700050.18%$37K4Heart 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: too few cases to be measuredCounted toward the cut: COPD301
Northwestern Medical Center IncSaint Albans, VT · CCN 4700240.15%$13K4Heart 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 Pneumonia70
Univ. of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 4700030.05%$49K3Heart 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 replacement615
Southwestern Vermont Medical CenterBennington, VT · CCN 4700120.05%$5K4Heart 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: too few cases to be measuredCounted toward the cut: COPD180
Brattleboro Memorial HospitalBrattleboro, VT · CCN 4700110.05%$3K4Heart 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: measured, adds nothingCounted toward the cut: Pneumonia104

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