Is Your Hospital Being Penalized By Medicare?

Search here by hospital name or location for Medicare payment cuts associated with readmissions and patient safety.

By Jordan Rau, KFF Health News

Under programs set up by the Affordable Care Act, the federal government cuts payments to hospitals that have high rates of readmissions and those with the highest numbers of infections and patient injuries. For the readmission penalties, Medicare cuts as much as 3% for each patient, although the average is generally much lower. The patient safety penalties cost hospitals 1% of Medicare payments over the federal fiscal year, which runs from October through September. Maryland hospitals are exempted from penalties because that state has a separate payment arrangement with Medicare.

Here are look-up tools for each type of penalty. You can search by hospital name or location, look at all hospitals in a particular state and sort penalties by fiscal year. (Note: CMS waived HAC penalties for 2023 because of the public health emergency but they are being reinstituted for 2024.)

Additional Reading: Medicare to Cover Drugs That May Cover Alzheimer’s

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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