In FY2023, from the 5,236 hospitals Medicare assessed for hospital readmissions, 2,273 (or 42 percent) were penalized for readmission rates exceeding 30-day risk-standardized readmission rates. This is significantly lower than in FY 2015 where 2,610 hospitals were penalized.
The Hospital Readmissions Reduction Program (HRRP) was created as part of Affordable Care Act's (ACA's) payment and delivery system reform, to focus on quality rather than quantity of care. Preventable rehospitalization costs Medicare hundreds of millions of dollars each year and can be avoided through better care and more attention paid to the patients during discharge and transition. For penalized hospitals, CMS will reduce payment for every Medicare patient stay for that federal fiscal year by one to three percent depending on readmission rates. Penalties so far were collectively over half a billion U.S. dollars each year. Starting in FY2019, CMS take into account the proportion of low-income patients within a hospital, since they are more likely to be readmitted due to other socio-economic factors.
This statistic presents the number of hospitals in the United States that Medicare punished for high readmission within 30 days in FY 2015 to 2023.
Number of hospitals in the United States that Medicare punished for high readmission from FY2015 to FY2023
Figures are collected from previous reports from the same source.
The source adds the following information:
"An additional 2,216 hospitals are exempt from the Hospital Readmission Reductions Program (HRRP) because they specialize in children, psychiatric patients or veterans. Rehabilitation and long-term care hospitals are also excluded from the program, as are critical access hospitals, which are treated differently because they are the only inpatient facility in an area."
"The penalties for FY2023 are evaluated by analysing 2.5 years data of readmission cases of Medicare patients. Typically, the penalties are based on three years of patients, but the Centers for Medicare & Medicaid Services excluded the final six months in the period because of the chaos caused by the pandemic as hospitals scrambled to handle an influx of covid-19 patients."
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Kaiser Family Foundation (KHN). (November 1, 2022). Number of hospitals in the United States that Medicare punished for high readmission from FY2015 to FY2023 [Graph]. In Statista. Retrieved November 21, 2024, from https://www.statista.com/statistics/1286739/number-of-us-hospitals-medicare-punished-for-high-readmissions/
Kaiser Family Foundation (KHN). "Number of hospitals in the United States that Medicare punished for high readmission from FY2015 to FY2023." Chart. November 1, 2022. Statista. Accessed November 21, 2024. https://www.statista.com/statistics/1286739/number-of-us-hospitals-medicare-punished-for-high-readmissions/
Kaiser Family Foundation (KHN). (2022). Number of hospitals in the United States that Medicare punished for high readmission from FY2015 to FY2023. Statista. Statista Inc.. Accessed: November 21, 2024. https://www.statista.com/statistics/1286739/number-of-us-hospitals-medicare-punished-for-high-readmissions/
Kaiser Family Foundation (KHN). "Number of Hospitals in The United States That Medicare Punished for High Readmission from Fy2015 to Fy2023." Statista, Statista Inc., 1 Nov 2022, https://www.statista.com/statistics/1286739/number-of-us-hospitals-medicare-punished-for-high-readmissions/
Kaiser Family Foundation (KHN), Number of hospitals in the United States that Medicare punished for high readmission from FY2015 to FY2023 Statista, https://www.statista.com/statistics/1286739/number-of-us-hospitals-medicare-punished-for-high-readmissions/ (last visited November 21, 2024)
Number of hospitals in the United States that Medicare punished for high readmission from FY2015 to FY2023 [Graph], Kaiser Family Foundation (KHN), November 1, 2022. [Online]. Available: https://www.statista.com/statistics/1286739/number-of-us-hospitals-medicare-punished-for-high-readmissions/