The Hospital Readmission Reduction Program (HRRP) penalizes hospitals that have excess readmissions within 30 days for conditions like heart failure, heart attack, and pneumonia. In fiscal year 2021, 83% of eligible hospitals received penalties, with the average penalty being 0.69%. States with the most penalized hospitals included California, Texas, Florida, New York, Illinois, and Pennsylvania. While progress still needs to be made, readmission rates have declined since 2010.

1. HRRP
Hospital Readmission
Reduction Program

2. What Qualifies a Readmission?
Medicare will penalize hospitals who have an excess number
of patients who returned to a hospital within 30 days.

3. Readmissions are counted only for
patients who were originally treated for:
Heart Failure (HF)01
Heart Attack (AMI)02
Pneumonia03
Chronic Obstructive Pulmonary Disease (COPD)04
Hip and Knee Replacement05
Coronary Artery Bypass Graft Surgery (CABG)06

4. Fiscal Year 2021
Readmissions were calculated based upon readmissions
between July 1, 2016 - June 30, 2019.

5. were eligible for the
HRRP program
3,080
hospitals

6. received a penalty for their
Readmission performance
2,545
hospitals

7. That’s 83% of eligible hospitals
83%

8. Penalties will apply to those
hospital’s Medicare payments
between
October 1, 2020 –
September 30, 2021

9. received a higher penalty
than they did the year before
1,277
hospitals

10. received a lower penalty
than the year before
1,803
hospitals

11. is the maximum penalty assessed
3%

12. will receive the maximum penalty which
means 3% will be deducted from each
payment for a Medicare patient stay
over the next fiscal year
39
hospitals

13. is the average penalty assessed
0.69%

14. This average has decreased
over last year, which was
0.71%

15. States with the most penalized hospitals:

16. California
219 hospitals
76% of all CA hospitals
Texas
223 hospitals
79% of all TX hospitals
2
States with the most hospitals penalized
1

17. Florida
156 hospitals
95% of all FL hospitals
3
States with the most hospitals penalized
New York
131 hospitals
94% of all NY hospitals
4

18. States with the most hospitals penalized
Illinois
112 hospitals
91% of all IL hospitals
6
Pennsylvania
124 hospitals
89% of all PA hospitals
5

19. States with the most hospitals penalized
Ohio
105 hospitals
88% of all OH hospitals
7
Georgia
84 hospitals
88% of all GA hospitals
8

20. States with the most hospitals penalized
Tennessee
72 hospitals
86% of all TN hospitals
Michigan
71 hospitals
79% of all MI hospitals
9
9 10

21. While there remains work to be
done, there has been a decline in
Readmissions since 2010.

22. SOURCE: http://www.medpac.gov/-blog-/the-hospital-readmissions-reduction-program-(hrrp)-has-succeeded-for-beneficiaries-and-the-medicare-program/2018/06/15/the-hospital-readmissions-reduction-program-has-succeeded-for-beneficiaries-and-the-medicare-program

23. Will you be a part
of the solution?
© 2020 Medisolv, Inc. All rights reserved.
Medisolv.com | 443-539-0505 | info@medisolv.com