Which States Had the Most Hospitals Penalized for Readmissions in 2022

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HRRP
Hospital Readmission
Reduction Program

What Qualifies a
Readmission?
Medicare will penalize hospitals
who have an excess number of
patients who returned to a hos...

Readmissions
are counted only
for patients who
were originally
treated for:
Heart Failure (HF)
01
Heart Attack (AMI)
02
Pn...

Fiscal Year 2022
Readmissions were calculated based upon readmissions
between July 1, 2017 – December 1, 2019.

Fiscal Year 2022
The last 6 months of the performance period were removed
due to the chaos of the pandemic.

3,046
hospitals
were eligible for the
HRRP program

2,499
hospitals
received a penalty for
their Readmission
performance

That’s 82% of eligible hospitals
82%

between
October 1, 2021-
September 30, 2022
Penalties will apply to
those hospital’s
Medicare payments

received a higher penalty
than they did the year
before
1,186
hospitals

received a lower penalty
than the year before
1,617
hospitals

3%
is the maximum
penalty assessed

39
hospitals
will receive the maximum penalty
which means 3% will be deducted from
each payment for a Medicare patient
sta...

is the average
penalty assessed
0.64%

This average has
decreased over the last
year, which was
0.69%

States with the most penalized hospitals:

California
208 hospitals
56% of all CA hospitals
Texas
217 hospitals
48% of all TX hospitals
2
States with the most hospit...

Florida
156 hospitals
75% of all FL hospitals
3
States with the most hospitals penalized
New York
125 hospitals
67% of all...

States with the most hospitals penalized
Illinois
109 hospitals
57% of all IL hospitals
6
Pennsylvania
117 hospitals
63% o...

States with the most hospitals penalized
Ohio
105 hospitals
54% of all OH hospitals
7
Georgia
81 hospitals
55% of all GA h...

States with the most hospitals penalized
Tennessee
73 hospitals
62% of all TN hospitals
Michigan
72 hospitals
50% of all M...

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

SOURCE: http://medpac.gov/-blog-/update-on-medpac-s-evaluation-of-medicare-s-hospital-readmission-reduction-program/2019/1...

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of the solution?
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Medisolv.com | 443-539-0505 | info@medisolv...

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