By State: Hospital Quality Bonuses And Penalties

Nov 14, 2013

Medicare gives hospitals bonuses and penalties based on how well they performed on 24 quality measures. This chart shows the average effect by state on hospitals’ Medicare payments during the second year of the program.

The adjustments do not apply to money Medicare pays hospitals for capital expenses, to teach residents or to treat large numbers of low-income patients. Hospitals with too few cases and certain specialty hospitals, such as psychiatric, long-term care, rehabilitation and cancer hospitals, are exempted from the programs. Maryland hospitals are also excluded from the program, as that state has a unique reimbursement arrangement with Medicare, so no Maryland hospitals are listed below.

Hard dollar figures are not available because the total cost to a hospital will depend on how much it bills Medicare through next September. For a list of individual hospitals, look at this interactive chart or download a CSV spreadsheet of the data. (The state data in this chart aligns with the figures in the Value-Based Purchasing Bonus/Penalty 2014 column in the individual hospital chart and CSV file.) You can also read the methodology about how Medicare determines the bonuses and penalties and how KHN presents the data.

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Click any column heading in the table below to re-sort the data.

Source: Kaiser Health News analysis of data from the Centers for Medicare & Medicaid Services.