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Home Featured

Resources to See Which Hospitals Are Penalized by Medicare

Is your hospital being penalized by Medicare?

Jordan Rau by Jordan Rau
November 11, 2022
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Resources to See Which Hospitals Are Penalized by Medicare

Michigan Medicine Attribution 3.0 license

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 percent for each patient, although the average is generally much lower. The patient safety penalties cost hospitals 1 percent 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.

Below 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 year.

https://khn.org/wp-content/uploads/sites/2/2022/10/hospital-readmissions_2013-2023.csv

https://khn.org/wp-content/uploads/sites/2/2022/02/HAC_FY2022.csv

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

Subscribe to KHN’s free Morning Briefing.

Source: Kaiser Health News
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Jordan Rau

Jordan Rau

Jordan Rau reports on cost and quality in the American health care system with a focus on hospitals and nursing homes. He joined KHN at its founding in 2009 and specializes in data journalism. His articles have revealed: rampant infection control problems in nursing homes; dangerous daily swings in staffing levels in nursing homes; hospitals that do not follow their own charity care policies; byzantine ownership structures of skilled nursing facilities; and the proliferating and contradictory “best hospital” rating industry. On occasion he has digressed to write about the joys of remote schooling and the pretensions of children’s art. A graduate of Wesleyan University, he previously worked as a reporter at the Los Angeles Times and Newsday.

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Videos

Summary

In this episode of the Daily Remedy Podcast, Dr. Joshi discusses the rapidly changing landscape of healthcare laws and trends, emphasizing the importance of understanding the distinction between statutory and case law. The conversation highlights the role of case law in shaping healthcare practices and encourages physicians to engage in legal advocacy by writing legal briefs to influence case law outcomes. The episode underscores the need for physicians to actively participate in the legal processes that govern their practice.

Takeaways

Healthcare trends are rapidly changing and confusing.
Understanding statutory and case law is crucial for physicians.
Case law can overturn existing statutory laws.
Physicians can influence healthcare law through legal briefs.
Writing legal briefs doesn't require extensive legal knowledge.
Narrative formats can be effective in legal briefs.
Physicians should express their perspectives in legal matters.
Engagement in legal advocacy is essential for physicians.
The interpretation of case law affects medical practice.
Physicians need to be part of the legal conversation.
Physicians: Write thy amicus briefs!
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Official MAHA Report

Official MAHA Report

by Daily Remedy
May 31, 2025
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Explore the official MAHA Report released by the White House in May 2025.

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