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Value Based Purchasing and Readmissions for PDF.Xlsx MEDICARE BONUSES AND PENALTIES FOR U.S. HOSPITALS Read more about the changes to Medicare payments at Kaiser Health News: http://khne.ws/valuebased Medicare is revamping its payment system for hospitals as part of an effort to make them accountable on quality. The latest change will give bonuses and penalties to hospitals based on how well they performed on quality measures. That program is called Value Based Purchasing. Last fall, seeking to improve care and save money, Medicare announced penalties to hospitals to which too many patients returned within a month. Both payment changes are applied to payments for every hospital stay of a Medicare patient. This chart shows the effect of each of those programs on hospitals’ Medicare reimbursements per hospital stay, and the combined effect for the federal spending year that runs from last October through September 2013. Hospitals could gain up to 1 percent in payments or lose as much as 2 percent from the two programs combined. 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, and thus no Maryland hospitals are listed below. You can download the data and read more about these programs and our methodology at: http://khne.ws/valuebased Sources: Centers for Medicare & Medicaid Services, Kaiser Health News Change In Change In Payment Payment From Value‐ Based On Total Change Based Number Of For Each Purchasing Readmis‐ Medicare Hospital Name City State Hospital Market Region Program sions Patient Stay Alabama ANDALUSIA REGIONAL HOSPITAL ANDALUSIA AL Pensacola, FL 0.37% ‐0.67% ‐0.30% ATHENS‐LIMESTONE HOSPITAL ATHENS AL Huntsville, AL 0.05% ‐0.06% ‐0.01% ATMORE COMMUNITY HOSPITAL ATMORE AL Pensacola, FL ‐1.00% ‐1.00% BAPTIST MEDICAL CENTER EAST MONTGOMERY AL Montgomery, AL 0.15% ‐0.40% ‐0.25% BAPTIST MEDICAL CENTER SOUTH MONTGOMERY AL Montgomery, AL ‐0.02% ‐0.74% ‐0.76% BAPTIST MEDICAL CENTER‐PRINCETON BIRMINGHAM AL Birmingham, AL 0.37% 0.00% 0.37% BIBB MEDICAL CENTER CENTREVILLE AL Tuscaloosa, AL 0.00% 0.00% BROOKWOOD MEDICAL CENTER BIRMINGHAM AL Birmingham, AL 0.27% 0.00% 0.27% BRYAN W WHITFIELD MEM HOSP INC DEMOPOLIS AL Birmingham, AL ‐0.45% ‐0.30% ‐0.75% BULLOCK COUNTY HOSPITAL UNION SPRINGS AL Montgomery, AL ‐0.21% ‐0.21% CALLAHAN EYE FOUNDATION HOSPITAL BIRMINGHAM AL Birmingham, AL 0.00% 0.00% CHEROKEE MEDICAL CENTER CENTRE AL Rome, GA ‐0.27% ‐0.27% CHILTON MEDICAL CENTER CLANTON AL Birmingham, AL ‐0.07% ‐0.07% CITIZENS BAPTIST MEDICAL CENTER TALLADEGA AL Birmingham, AL ‐0.07% 0.00% ‐0.07% CLAY COUNTY HOSPITAL ASHLAND AL Birmingham, AL ‐0.29% ‐0.29% COMMUNITY HOSPITAL INC TALLASSEE AL Montgomery, AL ‐0.33% ‐0.04% ‐0.37% COOPER GREEN MERCY HOSPITAL BIRMINGHAM AL Birmingham, AL ‐0.35% 0.00% ‐0.35% COOSA VALLEY MEDICAL CENTER SYLACAUGA AL Birmingham, AL 0.18% ‐0.64% ‐0.46% CRENSHAW COMMUNITY HOSPITAL LUVERNE AL Montgomery, AL 0.00% 0.00% CRESTWOOD MEDICAL CENTER HUNTSVILLE AL Huntsville, AL 0.32% ‐0.02% 0.30% CULLMAN REGIONAL MEDICAL CENTER CULLMAN AL Birmingham, AL 0.57% ‐0.03% 0.54% D C H REGIONAL MEDICAL CENTER TUSCALOOSA AL Tuscaloosa, AL 0.05% ‐0.32% ‐0.27% D W MCMILLAN MEMORIAL HOSPITAL BREWTON AL Pensacola, FL 0.06% ‐0.33% ‐0.27% DALE MEDICAL CENTER OZARK AL Dothan, AL ‐0.38% 0.00% ‐0.38% DECATUR GENERAL HOSPITAL DECATUR AL Huntsville, AL 0.00% ‐0.33% ‐0.33% DEKALB REGIONAL MEDICAL CENTER FORT PAYNE AL Birmingham, AL 0.26% ‐0.30% ‐0.04% EAST ALABAMA MEDICAL CENTER AND SNF OPELIKA AL Birmingham, AL 0.45% ‐0.63% ‐0.18% ELBA GENERAL HOSPITAL ELBA AL Dothan, AL 0.00% 0.00% ELIZA COFFEE MEMORIAL HOSPITAL FLORENCE AL Birmingham, AL ‐0.11% 0.00% ‐0.11% ELMORE COMMUNITY HOSPITAL WETUMPKA AL Montgomery, AL ‐0.36% ‐0.36% EVERGREEN MEDICAL CENTER EVERGREEN AL Montgomery, AL ‐0.65% ‐0.65% FAYETTE MEDICAL CENTER FAYETTE AL Tuscaloosa, AL 0.24% 0.00% 0.24% FLORALA MEMORIAL HOSPITAL FLORALA AL Pensacola, FL ‐0.73% ‐0.73% FLOWERS HOSPITAL DOTHAN AL Dothan, AL 0.62% ‐0.04% 0.58% GADSDEN REGIONAL MEDICAL CENTER GADSDEN AL Birmingham, AL 0.13% ‐0.57% ‐0.44% GEORGE H. LANIER MEMORIAL HOSPITAL VALLEY AL Birmingham, AL 0.13% ‐0.31% ‐0.18% GEORGIANA HOSPITAL GEORGIANA AL Montgomery, AL ‐1.00% ‐1.00% GREENE COUNTY HOSPITAL EUTAW AL Tuscaloosa, AL ‐1.00% ‐1.00% GROVE HILL MEMORIAL HOSPITAL GROVE HILL AL Mobile, AL 0.00% 0.00% HALE COUNTY HOSPITAL GREENSBORO AL Tuscaloosa, AL 0.00% 0.00% Kaiser Health News Page 1 of 58 Change In Change In Payment Payment From Value‐ Based On Total Change Based Number Of For Each Purchasing Readmis‐ Medicare Hospital Name City State Hospital Market Region Program sions Patient Stay HELEN KELLER MEMORIAL HOSPITAL SHEFFIELD AL Birmingham, AL 0.33% ‐0.19% 0.14% HIGHLANDS MEDICAL CENTER SCOTTSBORO AL Huntsville, AL 0.02% ‐0.68% ‐0.66% HILL HOSPITAL OF SUMTER COUNTY YORK AL Meridian, MS 0.00% 0.00% HUNTSVILLE HOSPITAL HUNTSVILLE AL Huntsville, AL 0.03% 0.00% 0.03% INFIRMARY WEST MOBILE AL Mobile, AL ‐0.01% ‐0.30% ‐0.31% J PAUL JONES HOSPITAL CAMDEN AL Birmingham, AL 0.00% 0.00% JACK HUGHSTON MEMORIAL HOSPITAL PHENIX CITY AL Columbus, GA 0.52% 0.00% 0.52% JACKSON HOSPITAL & CLINIC INC MONTGOMERY AL Montgomery, AL 0.46% ‐0.17% 0.29% JACKSON MEDICAL CENTER JACKSON AL Mobile, AL ‐0.28% ‐0.28% JACKSONVILLE MEDICAL CENTER JACKSONVILLE AL Birmingham, AL ‐0.36% ‐0.44% ‐0.80% L V STABLER MEMORIAL HOSPITAL GREENVILLE AL Montgomery, AL 0.53% 0.00% 0.53% LAKE MARTIN COMMUNITY HOSPITAL DADEVILLE AL Birmingham, AL ‐0.18% ‐0.18% LAKELAND COMMUNITY HOSPITAL HALEYVILLE AL Birmingham, AL ‐0.18% 0.00% ‐0.18% LAWRENCE MEDICAL CENTER MOULTON AL Birmingham, AL ‐1.00% ‐1.00% MARION REGIONAL MEDICAL CENTER HAMILTON AL Tupelo, MS ‐0.88% ‐0.88% MARSHALL MEDICAL CENTER SOUTH BOAZ AL Birmingham, AL 0.16% 0.00% 0.16% MEDICAL CENTER BARBOUR EUFAULA AL Dothan, AL 0.22% 0.00% 0.22% MEDICAL CENTER ENTERPRISE ENTERPRISE AL Dothan, AL 0.51% ‐0.32% 0.19% MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM BESSEMER AL Birmingham, AL ‐0.19% ‐0.41% ‐0.60% MIZELL MEMORIAL HOSPITAL OPP AL Dothan, AL ‐0.53% ‐0.84% ‐1.37% MOBILE INFIRMARY MOBILE AL Mobile, AL ‐0.02% ‐0.64% ‐0.66% MONROE COUNTY HOSPITAL MONROEVILLE AL Mobile, AL 0.25% ‐0.54% ‐0.29% NORTH BALDWIN INFIRMARY BAY MINETTE AL Mobile, AL ‐0.49% 0.00% ‐0.49% NORTHEAST ALABAMA REGIONAL MED CENTER ANNISTON AL Birmingham, AL ‐0.24% ‐0.22% ‐0.46% NORTHWEST MEDICAL CENTER WINFIELD AL Birmingham, AL 0.42% ‐0.46% ‐0.04% PARKWAY MEDICAL CENTER DECATUR AL Huntsville, AL ‐0.41% ‐0.61% ‐1.02% PICKENS COUNTY MEDICAL CENTER CARROLLTON AL Tuscaloosa, AL 0.45% ‐0.10% 0.35% PRATTVILLE BAPTIST HOSPITAL PRATTVILLE AL Montgomery, AL 0.58% ‐1.00% ‐0.42% PROVIDENCE HOSPITAL MOBILE AL Mobile, AL 0.29% ‐0.01% 0.28% RIVERVIEW REGIONAL MEDICAL CENTER GADSDEN AL Birmingham, AL 0.00% ‐0.72% ‐0.72% RUSSELL HOSPITAL ALEXANDER CITY AL Birmingham, AL ‐0.27% ‐0.16% ‐0.43% RUSSELLVILLE HOSPITAL RUSSELLVILLE AL Birmingham, AL 0.33% ‐1.00% ‐0.67% SHELBY BAPTIST MEDICAL CENTER ALABASTER AL Birmingham, AL 0.39% ‐0.24% 0.15% SHOALS HOSPITAL MUSCLE SHOALS AL Birmingham, AL ‐0.05% 0.00% ‐0.05% SOUTH BALDWIN REGIONAL MEDICAL CENTER FOLEY AL Mobile, AL 0.38% ‐0.23% 0.15% SOUTHEAST ALABAMA MEDICAL CENTER DOTHAN AL Dothan, AL ‐0.16% 0.00% ‐0.16% SPRINGHILL MEDICAL CENTER MOBILE AL Mobile, AL 0.27% ‐0.72% ‐0.45% ST VINCENT'S BIRMINGHAM BIRMINGHAM AL Birmingham, AL 0.11% ‐0.33% ‐0.22% ST VINCENTS BLOUNT ONEONTA AL Birmingham, AL 0.50% ‐0.52% ‐0.02% ST VINCENT'S EAST BIRMINGHAM AL Birmingham, AL ‐0.08% ‐0.56% ‐0.64% ST VINCENT'S ST CLAIR PELL CITY AL Birmingham, AL ‐1.00% ‐1.00% STRINGFELLOW MEMORIAL HOSPITAL ANNISTON AL Birmingham, AL ‐0.13% ‐0.09% ‐0.22% THOMAS HOSPITAL FAIRHOPE AL Mobile, AL 0.09% 0.00% 0.09% TRINITY MEDICAL CENTER BIRMINGHAM AL Birmingham, AL 0.56% ‐0.05% 0.51% TROY REGIONAL MEDICAL CENTER TROY AL Montgomery, AL ‐0.43% ‐1.00% ‐1.43% UNIV OF SOUTH ALABAMA MEDICAL CENTER MOBILE AL Mobile, AL 0.10% 0.00% 0.10% UNIVERSITY OF ALABAMA HOSPITAL BIRMINGHAM AL Birmingham, AL 0.05% ‐0.16% ‐0.11% VAUGHAN REG MED CENTER PARKWAY CAMPUS SELMA AL Birmingham, AL 0.38% ‐1.00% ‐0.62% WALKER BAPTIST MEDICAL CENTER JASPER AL Birmingham, AL 0.50% 0.00% 0.50% WEDOWEE HOSPITAL WEDOWEE AL Birmingham, AL ‐0.84% ‐0.84% WIREGRASS MEDICAL CENTER GENEVA AL Dothan, AL ‐0.75% 0.00% ‐0.75% Alaska ALASKA NATIVE MEDICAL CENTER ANCHORAGE AK Anchorage, AK ‐0.50% ‐0.25% ‐0.75% ALASKA REGIONAL HOSPITAL ANCHORAGE AK Anchorage, AK 0.08% 0.00% 0.08% BARTLETT REGIONAL HOSPITAL JUNEAU AK Anchorage, AK 0.08% 0.00% 0.08% CENTRAL PENINSULA GENERAL HOSPITAL SOLDOTNA AK Anchorage, AK 0.40% ‐0.08% 0.32% FAIRBANKS MEMORIAL HOSPITAL FAIRBANKS AK Anchorage, AK ‐0.02% 0.00% ‐0.02% MAT‐SU REGIONAL MEDICAL CENTER PALMER AK Anchorage, AK 0.38% ‐0.10% 0.28% MT EDGECUMBE HOSPITAL SITKA AK Anchorage, AK 0.00% 0.00% PROVIDENCE ALASKA MEDICAL CENTER ANCHORAGE AK Anchorage, AK ‐0.32% 0.00% ‐0.32% Kaiser Health News Page 2 of 58 Change In Change In Payment Payment From Value‐ Based On Total Change Based Number Of For Each Purchasing Readmis‐ Medicare Hospital Name City State Hospital Market Region Program sions Patient Stay YUKON KUSKOKWIM DELTA REG HOSPITAL BETHEL AK Anchorage, AK ‐0.29% ‐0.29% Arizona ARIZONA ORTHOPEDIC SURGICAL HOSPITAL CHANDLER AZ Mesa, AZ 0.24% 0.00% 0.24% ARIZONA REGIONAL MEDICAL CENTER MESA AZ Mesa, AZ ‐0.03% ‐0.86% ‐0.89% ARIZONA
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