Accelerate Your Growth

Power your team with the highest quality, daily updated intelligence on hospitals, physicians, and other healthcare providers

The Centers for Medicare and Medicaid Services’ (CMS) Readmission Reduction Program establishes reimbursement penalties for hospitals with excessive preventable readmissions. Penalties can mean up to a three percent reduction in a hospital’s Medicare reimbursement. In 2017 alone, the Readmission Reduction Program saved CMS nearly $530 million, more than $100 million more than in 2016.

For the second year in a row, AdventHealth Orlando (formerly Florida Hospital Orlando) is the hospital with the greatest revenue loss due to readmission penalties. From 2017 to 2018, Oroville Hospital overtook Harlan ARH Hospital to take the top spot as the facility with the highest all-cause readmission rate, while Harlan dropped to the number 4 spot.

The tables below feature the 25 hospitals with the greatest revenue loss due to readmission rate penalties and the 25 hospitals with the highest all-cause readmission rates.

25 Hospitals with the Greatest Readmission Rate Penalties

  Hospital Name Est. Revenue Loss Reimbursement Adjustment All-Cause Readmission Rate Discharges

1.

AdventHealth Orlando

$7,498,244

-2.17%

17.1%

127,401

2.

Charlton Memorial Hospital

$4,448,583

-3.00%

17.8%

32,582

3.

North Shore University Hospital

$3,471,709

-1.66%

17.0%

49,458

4.

North Florida Regional Medical Center

$3,399,211

-2.88%

17.6%

25,187

5.

Lakeland Regional Health Medical Center

$3,009,803

-3.00%

16.9%

38,750

6.

Beaumont Hospital - Royal Oak

$2,998,284

-1.48%

16.2%

55,514

7.

South Shore Hospital

$2,951,947

-2.64%

16.0%

26,521

8.

Yale New Haven Hospital

$2,935,672

-1.03%

16.0%

65,019

9.

Long Island Jewish Medical Center

$2,876,462

-1.76%

17.0%

70,901

10.

Vassar Brothers Medical Center

$2,798,866

-2.63%

16.4%

21,709

11.

Beth Israel Deaconess Medical Center

$2,671,770

-1.54%

17.0%

39,871

12.

Orange Regional Medical Center

$2,519,075

-2.93%

16.2%

20,452

13.

St Josephs University Medical Center

$2,407,019

-2.48%

17.1%

34,356

14.

Grand Strand Medical Center

$2,394,824

-2.79%

16.0%

20,390

15.

UPMC Pinnacle Harrisburg

$2,394,229

-2.17%

15.5%

36,262

16.

Baptist Memorial Hospital - Memphis

$2,165,700

-1.51%

15.9%

37,054

17.

Memorial Hermann Southwest Hospital

$2,140,029

-1.38%

15.9%

75,859

18.

Good Samaritan Hospital Medical Center

$2,019,678

-2.23%

16.9%

24,328

19.

Lahey Hospital & Medical Center -

Burlington

$1,999,160

-1.47%

16.9%

23,997

20.

Regional Medical Center of San Jose

$1,973,354

-2.65%

17.1%

15,495

21.

North Kansas City Hospital

$1,860,896

-2.55%

15.8%

13,671

22.

Oroville Hospital

$1,811,775

-3.00%

20.2%

12,752

23.

Forrest General Hospital

$1,707,582

-1.65%

16.9%

26,137

24.

Los Robles Health System - Los Robles Re­gional Medical Center

$1,677,550

-1.84%

16.0%

15,170

25.

Thomas Jefferson University Hospital

$1,675,301

-1.14%

16.2%

39,331

Fig 1. Data from Definitive Healthcare based on the 2018 CMS Medicare Readmission Rate Penalty Adjustment, which leverages readmission ratio data based on diagnoses.

25 Hospitals with Highest All-Cause Readmission Rates

  Hospital Name Est. Revenue Loss Reimbursement Adjustment All-Cause Readmission Rate Discharges

1.

Oroville Hospital

$1,811,775

-3.00%

20.2%

12,752

2.

Tug Valley ARH Regional Medical Center

$195,117

-3.00%

18.8%

2,216

3.

NYC Health and Hospitals - Coney Island

$728,178

-2.04%

18.8%

12,520

4.

Harlan ARH Hospital

$266,373

-3.00%

18.7%

3,523

5.

Westchester General Hospital

$111,623

-0.95%

18.4%

3,855

6.

Larkin Community Hospital - Palm Springs

$197,131

-1.52%

18.1%

4,735

7.

NYC Health and Hospitals - Queens

$251,149

-2.09%

18.1%

11,619

8.

St Johns Episcopal Hospital at South Shore

$501,691

-2.08%

18.1%

6,923

9.

Christ Hospital

$288,246

-1.40%

18.0%

8,765

10.

St Lucie Medical Center

$1,251,924

-3.00%

18.0%

12,279

11.

University of Illinois Hospital

$72,757

-0.18%

17.9%

19,291

12.

Waterbury Hospital

$928,843

-2.19%

17.9%

10,233

13.

University of Arkansas for Medical Sciences Medical Center

$352,925

-0.48%

17.9%

27,996

14.

Lawnwood Regional Medical Center & Heart Institute

$1,314,343

-2.52%

17.8%

16,421

15.

Charlton Memorial Hospital

$4,448,583

-3.00%

17.8%

32,582

16.

NYC Health and Hospitals - Kings County

$76,629

-0.41%

17.8%

16,684

17.

NuHealth - Nassau University Medical Center

$181,112

-0.61%

17.8%

17,181

18.

Wyckoff Heights Medical Center

$161,279

-0.84%

17.7%

13,252

19.

East Liverpool City Hospital

$317,330

-2.11%

17.7%

5,893

20.

Allegheny General Hospital

$493,153

-0.70%

17.7%

24,005

21.

Hurley Medical Center

$531,427

-1.20%

17.7%

17,888

22.

Hazard ARH Regional Medical Center

$1,038,728

-3.00%

17.7%

9,311

23.

North Florida Regional Medical Center

$3,399,211

-2.88%

17.6%

25,187

24.

Capital Regional Medical Center

$296,574

-0.98%

17.6%

14,921

25.

University Hospital & Medical Center

$536,401

-2.59%

17.6%

8,015

Fig 2. Data from Definitive Healthcare based on the 2018 CMS Medicare Readmission Rate Penalty Adjustment, which leverages readmission ratio data based on diagnoses.