Medicare’s bonuses top out at 0.39%, while most hospitals receive penalties instead
November 19, 2013
Oregon’s hospital leaders often complain that Medicare doesn’t pay enough to cover their costs. But nine hospitals in the state are about to start receiving more money for treating Medicare patients, as a reward for providing high-quality care and reducing hospital readmissions.
The additional funds they’ll receive are not likely to plug any gaping budget gaps. Willamette Valley Medical Center in McMinnville, a for-profit hospital, will get the biggest Medicare bonus in Oregon, a 0.39 percent boost. But that extra payment – as well as equally tiny penalties levied against two thirds of the state’s hospitals – carries symbolic heft as federal officials aim to reward doctors and hospitals that provide better care.
The Medicare rankings reward hospitals that reduce readmissions, reduce death rates, fare well on patient surveys, and adhere to clinical guidelines (such as selecting the correct antibiotics when treating pneumonia, or offering discharge instructions to heart failure patients who leave the hospital). This is Medicare’s second year assessing hospitals under these metrics, and this time around penalties are growing stiffer, according to a Kaiser Health News analysis of the data.
The nine Oregon hospitals that are receiving a Medicare bonus in 2014 are:
- Willamette Valley Medical Center, 0.39 percent.
- McKenzie-Willamette Medical Center, 0.33 percent.
- Mercy Medical Center, 0.28 percent.
- Asante Rogue Regional Medical Center, 0.16 percent.
- St Alphonsus Medical Center - Ontario, 0.1 percent.
- Salem Hospital, 0.07 percent.
- Asante Three Rivers Medical Center, 0.06 percent.
- Samaritan Albany General Hospital, 0.05 percent.
- Providence Portland Medical Center, 0.01 percent.
- Providence Willamette Falls Medical Center, down 0.59 percent.
- Silverton Hospital, down 0.57 percent.
- Legacy Meridian Park Medical Center, down 0.45 percent.
- Legacy Mount Hood Medical Center, down 0.43 percent.
- Sacred Heart Medical Center - Riverbend, down 0.41 percent.
- St Charles Medical Center - Bend, down 0.40 percent.
- Tuality Community Hospital, down 0.40 percent.
- Good Samaritan Regional Medical Center, down 0.36 percent.
- St Charles Medical Center - Redmond, down 0.35 percent.
- Legacy Emanuel Medical Center, down 0.34 percent.
- OHSU Hospital And Clinics, down 0.31 percent.
- Mid-Columbia Medical Center, down 0.28 percent.
- Providence Newberg Medical Center, down 0.23 percent.
- Sky Lakes Medical Center, down 0.21 percent.
- Providence St Vincent Medical Center, down 0.20 percent.
- Adventist Medical Center, down 0.18 percent.
- Santiam Memorial Hospital, down 0.16 percent.
- Providence Medford Medical Center, down 0.16 percent.
- Legacy Good Samaritan Medical Center, down 0.09 percent.
- Providence Milwaukie Hospital, down 0.01 percent.