Research / HospitalPenaltyPulse

CMS HAC Reduction & Readmissions Penalties by Hospital: 2026 statistics from 2,924 public records

California leads with 277 of 2,924 records (9.5%), ahead of Texas with 276 (9.4%) (as of 2026-10-28; source: CMS Provider Data Catalog: HAC Reduction Program and Hospital Readmissions Reduction Program hospital files).

Data as of · Compiled by Zalwin from CMS Provider Data Catalog: HAC Reduction Program and Hospital Readmissions Reduction Program hospital files

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Key findings

  1. Zalwin's HospitalPenaltyPulse dataset holds 2,924 HospitalPenaltyPulse records dated 2026-10-28 to 2026-10-28 (as of 2026-10-28; source: CMS Provider Data Catalog: HAC Reduction Program and Hospital Readmissions Reduction Program hospital files). #
  2. California leads with 277 of 2,924 records (9.5%), ahead of Texas with 276 (9.4%) (as of 2026-10-28; source: CMS Provider Data Catalog: HAC Reduction Program and Hospital Readmissions Reduction Program hospital files). #
  3. The most common penalty signal is Excess readmissions (HRRP): 1,692 of 2,924 records (57.9%) (as of 2026-10-28; source: CMS Provider Data Catalog: HAC Reduction Program and Hospital Readmissions Reduction Program hospital files). #
  4. Across 2,248 records with a stated amount, the total is 5,365 and the median is 2; the largest is 6 (Honorhealth Scottsdale Shea Medical Center (AZ)) (as of 2026-10-28; source: CMS Provider Data Catalog: HAC Reduction Program and Hospital Readmissions Reduction Program hospital files). #
  5. The top 10% of records by amount (225 of 2,248) account for 19.8% of the total (as of 2026-10-28; source: CMS Provider Data Catalog: HAC Reduction Program and Hospital Readmissions Reduction Program hospital files). #
  6. 2,924 of 2,924 records (100.0%) are dated within the 30 days before 2026-10-28 (source: CMS Provider Data Catalog: HAC Reduction Program and Hospital Readmissions Reduction Program hospital files). #
  7. In California, the leading penalty signal is Excess readmissions (HRRP) with 169 of 277 records (61.0%) (as of 2026-10-28; source: CMS Provider Data Catalog: HAC Reduction Program and Hospital Readmissions Reduction Program hospital files). #

HospitalPenaltyPulse records by state

GroupRecordsShare
California2779.5%
Texas2769.4%
Florida1475.0%
New York1244.2%
Ohio1133.9%
Pennsylvania1113.8%
Illinois1083.7%
Georgia903.1%
Michigan802.7%
Louisiana792.7%
Tennessee772.6%
Indiana762.6%
North Carolina762.6%
Alabama742.5%
Oklahoma732.5%

HospitalPenaltyPulse records by penalty signal

GroupRecordsShare
Excess readmissions (HRRP)1,69257.9%
HAC payment cut and excess readmissions55619.0%
No penalty signal53718.4%
HAC payment cut (1%)1394.8%

Methodology and data provenance

Cite this study

Zalwin Research, "HospitalPenaltyPulse statistics" (data as of 2026-10-28), https://zalwin.com/research/hospitalpenaltypulse

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