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Hospital-Acquired Condition (HAC) Reduction Program

Published by Centers for Medicare & Medicaid Services (CMS) | U.S. Department of Health & Human Services | Catalog Last Checked: August 09, 2025 at 12:28 AM | Dataset Last Updated: July 23, 2025
Hospital-Acquired Condition (HAC) Reduction Program (HACRP) - In October 2014, CMS began reducing Medicare fee-for-service payments for subsection (d) hospitals that rank in the worst-performing quartile with respect to hospital-acquired condition (HAC) quality measures. Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction. This table contains hospitals' measure and Total HAC scores. The Total HAC Score is calculated as the equally weighted average of hospitals' individual measure scores.

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