For fiscal year 2018, about 57% of the 2,808 hospitals participating in the Medicare Hospital Value-based Purchasing (VBP) program earned bonuses, and 1,211 hospitals received penalties. In fiscal year 2017, about 55% of the 2,955 participating hospitals earned Medicare VBP bonuses, and 1,343 received penalties. For fiscal year 2018, the VBP program has $1.9 billion available. For about half of the 2,808 participating hospitals, the changes to base DRG payments will range from a penalty of -0.5 to a bonus of 0.5%. In 2017 and 2018, 1,196 hospitals earned bonuses . . .