Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ST BERNARDS MEDICAL CENTER

AR · Facility ID 040020 · FY2026

Total HAC Score

0.4531

Percentile

78.3th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4531

Hospital score 0.4531. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Live result

Equal-weight mean of edited reported Z · threshold 0.3792(strict >) · simulated/illustrative

Simulated Total HAC

0.4531

Δ from file score

+0.0000

File 0.4531

Penalized (simulated)

Measure controls

Drag reported SIRs (PSI-90: Composite Value). Z updates live via the empirical map, clamped to each measure's floor/cap.

  • Composite Value 3.179Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.391Z file -0.499 → sim -0.499
    0.007.96
  • SIR 0.388Z file -0.383 → sim -0.383
    0.005.52
  • SIR 0.824Z file -0.045 → sim -0.045
    0.004.79
  • SIR 0.685Z file 1.190 → sim 1.190
    0.003.32
  • SIR 0.671Z file -0.055 → sim -0.055
    0.004.41

Solver

Smallest change to clear (or cushion before crossing) the 0.3792 threshold — holding other measures fixed. Simulated/illustrative.

Insufficient data to score — solver unavailable.