Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MERCY HOSPITAL FORT SMITH

AR · Facility ID 040062 · FY2026

Total HAC Score

-0.4569

Percentile

22.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4569

Hospital score -0.4569. 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

-0.4569

Δ from file score

-0.0000

File -0.4569

Not 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 0.698Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.905Z file 0.693 → sim 0.693
    0.007.96
  • SIR 0.170Z file -0.909 → sim -0.909
    0.005.52
  • SIR 0.839Z file -0.019 → sim -0.019
    0.004.79
  • SIR 0.119Z file -1.001 → sim -1.001
    0.003.32
  • SIR 0.687Z file -0.021 → sim -0.021
    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.