Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SAINT AGNES MEDICAL CENTER

CA · Facility ID 050093 · FY2026

Total HAC Score

0.4306

Percentile

77.1th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4305

Hospital score 0.4305. 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

0.4305

Δ from file score

-0.0001

File 0.4306

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 1.020Z file 0.218 → sim 0.218
    0.273.32
  • SIR 1.122Z file 1.196 → sim 1.196
    0.007.96
  • SIR 0.550Z file 0.007 → sim 0.007
    0.005.52
  • SIR 1.054Z file 0.349 → sim 0.349
    0.004.79
  • SIR 0.538Z file 0.621 → sim 0.621
    0.003.32
  • SIR 0.789Z file 0.192 → sim 0.192
    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.