Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MERCYONE SIOUXLAND MEDICAL CENTER

IA · Facility ID 160153 · FY2026

Total HAC Score

0.8012

Percentile

90.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.8012

Hospital score 0.8012. 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

0.8012

Δ from file score

0.0000

File 0.8012

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 1.447Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 1.229Z file 1.444 → sim 1.444
    0.007.96
  • SIR 0.474Z file -0.176 → sim -0.176
    0.005.52
  • SIR 0.426Z file -0.727 → sim -0.727
    0.004.79
  • SIR 0.534Z file 0.606 → sim 0.606
    0.003.32
  • SIR 1.247Z file 1.149 → sim 1.149
    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.