Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SAINT JOSEPH HOSPITAL

KY · Facility ID 180010 · FY2026

Total HAC Score

-0.2718

Percentile

34.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2718

Hospital score -0.2718. 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

-0.2718

Δ from file score

+0.0000

File -0.2718

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 1.360Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.267Z file -0.787 → sim -0.787
    0.007.96
  • SIR 0.115Z file -1.041 → sim -1.041
    0.005.52
  • SIR 0.188Z file -1.134 → sim -1.134
    0.004.79
  • SIR 0.178Z file -0.773 → sim -0.773
    0.003.32
  • SIR 0.503Z file -0.406 → sim -0.406
    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.