Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ST JOE MERCY HOSPITAL SYSTEM LIVONIA

MI · Facility ID 230002 · FY2026

Total HAC Score

0.7145

Percentile

87.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.7145

Hospital score 0.7145. 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

0.7145

Δ from file score

+0.0000

File 0.7145

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 0.982Z file -0.043sim -0.043
    0.273.32
  • SIR 1.006Z file 0.927sim 0.927
    0.007.96
  • SIR 0.657Z file 0.265sim 0.265
    0.005.52
  • SIR 1.353Z file 0.861sim 0.861
    0.004.79
  • SIR 0.867Z file 1.895sim 1.895
    0.003.32
  • SIR 0.880Z file 0.382sim 0.382
    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.