Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SANFORD BEMIDJI MEDICAL CENTER

MN · Facility ID 240100 · FY2026

Total HAC Score

0.4904

Percentile

79.9th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4904

Hospital score 0.4904. 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

0.4904

Δ from file score

+0.0000

File 0.4904

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 1.016Z file 0.189 → sim 0.188
    0.273.32
  • SIR 0.434Z file -0.400 → sim -0.400
    0.007.96
  • SIR 2.077Z file 2.386 → sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 1.275Z file 0.728 → sim 0.728
    0.004.79
  • SIR 0.496Z file 0.458 → sim 0.458
    0.003.32
  • SIR 0.497Z file -0.419 → sim -0.419
    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.