Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

M HEALTH FAIRVIEW ST JOHN'S HOSPITAL

MN · Facility ID 240210 · FY2026

Total HAC Score

-0.5473

Percentile

17.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5473

Hospital score -0.5473. 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

-0.5473

Δ from file score

+0.0000

File -0.5473

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 0.893Z file -0.667 → sim -0.667
    0.273.32
  • SIR 0.169Z file -1.014 → sim -1.014
    0.007.96
  • SIR 0.768Z file 0.533 → sim 0.533
    0.005.52
  • SIR 0.644Z file -0.353 → sim -0.353
    0.004.79
  • SIR 0.294Z file -0.324 → sim -0.324
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.