Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MERIT HEALTH RIVER OAKS

MS · Facility ID 250138 · FY2026

Total HAC Score

0.1369

Percentile

61.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1369

Hospital score 0.1369. 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

0.1369

Δ from file score

-0.0000

File 0.1369

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 0.890Z file -0.685 → sim -0.685
    0.273.32
  • SIR 0.961Z file 0.823 → sim 0.823
    0.007.96
  • SIR 0.684Z file 0.330 → sim 0.330
    0.005.52
  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.308Z file -0.270 → sim -0.270
    0.003.32
  • SIR 1.692Z file 2.079 → sim 2.079
    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.