Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY

MO · Facility ID 260011 · FY2026

Total HAC Score

0.2978

Percentile

70.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2978

Hospital score 0.2978. 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

0.2978

Δ from file score

-0.0000

File 0.2978

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 1.418Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.347Z file -0.602 → sim -0.602
    0.007.96
  • SIR 0.238Z file -0.745 → sim -0.745
    0.005.52
  • SIR 0.670Z file -0.309 → sim -0.309
    0.004.79
  • SIR 0.399Z file 0.083 → sim 0.083
    0.003.32
  • SIR 1.103Z file 0.848 → sim 0.848
    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.