Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

MERCY HOSPITAL ST LOUIS

MO · Facility ID 260020 · FY2026

Total HAC Score

-0.3496

Percentile

29.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3496

Hospital score -0.3496. 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

-0.3496

Δ from file score

-0.0000

File -0.3496

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 -0.666 → sim -0.666
    0.273.32
  • SIR 0.454Z file -0.353 → sim -0.353
    0.007.96
  • SIR 0.504Z file -0.104 → sim -0.104
    0.005.52
  • SIR 0.524Z file -0.559 → sim -0.559
    0.004.79
  • SIR 0.321Z file -0.219 → sim -0.219
    0.003.32
  • SIR 0.603Z file -0.197 → sim -0.197
    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.