Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MERCY HOSPITAL JEFFERSON

MO · Facility ID 260023 · FY2026

Total HAC Score

0.5755

Percentile

83.1th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5755

Hospital score 0.5755. 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

0.5755

Δ from file score

-0.0000

File 0.5755

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 0.741Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 1.304Z file 1.619 → sim 1.619
    0.007.96
  • SIR 1.217Z file 1.615 → sim 1.615
    0.005.52
  • SIR 1.338Z file 0.836 → sim 0.836
    0.004.79
  • SIR 0.272Z file -0.409 → sim -0.409
    0.003.32
  • SIR 1.308Z file 1.276 → sim 1.276
    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.