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 - ST LOUIS

MO · Facility ID 260091 · FY2026

Total HAC Score

-0.0729

Percentile

48.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0729

Hospital score -0.0729. 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

-0.0729

Δ from file score

-0.0000

File -0.0729

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 1.149Z file 1.118 → sim 1.118
    0.273.32
  • SIR 0.424Z file -0.423 → sim -0.423
    0.007.96
  • SIR 0.237Z file -0.747 → sim -0.747
    0.005.52
  • SIR 0.796Z file -0.093 → sim -0.093
    0.004.79
  • SIR 0.393Z file 0.060 → sim 0.060
    0.003.32
  • SIR 0.529Z file -0.352 → sim -0.352
    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.