Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

COX MEDICAL CENTER BRANSON

MO · Facility ID 260094 · FY2026

Total HAC Score

-0.4681

Percentile

22.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4682

Hospital score -0.4682. 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

-0.4682

Δ from file score

-0.0001

File -0.4681

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 0.977Z file -0.079 → sim -0.079
    0.273.32
  • SIR 0.556Z file -0.117 → sim -0.117
    0.007.96
  • SIR 0.596Z file 0.118 → sim 0.118
    0.005.52
  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.224Z file -0.595 → sim -0.595
    0.003.32
  • SIR 0.372Z file -0.680 → sim -0.680
    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.