Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

FREEMAN HEALTH SYSTEM - FREEMAN WEST

MO · Facility ID 260137 · FY2026

Total HAC Score

0.5265

Percentile

81.3th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5265

Hospital score 0.5265. 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

0.5265

Δ from file score

+0.0000

File 0.5265

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 1.146Z file 1.097 → sim 1.097
    0.273.32
  • SIR 0.480Z file -0.293 → sim -0.293
    0.007.96
  • SIR 1.055Z file 1.224 → sim 1.224
    0.005.52
  • SIR 0.857Z file 0.012 → sim 0.012
    0.004.79
  • SIR 0.703Z file 1.260 → sim 1.260
    0.003.32
  • SIR 0.630Z file -0.141 → sim -0.141
    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.