Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CHI ST ALEXIUS HEALTH

ND · Facility ID 350002 · FY2026

Total HAC Score

0.8100

Percentile

90.3th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.8100

Hospital score 0.8100. 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

0.8100

Δ from file score

+0.0000

File 0.8100

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 1.162Z file 1.211 → sim 1.211
    0.273.32
  • SIR 1.086Z file 1.113 → sim 1.113
    0.007.96
  • SIR 0.657Z file 0.265 → sim 0.265
    0.005.52
  • SIR 1.503Z file 1.118 → sim 1.118
    0.004.79
  • SIR 0.558Z file 0.698 → sim 0.698
    0.003.32
  • SIR 0.915Z file 0.455 → sim 0.455
    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.