Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

ST LUKES HOSPITAL BETHLEHEM

PA · Facility ID 390049 · FY2026

Total HAC Score

-0.6834

Percentile

13.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.6834

Hospital score -0.6834. 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

-0.6834

Δ from file score

+0.0000

File -0.6834

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 0.614Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.301Z file -0.708 → sim -0.708
    0.007.96
  • SIR 0.162Z file -0.928 → sim -0.928
    0.005.52
  • SIR 0.858Z file 0.013 → sim 0.013
    0.004.79
  • SIR 0.235Z file -0.552 → sim -0.552
    0.003.32
  • SIR 0.486Z file -0.442 → sim -0.442
    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.