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 - MADISON

WI · Facility ID 520083 · FY2026

Total HAC Score

-0.3199

Percentile

31.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3199

Hospital score -0.3199. 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

-0.3199

Δ from file score

+0.0000

File -0.3199

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 0.906Z file -0.574 → sim -0.574
    0.273.32
  • SIR 0.400Z file -0.479 → sim -0.479
    0.007.96
  • SIR 0.377Z file -0.410 → sim -0.410
    0.005.52
  • SIR 1.249Z file 0.683 → sim 0.683
    0.004.79
  • SIR 0.181Z file -0.761 → sim -0.761
    0.003.32
  • SIR 0.516Z file -0.379 → sim -0.379
    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.