Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

USA HEALTH UNIVERSITY HOSPITAL

AL · Facility ID 010087 · FY2026

Total HAC Score

0.9321

Percentile

92.6th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.9322

Hospital score 0.9322. 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

0.9322

Δ from file score

+0.0001

File 0.9321

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 1.300Z file 2.172 → sim 2.172
    0.273.32
  • SIR 1.079Z file 1.097 → sim 1.097
    0.007.96
  • SIR 0.369Z file -0.429 → sim -0.429
    0.005.52
  • SIR 0.744Z file -0.182 → sim -0.182
    0.004.79
  • SIR 0.561Z file 0.710 → sim 0.710
    0.003.32
  • SIR 2.078Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.