Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

GRANDVIEW MEDICAL CENTER

AL · Facility ID 010104 · FY2026

Total HAC Score

-0.2979

Percentile

32.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2979

Hospital score -0.2979. 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

-0.2979

Δ from file score

+0.0000

File -0.2979

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 0.858Z file -0.909 → sim -0.909
    0.273.32
  • SIR 0.462Z file -0.335 → sim -0.335
    0.007.96
  • SIR 0.482Z file -0.157 → sim -0.157
    0.005.52
  • SIR 0.739Z file -0.191 → sim -0.191
    0.004.79
  • SIR 0.305Z file -0.281 → sim -0.281
    0.003.32
  • SIR 0.738Z file 0.085 → sim 0.085
    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.