Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ALASKA NATIVE MEDICAL CENTER

AK · Facility ID 020026 · FY2026

Total HAC Score

0.8527

Percentile

90.9th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.8527

Hospital score 0.8527. 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

0.8527

Δ from file score

-0.0000

File 0.8527

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 1.671Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 1.105Z file 1.157 → sim 1.157
    0.007.96
  • SIR 0.406Z file -0.340 → sim -0.340
    0.005.52
  • SIR 1.131Z file 0.481 → sim 0.481
    0.004.79
  • SIR 0.351Z file -0.103 → sim -0.103
    0.003.32
  • SIR 1.372Z file 1.410 → sim 1.410
    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.