Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BAKERSFIELD MEMORIAL HOSPITAL

CA · Facility ID 050036 · FY2026

Total HAC Score

-0.3117

Percentile

31.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3117

Hospital score -0.3117. 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

-0.3117

Δ from file score

+0.0000

File -0.3117

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 0.882Z file -0.745 → sim -0.745
    0.273.32
  • SIR 0.632Z file 0.060 → sim 0.060
    0.007.96
  • SIR 0.537Z file -0.024 → sim -0.024
    0.005.52
  • SIR 0.950Z file 0.171 → sim 0.171
    0.004.79
  • SIR 0.192Z file -0.719 → sim -0.719
    0.003.32
  • SIR 0.404Z file -0.613 → sim -0.613
    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.