Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

KAISER FOUNDATION HOSPITAL - SAN FRANCISCO

CA · Facility ID 050076 · FY2026

Total HAC Score

0.4438

Percentile

77.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4438

Hospital score 0.4438. 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

0.4438

Δ from file score

-0.0000

File 0.4438

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 1.174Z file 1.296 → sim 1.296
    0.273.32
  • SIR 1.154Z file 1.271 → sim 1.271
    0.007.96
  • SIR 0.864Z file 0.764 → sim 0.764
    0.005.52
  • SIR 1.396Z file 0.935 → sim 0.935
    0.004.79
  • SIR 0.340Z file -0.146 → sim -0.146
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.