Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PALOMAR HEALTH DOWNTOWN CAMPUS

CA · Facility ID 050115 · FY2026

Total HAC Score

-0.0878

Percentile

47.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0878

Hospital score -0.0878. 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

-0.0878

Δ from file score

+0.0000

File -0.0878

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 0.949Z file -0.278 → sim -0.278
    0.273.32
  • SIR 0.701Z file 0.220 → sim 0.220
    0.007.96
  • SIR 0.865Z file 0.766 → sim 0.767
    0.005.52
  • SIR 0.758Z file -0.158 → sim -0.158
    0.004.79
  • SIR 0.371Z file -0.026 → sim -0.026
    0.003.32
  • SIR 0.194Z file -1.052 → sim -1.052
    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.