Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA

CA · Facility ID 050145 · FY2026

Total HAC Score

0.3936

Percentile

75.6th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3936

Hospital score 0.3936. 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

0.3936

Δ from file score

-0.0000

File 0.3936

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 1.486Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.611Z file 0.011 → sim 0.011
    0.007.96
  • SIR 0.621Z file 0.178 → sim 0.178
    0.005.52
  • SIR 0.221Z file -1.078 → sim -1.078
    0.004.79
  • SIR 0.716Z file 1.310 → sim 1.310
    0.003.32
  • SIR 0.424Z file -0.571 → sim -0.571
    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.