Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

VENTURA COUNTY MEDICAL CENTER

CA · Facility ID 050159 · FY2026

Total HAC Score

1.0627

Percentile

95.1th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.0628

Hospital score 1.0628. 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

1.0628

Δ from file score

+0.0001

File 1.0627

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 0.947Z file -0.288 → sim -0.288
    0.273.32
  • SIR 1.190Z file 1.354 → sim 1.354
    0.007.96
  • SIR 1.356Z file 1.950 → sim 1.950
    0.005.52
  • SIR 0.855Z file 0.008 → sim 0.008
    0.004.79
  • SIR 1.216Z file 2.193 → sim 2.193
    0.003.32

    No score impact — already at the measure cap.

  • SIR 1.252Z file 1.159 → sim 1.159
    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.