Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ZUCKERBERG SAN FRANCISCO GENERAL HOSP & TRAUMA CTR

CA · Facility ID 050228 · FY2026

Total HAC Score

0.4979

Percentile

80.2th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4979

Hospital score 0.4979. 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

0.4979

Δ from file score

-0.0000

File 0.4979

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 1.122Z file 0.931sim 0.931
    0.273.32
  • SIR 0.412Z file -0.451sim -0.451
    0.007.96
  • SIR 1.016Z file 1.131sim 1.131
    0.005.52
  • SIR 1.750Z file 1.541sim 1.541
    0.004.79
  • SIR 0.474Z file 0.373sim 0.373
    0.003.32
  • SIR 0.440Z file -0.538sim -0.538
    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.