Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SIERRA VIEW MEDICAL CENTER

CA · Facility ID 050261 · FY2026

Total HAC Score

0.5017

Percentile

80.4th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5017

Hospital score 0.5017. 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

0.5017

Δ from file score

+0.0000

File 0.5017

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 1.077Z file 0.615 → sim 0.615
    0.273.32
  • SIR 0.468Z file -0.321 → sim -0.321
    0.007.96
  • SIR 0.439Z file -0.260 → sim -0.260
    0.005.52
  • SIR 1.584Z file 1.257 → sim 1.257
    0.004.79
  • SIR 0.247Z file -0.506 → sim -0.506
    0.003.32
  • SIR 1.878Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.