Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HIGHLAND HOSPITAL

CA · Facility ID 050320 · FY2026

Total HAC Score

1.1876

Percentile

96.6th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.1876

Hospital score 1.1876. 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

1.1876

Δ from file score

-0.0000

File 1.1876

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 1.067Z file 0.547sim 0.547
    0.273.32
  • SIR 0.601Z file -0.012sim -0.012
    0.007.96
  • SIR 1.934Z file 2.386sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 2.686Z file 2.172sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.812Z file 1.682sim 1.682
    0.003.32
  • SIR 0.865Z file 0.350sim 0.350
    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.