Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SCRIPPS GREEN HOSPITAL

CA · Facility ID 050424 · FY2026

Total HAC Score

0.3891

Percentile

75.5th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3891

Hospital score 0.3891. 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

0.3891

Δ from file score

-0.0000

File 0.3891

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 0.964Z file -0.172 → sim -0.172
    0.273.32
  • SIR 1.719Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 1.157Z file 1.470 → sim 1.470
    0.005.52
  • SIR 0.231Z file -1.061 → sim -1.061
    0.004.79
  • SIR 0.418Z file 0.156 → sim 0.156
    0.003.32
  • SIR 0.554Z file -0.299 → sim -0.299
    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.