Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

KAISER FOUNDATION HOSPITAL - SAN DIEGO

CA · Facility ID 050515 · FY2026

Total HAC Score

0.4316

Percentile

77.3th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4317

Hospital score 0.4317. 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

0.4317

Δ from file score

+0.0001

File 0.4316

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 1.015Z file 0.183 → sim 0.183
    0.273.32
  • SIR 0.118Z file -1.133 → sim -1.133
    0.007.96
  • SIR 1.210Z file 1.598 → sim 1.598
    0.005.52
  • SIR 1.859Z file 1.728 → sim 1.728
    0.004.79
  • SIR 0.590Z file 0.822 → sim 0.822
    0.003.32
  • SIR 0.406Z file -0.609 → sim -0.609
    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.