Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

LOS ROBLES HOSPITAL & MEDICAL CENTER

CA · Facility ID 050549 · FY2026

Total HAC Score

-0.2715

Percentile

34.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2715

Hospital score -0.2715. 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

-0.2715

Δ from file score

-0.0000

File -0.2715

Not 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 0.833Z file -1.084 → sim -1.084
    0.273.32
  • SIR 0.428Z file -0.414 → sim -0.414
    0.007.96
  • SIR 0.921Z file 0.901 → sim 0.901
    0.005.52
  • SIR 0.627Z file -0.382 → sim -0.382
    0.004.79
  • SIR 0.586Z file 0.807 → sim 0.807
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.