Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

METHODIST HOSPITAL OF SACRAMENTO

CA · Facility ID 050590 · FY2026

Total HAC Score

0.0575

Percentile

56.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0574

Hospital score 0.0574. 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

0.0574

Δ from file score

-0.0001

File 0.0575

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 0.847Z file -0.987sim -0.988
    0.273.32
  • SIR 0.000Z file -1.407sim -1.406
    0.007.96

    No score impact — already at the measure floor.

  • SIR 1.750Z file 2.386sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 1.476Z file 1.072sim 1.072
    0.004.79
  • SIR 0.064Z file -1.214sim -1.214
    0.003.32
  • SIR 0.934Z file 0.495sim 0.495
    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.