Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ADVENTIST HEALTH TWIN CITIES

CA · Facility ID 050633 · FY2026

Total HAC Score

0.4492

Percentile

78.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4492

Hospital score 0.4492. 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

0.4492

Δ from file score

-0.0000

File 0.4492

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 0.942Z file -0.323 → sim -0.323
    0.273.32
  • SIR 3.127Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 1.299Z file 1.813 → sim 1.813
    0.005.52
  • SIR 0.476Z file -0.641 → sim -0.641
    0.004.79
  • SIR 0.310Z file -0.262 → sim -0.262
    0.003.32
  • SIR 0.634Z file -0.132 → sim -0.132
    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.