Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

KAISER FOUNDATION HOSPITAL - FRESNO

CA · Facility ID 050710 · FY2026

Total HAC Score

0.4749

Percentile

79.3th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4749

Hospital score 0.4749. 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

0.4749

Δ from file score

-0.0000

File 0.4749

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 0.934Z file -0.378 → sim -0.378
    0.273.32
  • SIR 1.538Z file 2.161 → sim 2.161
    0.007.96
  • SIR 0.305Z file -0.583 → sim -0.583
    0.005.52
  • SIR 1.175Z file 0.556 → sim 0.556
    0.004.79
  • SIR 0.441Z file 0.245 → sim 0.245
    0.003.32
  • SIR 1.103Z file 0.848 → sim 0.848
    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.