Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

COAST PLAZA HOSPITAL

CA · Facility ID 050771 · FY2026

Total HAC Score

0.5433

Percentile

81.9th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5433

Hospital score 0.5433. 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

0.5433

Δ from file score

0.0000

File 0.5433

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 0.900Z file -0.618 → sim -0.618
    0.273.32
  • SIR 1.018Z file 0.955 → sim 0.955
    0.007.96
  • SIR 0.506Z file -0.099 → sim -0.099
    0.005.52
  • SSIUnreported

    Results are not available for this reporting period.

  • SIR 0.443Z file 0.253 → sim 0.253
    0.003.32
  • SIR 2.240Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.