Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

KAISER FOUNDATION HOSPITAL - SAN MARCOS

CA · Facility ID 050855 · FY2026

Total HAC Score

1.1604

Percentile

96.4th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.1604

Hospital score 1.1604. 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

1.1604

Δ from file score

+0.0000

File 1.1604

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.

  • PSI-90Unreported

    Results are not available for this reporting period.

  • SIR 1.886Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 2.088Z file 2.386 → sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 0.781Z file -0.119 → sim -0.119
    0.004.79
  • SIR 0.793Z file 1.608 → sim 1.608
    0.003.32
  • SIR 0.547Z file -0.314 → sim -0.314
    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.