Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

ADVENTHEALTH CASTLE ROCK

CO · Facility ID 060125 · FY2026

Total HAC Score

-0.3618

Percentile

28.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3618

Hospital score -0.3618. 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

-0.3618

Δ from file score

+0.0000

File -0.3618

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 0.933Z file -0.386 → sim -0.386
    0.273.32
  • SIR 0.000Z file -1.407 → sim -1.406
    0.007.96

    No score impact — already at the measure floor.

  • SIR 0.843Z file 0.713 → sim 0.713
    0.005.52
  • SIR 0.628Z file -0.381 → sim -0.381
    0.004.79
  • SIR 0.062Z file -1.222 → sim -1.222
    0.003.32
  • SIR 0.942Z file 0.511 → sim 0.511
    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.