Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MEDSTAR WASHINGTON HOSPITAL CENTER

DC · Facility ID 090011 · FY2026

Total HAC Score

-0.3612

Percentile

28.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3613

Hospital score -0.3613. 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

-0.3613

Δ from file score

-0.0001

File -0.3612

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 0.724Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 1.022Z file 0.964 → sim 0.964
    0.007.96
  • SIR 0.158Z file -0.938 → sim -0.938
    0.005.52
  • SIR 0.810Z file -0.069 → sim -0.069
    0.004.79
  • SIR 0.198Z file -0.696 → sim -0.696
    0.003.32
  • SIR 0.723Z file 0.054 → sim 0.054
    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.