Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC

FL · Facility ID 100034 · FY2026

Total HAC Score

0.7589

Percentile

88.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.7588

Hospital score 0.7588. 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

0.7588

Δ from file score

-0.0001

File 0.7589

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 1.104Z file 0.804 → sim 0.804
    0.273.32
  • SIR 1.790Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.579Z file 0.077 → sim 0.077
    0.005.52
  • SIR 1.822Z file 1.665 → sim 1.665
    0.004.79
  • SIR 0.459Z file 0.315 → sim 0.315
    0.003.32
  • SIR 0.435Z file -0.548 → sim -0.548
    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.