Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CLEVELAND CLINIC INDIAN RIVER HOSPITAL

FL · Facility ID 100105 · FY2026

Total HAC Score

-0.1891

Percentile

39.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1891

Hospital score -0.1891. 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

-0.1891

Δ from file score

-0.0000

File -0.1891

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 0.760Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.407Z file -0.462 → sim -0.462
    0.007.96
  • SIR 0.784Z file 0.571 → sim 0.571
    0.005.52
  • SIR 1.158Z file 0.527 → sim 0.527
    0.004.79
  • SIR 0.493Z file 0.447 → sim 0.447
    0.003.32
  • SIR 0.346Z file -0.734 → sim -0.734
    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.