Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

HCA FLORIDA OSCEOLA HOSPITAL

FL · Facility ID 100110 · FY2026

Total HAC Score

-0.4056

Percentile

25.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4056

Hospital score -0.4056. 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

-0.4056

Δ from file score

-0.0000

File -0.4056

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 1.266Z file 1.940 → sim 1.940
    0.273.32
  • SIR 0.073Z file -1.237 → sim -1.237
    0.007.96
  • SIR 0.000Z file -1.319 → sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 0.748Z file -0.175 → sim -0.175
    0.004.79
  • SIR 0.009Z file -1.427 → sim -1.427
    0.003.32
  • SIR 0.594Z file -0.216 → sim -0.216
    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.