Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HOMESTEAD HOSPITAL

FL · Facility ID 100125 · FY2026

Total HAC Score

-0.0217

Percentile

51.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0217

Hospital score -0.0217. 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

-0.0217

Δ from file score

+0.0000

File -0.0217

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 0.886Z file -0.713 → sim -0.713
    0.273.32
  • SIR 0.472Z file -0.311 → sim -0.312
    0.007.96
  • SIR 2.153Z file 2.386 → sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 1.245Z file 0.676 → sim 0.676
    0.004.79
  • SIR 0.044Z file -1.292 → sim -1.292
    0.003.32
  • SIR 0.278Z file -0.876 → sim -0.876
    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.