Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HCA FLORIDA LAKE CITY HOSPITAL

FL · Facility ID 100156 · FY2026

Total HAC Score

-0.5611

Percentile

17.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5610

Hospital score -0.5610. 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

-0.5610

Δ from file score

+0.0001

File -0.5611

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 0.833Z file -1.086 → sim -1.086
    0.273.32
  • SIR 0.977Z file 0.860 → sim 0.860
    0.007.96
  • SIR 0.551Z file 0.010 → sim 0.010
    0.005.52
  • SIR 0.370Z file -0.823 → sim -0.823
    0.004.79
  • SIR 0.153Z file -0.870 → sim -0.870
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.