Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ORLANDO HEALTH SEBASTIAN RIVER HOSPITAL

FL · Facility ID 100217 · FY2026

Total HAC Score

0.1233

Percentile

60.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1233

Hospital score 0.1233. 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

0.1233

Δ from file score

-0.0000

File 0.1233

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 0.928Z file -0.423 → sim -0.424
    0.273.32
  • SIR 0.585Z file -0.049 → sim -0.049
    0.007.96
  • SIR 0.382Z file -0.398 → sim -0.398
    0.005.52
  • SIR 0.694Z file -0.268 → sim -0.268
    0.004.79
  • SIR 0.288Z file -0.347 → sim -0.347
    0.003.32
  • SIR 3.743Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.