Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

DELRAY MEDICAL CENTER

FL · Facility ID 100258 · FY2026

Total HAC Score

0.6129

Percentile

84.2th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.6130

Hospital score 0.6130. 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

0.6130

Δ from file score

+0.0001

File 0.6129

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 1.052Z file 0.441 → sim 0.441
    0.273.32
  • SIR 1.457Z file 1.973 → sim 1.973
    0.007.96
  • SIR 0.384Z file -0.393 → sim -0.393
    0.005.52
  • SIR 2.346Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.275Z file -0.397 → sim -0.397
    0.003.32
  • SIR 0.641Z file -0.118 → sim -0.118
    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.