Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CLEVELAND CLINIC HOSPITAL

FL · Facility ID 100289 · FY2026

Total HAC Score

-0.1612

Percentile

41.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1612

Hospital score -0.1612. 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

-0.1612

Δ from file score

-0.0000

File -0.1612

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 0.942Z file -0.321 → sim -0.321
    0.273.32
  • SIR 0.208Z file -0.924 → sim -0.924
    0.007.96
  • SIR 0.225Z file -0.776 → sim -0.776
    0.005.52
  • SIR 1.142Z file 0.500 → sim 0.500
    0.004.79
  • SIR 0.392Z file 0.056 → sim 0.056
    0.003.32
  • SIR 0.936Z file 0.499 → sim 0.499
    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.