Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

WELLSTAR DOUGLAS MEDICAL CENTER

GA · Facility ID 110184 · FY2026

Total HAC Score

0.4274

Percentile

77.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4274

Hospital score 0.4274. 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

0.4274

Δ from file score

+0.0000

File 0.4274

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 1.010Z file 0.151 → sim 0.151
    0.273.32
  • SIR 1.096Z file 1.136 → sim 1.136
    0.007.96
  • SIR 0.337Z file -0.506 → sim -0.506
    0.005.52
  • SIR 3.200Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.474Z file 0.373 → sim 0.373
    0.003.32
  • SIR 0.333Z file -0.761 → sim -0.761
    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.