Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MT SINAI HOSPITAL MEDICAL CENTER

IL · Facility ID 140018 · FY2026

Total HAC Score

1.4893

Percentile

98.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.4892

Hospital score 1.4892. 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

1.4892

Δ from file score

-0.0001

File 1.4893

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 1.205Z file 1.509sim 1.509
    0.273.32
  • SIR 1.784Z file 2.240sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.933Z file 0.930sim 0.930
    0.005.52
  • SIR 1.126Z file 0.472sim 0.472
    0.004.79
  • SIR 0.780Z file 1.558sim 1.558
    0.003.32
  • SIR 2.048Z file 2.225sim 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.