Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

GOSHEN HOSPITAL

IN · Facility ID 150026 · FY2026

Total HAC Score

0.7900

Percentile

89.7th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.7900

Hospital score 0.7900. 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

0.7900

Δ from file score

-0.0000

File 0.7900

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 0.950Z file -0.269 → sim -0.269
    0.273.32
  • SIR 1.964Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 1.196Z file 1.564 → sim 1.564
    0.005.52
  • SIR 1.317Z file 0.800 → sim 0.800
    0.004.79
  • SIR 0.532Z file 0.598 → sim 0.598
    0.003.32
  • SIR 0.605Z file -0.193 → sim -0.193
    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.