HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
UNITYPOINT HEALTH - MARSHALLTOWN
IA · Facility ID 160001 · FY2026
Total HAC Score
0.8756
Percentile
91.7th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.8757. 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
0.8757
Δ from file score
+0.0001
File 0.8756
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 0.925Z file -0.442 → sim -0.4420.273.32
- CLABSIUnreported
Results are not available for this reporting period.
- CAUTIUnreported
Results are not available for this reporting period.
- SSIUnreported
Results are not available for this reporting period.
- SIR 2.099Z file 2.193 → sim 2.1930.003.32
No score impact — already at the measure cap.
- MRSAUnreported
Results are not available for this reporting period.
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.