Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

UNIVERSITY OF IOWA HOSPITAL & CLINICS

IA · Facility ID 160058 · FY2026

Total HAC Score

0.5618

Percentile

82.5th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5618

Hospital score 0.5618. 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

0.5618

Δ from file score

+0.0000

File 0.5618

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 1.276Z file 2.006 → sim 2.006
    0.273.32
  • SIR 1.011Z file 0.939 → sim 0.939
    0.007.96
  • SIR 0.639Z file 0.222 → sim 0.222
    0.005.52
  • SIR 0.777Z file -0.126 → sim -0.126
    0.004.79
  • SIR 0.539Z file 0.625 → sim 0.625
    0.003.32
  • SIR 0.556Z file -0.295 → sim -0.295
    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.