Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HAZARD ARH REGIONAL MEDICAL CENTER

KY · Facility ID 180029 · FY2026

Total HAC Score

0.5086

Percentile

80.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5086

Hospital score 0.5086. 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

0.5086

Δ from file score

+0.0000

File 0.5086

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 0.967Z file -0.148 → sim -0.147
    0.273.32
  • SIR 2.257Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.844Z file 0.716 → sim 0.716
    0.005.52
  • SIR 0.670Z file -0.309 → sim -0.309
    0.004.79
  • SIR 0.319Z file -0.227 → sim -0.227
    0.003.32
  • SIR 1.070Z file 0.779 → sim 0.779
    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.