Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PIKEVILLE MEDICAL CENTER

KY · Facility ID 180044 · FY2026

Total HAC Score

1.0519

Percentile

94.7th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.0519

Hospital score 1.0519. 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

1.0519

Δ from file score

-0.0000

File 1.0519

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 1.739Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.412Z file -0.451 → sim -0.451
    0.007.96
  • SIR 1.093Z file 1.316 → sim 1.316
    0.005.52
  • SIR 1.546Z file 1.192 → sim 1.192
    0.004.79
  • SIR 0.788Z file 1.589 → sim 1.589
    0.003.32
  • SIR 0.771Z file 0.154 → sim 0.154
    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.