Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BOSTON MEDICAL CENTER

MA · Facility ID 220031 · FY2026

Total HAC Score

0.3543

Percentile

73.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3543

Hospital score 0.3543. 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

0.3543

Δ from file score

+0.0000

File 0.3543

Not 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 1.142Z file 1.074 → sim 1.074
    0.273.32
  • SIR 0.377Z file -0.532 → sim -0.532
    0.007.96
  • SIR 0.720Z file 0.417 → sim 0.417
    0.005.52
  • SIR 0.542Z file -0.528 → sim -0.528
    0.004.79
  • SIR 0.687Z file 1.198 → sim 1.198
    0.003.32
  • SIR 0.935Z file 0.497 → sim 0.497
    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.