Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BOSTON MEDICAL CENTER-BRIGHTON

MA · Facility ID 220036 · FY2026

Total HAC Score

-0.2950

Percentile

32.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2950

Hospital score -0.2950. 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

-0.2950

Δ from file score

-0.0000

File -0.2950

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 0.797Z file -1.338 → sim -1.338
    0.273.32
  • SIR 0.732Z file 0.292 → sim 0.292
    0.007.96
  • SIR 0.384Z file -0.393 → sim -0.393
    0.005.52
  • SIR 1.215Z file 0.625 → sim 0.625
    0.004.79
  • SIR 0.232Z file -0.564 → sim -0.564
    0.003.32
  • SIR 0.510Z file -0.391 → sim -0.391
    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.