Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BERKSHIRE MEDICAL CENTER

MA · Facility ID 220046 · FY2026

Total HAC Score

-0.1864

Percentile

40.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1863

Hospital score -0.1863. 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

-0.1863

Δ from file score

+0.0001

File -0.1864

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 1.119Z file 0.914 → sim 0.914
    0.273.32
  • SIR 0.497Z file -0.254 → sim -0.254
    0.007.96
  • SIR 0.211Z file -0.810 → sim -0.810
    0.005.52
  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.569Z file 0.741 → sim 0.741
    0.003.32
  • SIR 0.576Z file -0.254 → sim -0.254
    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.