Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH

MA · Facility ID 220060 · FY2026

Total HAC Score

0.3598

Percentile

73.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3598

Hospital score 0.3598. 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

0.3598

Δ from file score

-0.0000

File 0.3598

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 1.219Z file 1.611 → sim 1.611
    0.273.32
  • SIR 0.461Z file -0.337 → sim -0.337
    0.007.96
  • SIR 0.830Z file 0.682 → sim 0.682
    0.005.52
  • SIR 1.151Z file 0.515 → sim 0.515
    0.004.79
  • SIR 0.373Z file -0.018 → sim -0.018
    0.003.32
  • SIR 0.556Z file -0.295 → sim -0.295
    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.