Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM

MA · Facility ID 220083 · FY2026

Total HAC Score

0.4598

Percentile

78.6th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4598

Hospital score 0.4598. 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

0.4598

Δ from file score

+0.0000

File 0.4598

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 0.881Z file -0.751 → sim -0.751
    0.273.32
  • SIR 1.621Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.587Z file 0.096 → sim 0.096
    0.005.52
  • SIR 0.797Z file -0.091 → sim -0.091
    0.004.79
  • SIR 0.496Z file 0.458 → sim 0.458
    0.003.32
  • SIR 1.083Z file 0.806 → sim 0.806
    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.