Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

EMERSON HOSPITAL -

MA · Facility ID 220084 · FY2026

Total HAC Score

-0.5169

Percentile

19.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5170

Hospital score -0.5170. 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

-0.5170

Δ from file score

-0.0000

File -0.5169

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 0.981Z file -0.054 → sim -0.054
    0.273.32
  • SIR 0.250Z file -0.827 → sim -0.827
    0.007.96
  • SIR 0.000Z file -1.319 → sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 0.810Z file -0.069 → sim -0.069
    0.004.79
  • SIR 0.320Z file -0.223 → sim -0.223
    0.003.32
  • SIR 0.405Z file -0.611 → sim -0.611
    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.