Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

NEWTON-WELLESLEY HOSPITAL

MA · Facility ID 220101 · FY2026

Total HAC Score

-0.2052

Percentile

38.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2053

Hospital score -0.2053. 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

-0.2053

Δ from file score

-0.0001

File -0.2052

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 0.675Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.617Z file 0.025 → sim 0.025
    0.007.96
  • SIR 1.193Z file 1.557 → sim 1.557
    0.005.52
  • SIR 0.425Z file -0.728 → sim -0.728
    0.004.79
  • SIR 0.441Z file 0.245 → sim 0.245
    0.003.32
  • SIR 0.292Z file -0.847 → sim -0.847
    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.