HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
BETH ISRAEL DEACONESS HOSPITAL - MILTON
MA · Facility ID 220108 · FY2026
Total HAC Score
0.8808
Percentile
91.7th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.8808. 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
0.8808
Δ from file score
-0.0000
File 0.8808
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 0.828Z file -1.120 → sim -1.1200.273.32
- SIR 1.615Z file 2.240 → sim 2.2400.007.96
No score impact — already at the measure cap.
- SIR 1.764Z file 2.386 → sim 2.3860.005.52
No score impact — already at the measure cap.
- SIR 0.856Z file 0.010 → sim 0.0100.004.79
- SIR 0.611Z file 0.904 → sim 0.9040.003.32
- SIR 1.111Z file 0.865 → sim 0.8650.004.41
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.