Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BRIGHAM AND WOMEN'S HOSPITAL

MA · Facility ID 220110 · FY2026

Total HAC Score

0.2131

Percentile

65.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2131

Hospital score 0.2131. 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

0.2131

Δ from file score

-0.0000

File 0.2131

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 0.881Z file -0.747 → sim -0.747
    0.273.32
  • SIR 0.809Z file 0.470 → sim 0.470
    0.007.96
  • SIR 0.720Z file 0.417 → sim 0.417
    0.005.52
  • SIR 1.093Z file 0.416 → sim 0.416
    0.004.79
  • SIR 0.601Z file 0.865 → sim 0.865
    0.003.32
  • SIR 0.629Z file -0.143 → sim -0.143
    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.