Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

TUFTS MEDICAL CENTER

MA · Facility ID 220116 · FY2026

Total HAC Score

1.1000

Percentile

95.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.1000

Hospital score 1.1000. 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

1.1000

Δ from file score

+0.0000

File 1.1000

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 1.315Z file 2.281 → sim 2.281
    0.273.32
  • SIR 1.220Z file 1.424 → sim 1.424
    0.007.96
  • SIR 0.848Z file 0.726 → sim 0.726
    0.005.52
  • SIR 1.184Z file 0.572 → sim 0.572
    0.004.79
  • SIR 0.681Z file 1.175 → sim 1.175
    0.003.32
  • SIR 0.900Z file 0.424 → sim 0.424
    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.