Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BILLINGS CLINIC

MT · Facility ID 270004 · FY2026

Total HAC Score

-0.6233

Percentile

14.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.6233

Hospital score -0.6233. 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

-0.6233

Δ from file score

+0.0000

File -0.6233

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 0.867Z file -0.846 → sim -0.845
    0.273.32
  • SIR 0.324Z file -0.655 → sim -0.655
    0.007.96
  • SIR 0.373Z file -0.419 → sim -0.419
    0.005.52
  • SIR 0.466Z file -0.658 → sim -0.658
    0.004.79
  • SIR 0.231Z file -0.568 → sim -0.568
    0.003.32
  • SIR 0.413Z file -0.594 → sim -0.594
    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.