Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BOZEMAN HEALTH DEACONESS HOSPITAL

MT · Facility ID 270057 · FY2026

Total HAC Score

0.5081

Percentile

80.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5081

Hospital score 0.5081. 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

0.5081

Δ from file score

+0.0000

File 0.5081

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 1.060Z file 0.496 → sim 0.496
    0.273.32
  • SIR 0.718Z file 0.259 → sim 0.259
    0.007.96
  • SIR 0.295Z file -0.608 → sim -0.608
    0.005.52
  • SIR 0.189Z file -1.133 → sim -1.133
    0.004.79
  • SIR 0.966Z file 2.193 → sim 2.193
    0.003.32

    No score impact — already at the measure cap.

  • SIR 1.578Z file 1.841 → sim 1.841
    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.