Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BRYAN MEDICAL CENTER

NE · Facility ID 280003 · FY2026

Total HAC Score

0.1483

Percentile

61.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1483

Hospital score 0.1483. 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

0.1483

Δ from file score

-0.0000

File 0.1483

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 1.044Z file 0.390 → sim 0.391
    0.273.32
  • SIR 0.453Z file -0.356 → sim -0.356
    0.007.96
  • SIR 1.221Z file 1.625 → sim 1.625
    0.005.52
  • SIR 0.564Z file -0.490 → sim -0.490
    0.004.79
  • SIR 0.440Z file 0.241 → sim 0.241
    0.003.32
  • SIR 0.448Z file -0.521 → sim -0.521
    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.