Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

THE NEBRASKA MEDICAL CENTER

NE · Facility ID 280013 · FY2026

Total HAC Score

0.1187

Percentile

60.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1187

Hospital score 0.1187. 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

0.1187

Δ from file score

+0.0000

File 0.1187

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 0.573Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.552Z file -0.126 → sim -0.126
    0.007.96
  • SIR 0.708Z file 0.388 → sim 0.388
    0.005.52
  • SIR 0.676Z file -0.298 → sim -0.298
    0.004.79
  • SIR 0.761Z file 1.484 → sim 1.484
    0.003.32
  • SIR 1.055Z file 0.748 → sim 0.748
    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.