Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CHI HEALTH ST. ELIZABETH

NE · Facility ID 280020 · FY2026

Total HAC Score

-0.1314

Percentile

43.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1314

Hospital score -0.1314. 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

-0.1314

Δ from file score

+0.0000

File -0.1314

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 0.782Z file -1.438 → sim -1.438
    0.273.32
  • SIR 0.955Z file 0.809 → sim 0.809
    0.007.96
  • SIR 0.768Z file 0.533 → sim 0.533
    0.005.52
  • SIR 0.355Z file -0.848 → sim -0.848
    0.004.79
  • SIR 0.409Z file 0.121 → sim 0.121
    0.003.32
  • SIR 0.714Z file 0.035 → sim 0.035
    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.