Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

VALLEY HOSPITAL MEDICAL CENTER

NV · Facility ID 290021 · FY2026

Total HAC Score

-0.6954

Percentile

12.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.6955

Hospital score -0.6955. 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

-0.6955

Δ from file score

-0.0000

File -0.6954

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 0.887Z file -0.705 → sim -0.706
    0.273.32
  • SIR 0.049Z file -1.293 → sim -1.293
    0.007.96
  • SIR 0.196Z file -0.846 → sim -0.846
    0.005.52
  • SIR 0.737Z file -0.194 → sim -0.194
    0.004.79
  • SIR 0.053Z file -1.257 → sim -1.257
    0.003.32
  • SIR 0.756Z file 0.123 → sim 0.123
    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.