Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

NASSAU UNIVERSITY MEDICAL CENTER

NY · Facility ID 330027 · FY2026

Total HAC Score

0.2171

Percentile

66.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2170

Hospital score 0.2170. 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

0.2170

Δ from file score

-0.0001

File 0.2171

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 1.230Z file 1.684 → sim 1.684
    0.273.32
  • SIR 0.535Z file -0.165 → sim -0.165
    0.007.96
  • SIR 0.135Z file -0.993 → sim -0.993
    0.005.52
  • SIR 0.908Z file 0.099 → sim 0.099
    0.004.79
  • SIR 0.644Z file 1.031 → sim 1.031
    0.003.32
  • SIR 0.528Z file -0.354 → sim -0.354
    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.