Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

RICHMOND UNIVERSITY MEDICAL CENTER

NY · Facility ID 330028 · FY2026

Total HAC Score

0.8955

Percentile

92.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.8954

Hospital score 0.8954. 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

0.8954

Δ from file score

-0.0000

File 0.8955

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 1.068Z file 0.557 → sim 0.557
    0.273.32
  • SIR 1.676Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.419Z file -0.309 → sim -0.309
    0.005.52
  • SIR 1.165Z file 0.539 → sim 0.539
    0.004.79
  • SIR 0.746Z file 1.426 → sim 1.426
    0.003.32
  • SIR 1.137Z file 0.919 → sim 0.919
    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.