Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

NEW YORK-PRESBYTERIAN/QUEENS

NY · Facility ID 330055 · FY2026

Total HAC Score

-0.8679

Percentile

6.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.8679

Hospital score -0.8679. 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

-0.8679

Δ from file score

-0.0000

File -0.8679

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 0.623Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.038Z file -1.318 → sim -1.318
    0.007.96
  • SIR 0.304Z file -0.586 → sim -0.586
    0.005.52
  • SIR 0.376Z file -0.812 → sim -0.812
    0.004.79
  • SIR 0.205Z file -0.668 → sim -0.668
    0.003.32
  • SIR 0.535Z file -0.339 → sim -0.339
    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.