Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

ARNOT OGDEN MEDICAL CENTER

NY · Facility ID 330090 · FY2026

Total HAC Score

0.8698

Percentile

91.4th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.8698

Hospital score 0.8698. 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

0.8698

Δ from file score

+0.0000

File 0.8698

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 2.303Z file 2.511sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 1.334Z file 1.688sim 1.688
    0.007.96
  • SIR 0.603Z file 0.135sim 0.135
    0.005.52
  • SIR 1.834Z file 1.685sim 1.685
    0.004.79
  • SIR 0.116Z file -1.013sim -1.013
    0.003.32
  • SIR 0.799Z file 0.213sim 0.213
    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.