Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ELLIS HOSPITAL

NY · Facility ID 330153 · FY2026

Total HAC Score

-0.0688

Percentile

48.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0688

Hospital score -0.0688. 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

-0.0688

Δ from file score

+0.0000

File -0.0688

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 1.366Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.290Z file -0.734 → sim -0.734
    0.007.96
  • SIR 0.203Z file -0.829 → sim -0.829
    0.005.52
  • SIR 0.683Z file -0.286 → sim -0.286
    0.004.79
  • SIR 0.361Z file -0.064 → sim -0.064
    0.003.32
  • SIR 0.214Z file -1.010 → sim -1.010
    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.