Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

GOOD SAMARITAN HOSPITAL MEDICAL CENTER

NY · Facility ID 330286 · FY2026

Total HAC Score

-0.0394

Percentile

50.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0394

Hospital score -0.0394. 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

-0.0394

Δ from file score

-0.0000

File -0.0394

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 1.415Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.272Z file -0.775 → sim -0.775
    0.007.96
  • SIR 0.235Z file -0.752 → sim -0.752
    0.005.52
  • SIR 0.721Z file -0.221 → sim -0.221
    0.004.79
  • SIR 0.230Z file -0.572 → sim -0.572
    0.003.32
  • SIR 0.493Z file -0.427 → sim -0.427
    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.