Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN

NY · Facility ID 330350 · FY2026

Total HAC Score

0.4482

Percentile

78.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4482

Hospital score 0.4482. 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

0.4482

Δ from file score

-0.0000

File 0.4482

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 1.057Z file 0.478 → sim 0.478
    0.273.32
  • SIR 0.518Z file -0.205 → sim -0.205
    0.007.96
  • SIR 0.921Z file 0.901 → sim 0.901
    0.005.52
  • SIR 0.643Z file -0.355 → sim -0.355
    0.004.79
  • SIR 0.575Z file 0.764 → sim 0.764
    0.003.32
  • SIR 1.226Z file 1.105 → sim 1.105
    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.