Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ALTRU HOSPITAL

ND · Facility ID 350019 · FY2026

Total HAC Score

-0.0753

Percentile

47.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0752

Hospital score -0.0752. 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

-0.0752

Δ from file score

+0.0001

File -0.0753

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 0.911Z file -0.541 → sim -0.541
    0.273.32
  • SIR 0.636Z file 0.069 → sim 0.069
    0.007.96
  • SIR 0.370Z file -0.427 → sim -0.427
    0.005.52
  • SIR 1.319Z file 0.803 → sim 0.803
    0.004.79
  • SIR 0.390Z file 0.048 → sim 0.048
    0.003.32
  • SIR 0.504Z file -0.404 → sim -0.404
    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.