Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

INSIGHT HOSPITAL AND MEDICAL CENTER TRUMBULL

OH · Facility ID 360055 · FY2026

Total HAC Score

-0.0796

Percentile

47.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0797

Hospital score -0.0797. 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

-0.0797

Δ from file score

-0.0001

File -0.0796

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 0.842Z file -1.020 → sim -1.020
    0.273.32
  • SIR 1.300Z file 1.609 → sim 1.609
    0.007.96
  • SIR 0.679Z file 0.318 → sim 0.318
    0.005.52
  • SIR 0.582Z file -0.460 → sim -0.460
    0.004.79
  • SIR 0.355Z file -0.088 → sim -0.088
    0.003.32
  • SIR 0.296Z file -0.839 → sim -0.839
    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.