Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MEDINA HOSPITAL

OH · Facility ID 360091 · FY2026

Total HAC Score

0.6256

Percentile

84.7th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.6257

Hospital score 0.6257. 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

0.6257

Δ from file score

+0.0000

File 0.6256

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 1.022Z file 0.235 → sim 0.235
    0.273.32
  • SIR 1.336Z file 1.693 → sim 1.693
    0.007.96
  • SIR 0.600Z file 0.128 → sim 0.128
    0.005.52
  • SIR 0.241Z file -1.044 → sim -1.044
    0.004.79
  • SIR 0.891Z file 1.988 → sim 1.988
    0.003.32
  • SIR 1.058Z file 0.754 → sim 0.754
    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.