Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BETHESDA NORTH

OH · Facility ID 360179 · FY2026

Total HAC Score

-0.1892

Percentile

39.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1893

Hospital score -0.1893. 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

-0.1893

Δ from file score

-0.0001

File -0.1892

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 0.821Z file -1.170 → sim -1.170
    0.273.32
  • SIR 0.646Z file 0.092 → sim 0.092
    0.007.96
  • SIR 0.588Z file 0.099 → sim 0.099
    0.005.52
  • SIR 1.199Z file 0.597 → sim 0.597
    0.004.79
  • SIR 0.249Z file -0.498 → sim -0.498
    0.003.32
  • SIR 0.575Z file -0.256 → sim -0.256
    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.