Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CLEVELAND CLINIC

OH · Facility ID 360180 · FY2026

Total HAC Score

0.5695

Percentile

82.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5695

Hospital score 0.5695. 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

0.5695

Δ from file score

0.0000

File 0.5695

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 1.555Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.728Z file 0.282 → sim 0.282
    0.007.96
  • SIR 0.328Z file -0.528 → sim -0.528
    0.005.52
  • SIR 1.093Z file 0.416 → sim 0.416
    0.004.79
  • SIR 0.421Z file 0.168 → sim 0.168
    0.003.32
  • SIR 0.969Z file 0.568 → sim 0.568
    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.