Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HMHP ST ELIZABETH BOARDMAN HEALTH CENTER

OH · Facility ID 360276 · FY2026

Total HAC Score

0.3993

Percentile

75.9th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3993

Hospital score 0.3993. 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

0.3993

Δ from file score

-0.0000

File 0.3993

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 0.782Z file -1.439 → sim -1.439
    0.273.32
  • SIR 0.818Z file 0.491 → sim 0.491
    0.007.96
  • SIR 0.898Z file 0.846 → sim 0.846
    0.005.52
  • SIR 2.175Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.320Z file -0.223 → sim -0.223
    0.003.32
  • SIR 0.960Z file 0.549 → sim 0.549
    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.