Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MCALESTER REGIONAL HEALTH CENTER

OK · Facility ID 370034 · FY2026

Total HAC Score

0.9294

Percentile

92.5th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.9294

Hospital score 0.9294. 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

0.9294

Δ from file score

-0.0000

File 0.9294

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 1.096Z file 0.754sim 0.754
    0.273.32
  • SIR 0.385Z file -0.513sim -0.513
    0.007.96
  • SIR 0.584Z file 0.089sim 0.089
    0.005.52
  • SIR 1.334Z file 0.829sim 0.829
    0.004.79
  • SIR 1.156Z file 2.193sim 2.193
    0.003.32

    No score impact — already at the measure cap.

  • SIR 3.208Z file 2.225sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.