Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

LEGACY EMANUEL MEDICAL CENTER

OR · Facility ID 380007 · FY2026

Total HAC Score

0.4646

Percentile

78.9th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4646

Hospital score 0.4646. 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

0.4646

Δ from file score

-0.0000

File 0.4646

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 1.098Z file 0.763 → sim 0.763
    0.273.32
  • SIR 0.610Z file 0.009 → sim 0.009
    0.007.96
  • SIR 1.005Z file 1.104 → sim 1.104
    0.005.52
  • SIR 1.036Z file 0.318 → sim 0.318
    0.004.79
  • SIR 0.325Z file -0.204 → sim -0.204
    0.003.32
  • SIR 1.079Z file 0.798 → sim 0.798
    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.