Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SALEM HOSPITAL

OR · Facility ID 380051 · FY2026

Total HAC Score

0.7641

Percentile

88.9th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.7641

Hospital score 0.7641. 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

0.7641

Δ from file score

0.0000

File 0.7641

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 1.419Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.458Z file -0.344 → sim -0.344
    0.007.96
  • SIR 1.278Z file 1.762 → sim 1.762
    0.005.52
  • SIR 1.361Z file 0.875 → sim 0.875
    0.004.79
  • SIR 0.442Z file 0.249 → sim 0.249
    0.003.32
  • SIR 0.473Z file -0.469 → sim -0.469
    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.