Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BAY AREA HOSPITAL

OR · Facility ID 380090 · FY2026

Total HAC Score

0.6143

Percentile

84.3th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.6143

Hospital score 0.6143. 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

0.6143

Δ from file score

0.0000

File 0.6143

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 1.156Z file 1.171 → sim 1.171
    0.273.32
  • SIR 0.127Z file -1.112 → sim -1.112
    0.007.96
  • SIR 0.421Z file -0.304 → sim -0.304
    0.005.52
  • SIR 2.547Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.681Z file 1.175 → sim 1.175
    0.003.32
  • SIR 0.977Z file 0.585 → sim 0.585
    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.