HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
HERITAGE VALLEY SEWICKLEY
PA · Facility ID 390037 · FY2026
Total HAC Score
0.9859
Percentile
93.5th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.9859. 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
0.9859
Δ from file score
-0.0000
File 0.9859
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 0.883Z file -0.735 → sim -0.7360.273.32
- SIR 1.612Z file 2.240 → sim 2.2400.007.96
No score impact — already at the measure cap.
- SIR 0.420Z file -0.306 → sim -0.3060.005.52
- SIR 1.054Z file 0.349 → sim 0.3490.004.79
- SIR 0.931Z file 2.143 → sim 2.1430.003.32
- SIR 2.022Z file 2.225 → sim 2.2250.004.41
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.