Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

GEISINGER-LEWISTOWN HOSPITAL

PA · Facility ID 390048 · FY2026

Total HAC Score

-0.1117

Percentile

45.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1117

Hospital score -0.1117. 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

-0.1117

Δ from file score

-0.0000

File -0.1117

Not 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 0.839Z file -1.044 → sim -1.044
    0.273.32
  • SIR 1.371Z file 1.774 → sim 1.774
    0.007.96
  • SIR 0.507Z file -0.097 → sim -0.097
    0.005.52
  • SIR 0.574Z file -0.473 → sim -0.473
    0.004.79
  • SIR 0.363Z file -0.057 → sim -0.057
    0.003.32
  • SIR 0.327Z file -0.774 → sim -0.774
    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.