Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

PENN HIGHLANDS DUBOIS

PA · Facility ID 390086 · FY2026

Total HAC Score

0.6790

Percentile

86.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.6789

Hospital score 0.6789. 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

0.6789

Δ from file score

-0.0001

File 0.6790

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 1.354Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 1.015Z file 0.948 → sim 0.948
    0.007.96
  • SIR 1.127Z file 1.398 → sim 1.398
    0.005.52
  • SIR 0.954Z file 0.178 → sim 0.178
    0.004.79
  • SIR 0.095Z file -1.094 → sim -1.094
    0.003.32
  • SIR 0.761Z file 0.133 → sim 0.133
    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.