Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA

PA · Facility ID 390168 · FY2026

Total HAC Score

0.6301

Percentile

84.9th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.6301

Hospital score 0.6301. 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

0.6301

Δ from file score

-0.0000

File 0.6301

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 1.249Z file 1.817 → sim 1.817
    0.273.32
  • SIR 2.034Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.264Z file -0.682 → sim -0.682
    0.005.52
  • SIR 1.338Z file 0.836 → sim 0.836
    0.004.79
  • SIR 0.195Z file -0.707 → sim -0.707
    0.003.32
  • SIR 0.830Z file 0.277 → sim 0.277
    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.