Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PENN PRESBYTERIAN MEDICAL CENTER

PA · Facility ID 390223 · FY2026

Total HAC Score

0.0917

Percentile

58.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.0917

Hospital score 0.0917. 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

0.0917

Δ from file score

0.0000

File 0.0917

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 0.848Z file -0.978 → sim -0.978
    0.273.32
  • SIR 0.777Z file 0.396 → sim 0.396
    0.007.96
  • SIR 0.783Z file 0.569 → sim 0.569
    0.005.52
  • SIR 0.902Z file 0.089 → sim 0.089
    0.004.79
  • SIR 0.496Z file 0.458 → sim 0.458
    0.003.32
  • SIR 0.705Z file 0.016 → sim 0.016
    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.