Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PENNSYLVANIA HOSPITAL

PA · Facility ID 390226 · FY2026

Total HAC Score

0.3799

Percentile

75.1th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3799

Hospital score 0.3799. 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

0.3799

Δ from file score

+0.0000

File 0.3799

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 0.825Z file -1.139 → sim -1.139
    0.273.32
  • SIR 1.598Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.957Z file 0.988 → sim 0.988
    0.005.52
  • SIR 0.873Z file 0.039 → sim 0.039
    0.004.79
  • SIR 0.392Z file 0.056 → sim 0.056
    0.003.32
  • SIR 0.743Z file 0.096 → sim 0.096
    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.