Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MILTON S HERSHEY MEDICAL CENTER

PA · Facility ID 390256 · FY2026

Total HAC Score

-0.2150

Percentile

37.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2150

Hospital score -0.2150. 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

-0.2150

Δ from file score

+0.0000

File -0.2150

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 0.876Z file -0.786 → sim -0.786
    0.273.32
  • SIR 0.663Z file 0.132 → sim 0.132
    0.007.96
  • SIR 0.638Z file 0.219 → sim 0.219
    0.005.52
  • SIR 0.495Z file -0.609 → sim -0.609
    0.004.79
  • SIR 0.562Z file 0.714 → sim 0.714
    0.003.32
  • SIR 0.238Z file -0.960 → sim -0.960
    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.