Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

LANDMARK MEDICAL CENTER

RI · Facility ID 410011 · FY2026

Total HAC Score

-0.0401

Percentile

50.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0401

Hospital score -0.0401. 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

-0.0401

Δ from file score

+0.0000

File -0.0401

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 0.910Z file -0.550 → sim -0.551
    0.273.32
  • SIR 1.049Z file 1.027 → sim 1.027
    0.007.96
  • SIR 0.219Z file -0.791 → sim -0.791
    0.005.52
  • SIR 0.480Z file -0.634 → sim -0.634
    0.004.79
  • SIR 0.464Z file 0.335 → sim 0.335
    0.003.32
  • SIR 0.876Z file 0.373 → sim 0.373
    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.