Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

VALLEY BAPTIST MEDICAL CENTER- BROWNSVILLE

TX · Facility ID 450028 · FY2026

Total HAC Score

-0.5954

Percentile

15.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5954

Hospital score -0.5954. 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

-0.5954

Δ from file score

-0.0000

File -0.5954

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 0.887Z file -0.710 → sim -0.711
    0.273.32
  • SIR 0.384Z file -0.516 → sim -0.516
    0.007.96
  • SIR 0.141Z file -0.979 → sim -0.979
    0.005.52
  • SIR 0.272Z file -0.991 → sim -0.991
    0.004.79
  • SIR 0.275Z file -0.397 → sim -0.397
    0.003.32
  • SIR 0.707Z file 0.020 → sim 0.020
    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.