Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE

VT · Facility ID 470003 · FY2026

Total HAC Score

1.0951

Percentile

95.7th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.0950

Hospital score 1.0950. 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

1.0950

Δ from file score

-0.0001

File 1.0951

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 1.348Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.800Z file 0.449 → sim 0.449
    0.007.96
  • SIR 1.084Z file 1.294 → sim 1.294
    0.005.52
  • SIR 1.829Z file 1.677 → sim 1.677
    0.004.79
  • SIR 0.641Z file 1.020 → sim 1.020
    0.003.32
  • SIR 0.515Z file -0.381 → sim -0.381
    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.