Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CENTRA HEALTH - LYNCHBURG GEN HOSPITAL

VA · Facility ID 490021 · FY2026

Total HAC Score

0.2206

Percentile

66.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2206

Hospital score 0.2206. 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

0.2206

Δ from file score

-0.0000

File 0.2206

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 1.642Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.717Z file 0.257 → sim 0.257
    0.007.96
  • SIR 0.676Z file 0.311 → sim 0.311
    0.005.52
  • SIR 0.608Z file -0.415 → sim -0.415
    0.004.79
  • SIR 0.200Z file -0.688 → sim -0.688
    0.003.32
  • SIR 0.385Z file -0.653 → sim -0.653
    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.