Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

MARY WASHINGTON HOSPITAL

VA · Facility ID 490022 · FY2026

Total HAC Score

0.2481

Percentile

67.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2481

Hospital score 0.2481. 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

0.2481

Δ from file score

+0.0000

File 0.2481

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 1.388Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.531Z file -0.175 → sim -0.175
    0.007.96
  • SIR 0.132Z file -1.000 → sim -1.000
    0.005.52
  • SIR 0.599Z file -0.430 → sim -0.430
    0.004.79
  • SIR 0.245Z file -0.513 → sim -0.513
    0.003.32
  • SIR 1.222Z file 1.097 → sim 1.097
    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.