Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MEDICAL COLLEGE OF VIRGINIA HOSPITALS

VA · Facility ID 490032 · FY2026

Total HAC Score

0.1030

Percentile

59.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1030

Hospital score 0.1030. 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

0.1030

Δ from file score

-0.0000

File 0.1030

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 0.843Z file -1.016 → sim -1.016
    0.273.32
  • SIR 0.850Z file 0.565 → sim 0.565
    0.007.96
  • SIR 0.309Z file -0.574 → sim -0.574
    0.005.52
  • SIR 1.189Z file 0.580 → sim 0.580
    0.004.79
  • SIR 0.517Z file 0.540 → sim 0.540
    0.003.32
  • SIR 0.947Z file 0.522 → sim 0.522
    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.