Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

INOVA ALEXANDRIA HOSPITAL

VA · Facility ID 490040 · FY2026

Total HAC Score

-0.4654

Percentile

22.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4654

Hospital score -0.4654. 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

-0.4654

Δ from file score

-0.0000

File -0.4654

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 0.889Z file -0.697 → sim -0.697
    0.273.32
  • SIR 0.483Z file -0.286 → sim -0.286
    0.007.96
  • SIR 0.333Z file -0.516 → sim -0.516
    0.005.52
  • SIR 0.438Z file -0.706 → sim -0.706
    0.004.79
  • SIR 0.118Z file -1.005 → sim -1.005
    0.003.32
  • SIR 0.897Z file 0.417 → sim 0.417
    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.