Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

LEWISGALE MEDICAL CENTER

VA · Facility ID 490048 · FY2026

Total HAC Score

-0.3194

Percentile

31.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3194

Hospital score -0.3194. 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

-0.3194

Δ from file score

-0.0000

File -0.3194

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 0.735Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.711Z file 0.243 → sim 0.243
    0.007.96
  • SIR 0.428Z file -0.287 → sim -0.287
    0.005.52
  • SIR 0.928Z file 0.133 → sim 0.133
    0.004.79
  • SIR 0.129Z file -0.963 → sim -0.963
    0.003.32
  • SIR 0.908Z file 0.440 → sim 0.440
    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.