Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

VIRGINIA HOSPITAL CENTER

VA · Facility ID 490050 · FY2026

Total HAC Score

0.1258

Percentile

60.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1259

Hospital score 0.1259. 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

0.1259

Δ from file score

+0.0001

File 0.1258

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 1.088Z file 0.695 → sim 0.695
    0.273.32
  • SIR 0.497Z file -0.254 → sim -0.254
    0.007.96
  • SIR 0.829Z file 0.680 → sim 0.680
    0.005.52
  • SIR 0.844Z file -0.011 → sim -0.011
    0.004.79
  • SIR 0.325Z file -0.204 → sim -0.204
    0.003.32
  • SIR 0.625Z file -0.151 → sim -0.151
    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.