Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

RESTON HOSPITAL CENTER

VA · Facility ID 490107 · FY2026

Total HAC Score

-0.8292

Percentile

7.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.8292

Hospital score -0.8292. 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

-0.8292

Δ from file score

+0.0000

File -0.8292

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 0.686Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.183Z file -0.982 → sim -0.982
    0.007.96
  • SIR 0.152Z file -0.952 → sim -0.952
    0.005.52
  • SIR 0.850Z file -0.000 → sim -0.000
    0.004.79
  • SIR 0.218Z file -0.618 → sim -0.618
    0.003.32
  • SIR 0.248Z file -0.939 → sim -0.939
    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.