Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HENRICO DOCTORS' HOSPITAL

VA · Facility ID 490118 · FY2026

Total HAC Score

-0.9034

Percentile

5.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.9034

Hospital score -0.9034. 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

-0.9034

Δ from file score

-0.0000

File -0.9034

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 0.611Z file -1.483sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.265Z file -0.792sim -0.792
    0.007.96
  • SIR 0.000Z file -1.319sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 0.098Z file -1.289sim -1.289
    0.004.79
  • SIR 0.079Z file -1.156sim -1.156
    0.003.32
  • SIR 0.993Z file 0.618sim 0.618
    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.