Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

VIRGINIA MASON MEDICAL CENTER

WA · Facility ID 500005 · FY2026

Total HAC Score

-0.7265

Percentile

11.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.7264

Hospital score -0.7264. 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

-0.7264

Δ from file score

+0.0001

File -0.7265

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 0.858Z file -0.912 → sim -0.912
    0.273.32
  • SIR 0.385Z file -0.513 → sim -0.513
    0.007.96
  • SIR 0.159Z file -0.935 → sim -0.935
    0.005.52
  • SIR 0.548Z file -0.518 → sim -0.518
    0.004.79
  • SIR 0.253Z file -0.482 → sim -0.482
    0.003.32
  • SIR 0.220Z file -0.998 → sim -0.998
    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.