Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CHARLESTON AREA MEDICAL CENTER

WV · Facility ID 510022 · FY2026

Total HAC Score

1.1186

Percentile

96.1th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.1186

Hospital score 1.1186. 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

1.1186

Δ from file score

0.0000

File 1.1186

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 1.919Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 1.065Z file 1.064 → sim 1.064
    0.007.96
  • SIR 0.456Z file -0.219 → sim -0.219
    0.005.52
  • SIR 1.594Z file 1.274 → sim 1.274
    0.004.79
  • SIR 0.557Z file 0.695 → sim 0.695
    0.003.32
  • SIR 1.361Z file 1.387 → sim 1.387
    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.