Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

RALEIGH GENERAL HOSPITAL

WV · Facility ID 510070 · FY2026

Total HAC Score

0.4315

Percentile

77.2th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4316

Hospital score 0.4316. 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

0.4316

Δ from file score

+0.0001

File 0.4315

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 0.996Z file 0.055 → sim 0.055
    0.273.32
  • SIR 0.166Z file -1.021 → sim -1.021
    0.007.96
  • SIR 0.730Z file 0.441 → sim 0.441
    0.005.52
  • SIR 3.127Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.625Z file 0.958 → sim 0.958
    0.003.32
  • SIR 0.690Z file -0.015 → sim -0.015
    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.