Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MURRAY-CALLOWAY COUNTY HOSPITAL

KY · Facility ID 180027 · FY2026

Total HAC Score

0.3966

Percentile

75.8th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3966

Hospital score 0.3966. 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

0.3966

Δ from file score

+0.0000

File 0.3966

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 1.046Z file 0.400sim 0.400
    0.273.32
  • SIR 1.209Z file 1.398sim 1.398
    0.007.96
  • SIR 0.267Z file -0.675sim -0.675
    0.005.52
  • SIR 0.000Z file -1.456sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 1.056Z file 2.193sim 2.193
    0.003.32

    No score impact — already at the measure cap.

  • SIR 0.946Z file 0.520sim 0.520
    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.