HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MURRAY-CALLOWAY COUNTY HOSPITAL
KY · Facility ID 180027 · FY2026
Total HAC Score
0.3966
Percentile
75.8th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
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
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 0.400 → sim 0.4000.273.32
- SIR 1.209Z file 1.398 → sim 1.3980.007.96
- SIR 0.267Z file -0.675 → sim -0.6750.005.52
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 1.056Z file 2.193 → sim 2.1930.003.32
No score impact — already at the measure cap.
- SIR 0.946Z file 0.520 → sim 0.5200.004.41
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.