Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

THIBODAUX REGIONAL MEDICAL CENTER

LA · Facility ID 190004 · FY2026

Total HAC Score

0.5504

Percentile

82.2th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5504

Hospital score 0.5504. 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

0.5504

Δ from file score

+0.0000

File 0.5504

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 0.900Z file -0.616 → sim -0.616
    0.273.32
  • SIR 0.904Z file 0.691 → sim 0.691
    0.007.96
  • SIR 0.850Z file 0.730 → sim 0.730
    0.005.52
  • SIR 0.258Z file -1.014 → sim -1.014
    0.004.79
  • SIR 0.710Z file 1.287 → sim 1.287
    0.003.32
  • SIR 4.204Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.