HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
UNIVERSITY MEDICAL CENTER
NV · Facility ID 290007 · FY2026
Total HAC Score
0.6591
Percentile
86.1th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.6591. 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
0.6591
Δ from file score
+0.0000
File 0.6591
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 1.044Z file 0.385 → sim 0.3850.273.32
- SIR 0.928Z file 0.746 → sim 0.7460.007.96
- SIR 0.857Z file 0.747 → sim 0.7470.005.52
- SIR 1.276Z file 0.729 → sim 0.7290.004.79
- SIR 0.636Z file 1.000 → sim 1.0000.003.32
- SIR 0.863Z file 0.346 → sim 0.3460.004.41
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.