Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CARSON TAHOE REGIONAL MEDICAL CENTER

NV · Facility ID 290019 · FY2026

Total HAC Score

1.0814

Percentile

95.5th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.0814

Hospital score 1.0814. 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

1.0814

Δ from file score

-0.0000

File 1.0814

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 1.061Z file 0.504 → sim 0.504
    0.273.32
  • SIR 1.009Z file 0.934 → sim 0.934
    0.007.96
  • SIR 1.537Z file 2.386 → sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 1.249Z file 0.683 → sim 0.683
    0.004.79
  • SIR 0.505Z file 0.493 → sim 0.493
    0.003.32
  • SIR 1.409Z file 1.487 → sim 1.487
    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.