HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
CATHOLIC MEDICAL CENTER
NH · Facility ID 300034 · FY2026
Total HAC Score
0.8005
Percentile
90.0th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.8004. 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
0.8004
Δ from file score
-0.0001
File 0.8005
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 1.404Z file 2.511 → sim 2.5110.273.32
No score impact — already at the measure cap.
- SIR 0.562Z file -0.103 → sim -0.1030.007.96
- SIR 0.857Z file 0.747 → sim 0.7470.005.52
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 1.090Z file 2.193 → sim 2.1930.003.32
No score impact — already at the measure cap.
- SIR 1.133Z file 0.911 → sim 0.9110.004.41
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.