HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
PRESBYTERIAN HOSPITAL
NM · Facility ID 320021 · FY2026
Total HAC Score
0.8675
Percentile
91.2th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.8675. 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
0.8675
Δ from file score
-0.0000
File 0.8675
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 1.469Z file 2.511 → sim 2.5110.273.32
No score impact — already at the measure cap.
- SIR 0.763Z file 0.363 → sim 0.3630.007.96
- SIR 0.918Z file 0.894 → sim 0.8940.005.52
- SIR 1.144Z file 0.503 → sim 0.5030.004.79
- SIR 0.671Z file 1.136 → sim 1.1360.003.32
- SIR 0.600Z file -0.203 → sim -0.2030.004.41
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.