Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CAROLINA EAST MEDICAL CENTER

NC · Facility ID 340131 · FY2026

Total HAC Score

-0.3772

Percentile

27.6th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3773

Hospital score -0.3773. 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

-0.3773

Δ from file score

-0.0001

File -0.3772

Not 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 0.857Z file -0.917 → sim -0.917
    0.273.32
  • SIR 0.441Z file -0.384 → sim -0.384
    0.007.96
  • SIR 0.543Z file -0.010 → sim -0.010
    0.005.52
  • SIR 0.781Z file -0.119 → sim -0.119
    0.004.79
  • SIR 0.405Z file 0.106 → sim 0.106
    0.003.32
  • SIR 0.247Z file -0.941 → sim -0.941
    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.