HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MUSC MEDICAL CENTER
SC · Facility ID 420004 · FY2026
Total HAC Score
0.8381
Percentile
90.7th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.8381. 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
0.8381
Δ from file score
+0.0000
File 0.8381
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 1.491Z file 2.511 → sim 2.5110.273.32
No score impact — already at the measure cap.
- SIR 0.807Z file 0.466 → sim 0.4660.007.96
- SIR 0.570Z file 0.055 → sim 0.0550.005.52
- SIR 1.450Z file 1.027 → sim 1.0270.004.79
- SIR 0.552Z file 0.675 → sim 0.6750.003.32
- SIR 0.838Z file 0.294 → sim 0.2940.004.41
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.