Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MUSC HEALTH COLUMBIA MEDICAL CENTER DOWNTOWN

SC · Facility ID 420026 · FY2026

Total HAC Score

0.3823

Percentile

75.3th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3822

Hospital score 0.3822. 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

0.3822

Δ from file score

-0.0000

File 0.3823

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 1.254Z file 1.855 → sim 1.855
    0.273.32
  • SIR 0.991Z file 0.892 → sim 0.892
    0.007.96
  • SIR 0.466Z file -0.195 → sim -0.195
    0.005.52
  • SIR 0.428Z file -0.723 → sim -0.723
    0.004.79
  • SIR 0.207Z file -0.661 → sim -0.661
    0.003.32
  • SIR 1.236Z file 1.126 → sim 1.126
    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.