HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MUSC HEALTH LANCASTER MEDICAL CENTER
SC · Facility ID 420036 · FY2026
Total HAC Score
-0.3119
Percentile
31.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.3119. 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
-0.3119
Δ from file score
-0.0000
File -0.3119
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 0.832Z file -1.092 → sim -1.0920.273.32
- SIR 0.375Z file -0.537 → sim -0.5370.007.96
- SIR 0.165Z file -0.921 → sim -0.9210.005.52
- SIR 1.068Z file 0.373 → sim 0.3730.004.79
- SIR 0.000Z file -1.462 → sim -1.4620.003.32
No score impact — already at the measure floor.
- SIR 1.543Z file 1.767 → sim 1.7670.004.41
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.