HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
CUMBERLAND MEDICAL CENTER
TN · Facility ID 440009 · FY2026
Total HAC Score
-0.3539
Percentile
28.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.3539. 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
-0.3539
Δ from file score
-0.0000
File -0.3539
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 0.864Z file -0.868 → sim -0.8680.273.32
- SIR 0.499Z file -0.249 → sim -0.2490.007.96
- SIR 0.226Z file -0.774 → sim -0.7740.005.52
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 0.119Z file -1.001 → sim -1.0010.003.32
- SIR 2.486Z file 2.225 → sim 2.2250.004.41
No score impact — already at the measure cap.
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.