Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

CUMBERLAND MEDICAL CENTER

TN · Facility ID 440009 · FY2026

Total HAC Score

-0.3539

Percentile

28.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3539

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

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 0.864Z file -0.868sim -0.868
    0.273.32
  • SIR 0.499Z file -0.249sim -0.249
    0.007.96
  • SIR 0.226Z file -0.774sim -0.774
    0.005.52
  • SIR 0.000Z file -1.456sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.119Z file -1.001sim -1.001
    0.003.32
  • SIR 2.486Z file 2.225sim 2.225
    0.004.41

    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.