Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

UNIVERSITY HEALTH SYSTEM, INC

TN · Facility ID 440015 · FY2026

Total HAC Score

0.3062

Percentile

70.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3062

Hospital score 0.3062. 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

0.3062

Δ from file score

+0.0000

File 0.3062

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 1.440Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.387Z file -0.509 → sim -0.509
    0.007.96
  • SIR 0.554Z file 0.017 → sim 0.017
    0.005.52
  • SIR 0.335Z file -0.883 → sim -0.883
    0.004.79
  • SIR 0.385Z file 0.029 → sim 0.029
    0.003.32
  • SIR 1.019Z file 0.672 → sim 0.672
    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.