Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

WELLMONT HOLSTON VALLEY MEDICAL CENTER

TN · Facility ID 440017 · FY2026

Total HAC Score

0.7462

Percentile

88.4th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.7462

Hospital score 0.7462. 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

0.7462

Δ from file score

-0.0000

File 0.7462

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 1.038Z file 0.348 → sim 0.348
    0.273.32
  • SIR 1.087Z file 1.115 → sim 1.115
    0.007.96
  • SIR 0.897Z file 0.844 → sim 0.844
    0.005.52
  • SIR 1.607Z file 1.296 → sim 1.296
    0.004.79
  • SIR 0.487Z file 0.423 → sim 0.423
    0.003.32
  • SIR 0.913Z file 0.451 → sim 0.451
    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.