HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
TRISTAR HORIZON MEDICAL CENTER
TN · Facility ID 440046 · FY2026
Total HAC Score
-1.0804
Percentile
3.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -1.0804. 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
-1.0804
Δ from file score
-0.0000
File -1.0804
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 0.954Z file -0.239 → sim -0.2390.273.32
- SIR 0.000Z file -1.407 → sim -1.4060.007.96
No score impact — already at the measure floor.
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 0.038Z file -1.315 → sim -1.3150.003.32
- SIR 0.340Z file -0.747 → sim -0.7470.004.41
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.