Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

JOHNSON CITY MEDICAL CENTER

TN · Facility ID 440063 · FY2026

Total HAC Score

0.7814

Percentile

89.4th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.7814

Hospital score 0.7814. 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

0.7814

Δ from file score

+0.0000

File 0.7814

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 1.242Z file 1.766 → sim 1.766
    0.273.32
  • SIR 1.021Z file 0.962 → sim 0.962
    0.007.96
  • SIR 0.666Z file 0.287 → sim 0.287
    0.005.52
  • SIR 2.118Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.302Z file -0.293 → sim -0.293
    0.003.32
  • SIR 0.599Z file -0.205 → sim -0.205
    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.