Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PHYSICIANS REGIONAL MEDICAL CENTER

TN · Facility ID 440120 · FY2026

Total HAC Score

-0.8488

Percentile

7.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.8488

Hospital score -0.8488. 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

-0.8488

Δ from file score

-0.0000

File -0.8488

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 0.740Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.529Z file -0.179 → sim -0.179
    0.007.96
  • SIR 0.168Z file -0.914 → sim -0.914
    0.005.52
  • SIR 0.079Z file -1.321 → sim -1.321
    0.004.79
  • SIR 0.035Z file -1.327 → sim -1.327
    0.003.32
  • SIR 0.760Z file 0.131 → sim 0.131
    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.