Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BAYLOR UNIVERSITY MEDICAL CENTER

TX · Facility ID 450021 · FY2026

Total HAC Score

0.2842

Percentile

69.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2842

Hospital score 0.2842. 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

0.2842

Δ from file score

+0.0000

File 0.2842

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 1.372Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.484Z file -0.284 → sim -0.284
    0.007.96
  • SIR 0.380Z file -0.403 → sim -0.403
    0.005.52
  • SIR 1.136Z file 0.489 → sim 0.489
    0.004.79
  • SIR 0.309Z file -0.266 → sim -0.266
    0.003.32
  • SIR 0.533Z file -0.343 → sim -0.343
    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.