Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MEDICAL CITY NORTH HILLS

TX · Facility ID 450087 · FY2026

Total HAC Score

0.1271

Percentile

60.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1271

Hospital score 0.1271. 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

0.1271

Δ from file score

-0.0000

File 0.1271

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 1.087Z file 0.685 → sim 0.685
    0.273.32
  • SIR 0.287Z file -0.741 → sim -0.741
    0.007.96
  • SIR 0.501Z file -0.111 → sim -0.111
    0.005.52
  • SIR 0.875Z file 0.042 → sim 0.042
    0.004.79
  • SIR 0.032Z file -1.338 → sim -1.338
    0.003.32
  • SIR 1.829Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.