HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
GUADALUPE REGIONAL MEDICAL CENTER
TX · Facility ID 450104 · FY2026
Total HAC Score
-0.2591
Percentile
34.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.2591. 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
-0.2591
Δ from file score
+0.0000
File -0.2591
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 0.883Z file -0.734 → sim -0.7340.273.32
- SIR 0.418Z file -0.437 → sim -0.4370.007.96
- SIR 0.963Z file 1.003 → sim 1.0030.005.52
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 0.772Z file 1.527 → sim 1.5270.003.32
- SIR 0.000Z file -1.457 → sim -1.4570.004.41
No score impact — already at the measure floor.
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.