Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PARIS REGIONAL MEDICAL CENTER

TX · Facility ID 450196 · FY2026

Total HAC Score

-0.1944

Percentile

39.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1944

Hospital score -0.1944. 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

-0.1944

Δ from file score

-0.0000

File -0.1944

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 0.782Z file -1.441 → sim -1.441
    0.273.32
  • SIR 0.533Z file -0.170 → sim -0.170
    0.007.96
  • SIR 0.225Z file -0.776 → sim -0.776
    0.005.52
  • SIR 0.914Z file 0.109 → sim 0.109
    0.004.79
  • SIR 0.090Z file -1.114 → sim -1.114
    0.003.32
  • SIR 2.093Z 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.