Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

HCA HOUSTON HEALTHCARE CONROE

TX · Facility ID 450222 · FY2026

Total HAC Score

0.5000

Percentile

80.3th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5000

Hospital score 0.5000. 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

0.5000

Δ from file score

+0.0000

File 0.5000

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 1.247Z file 1.807sim 1.807
    0.273.32
  • SIR 1.055Z file 1.041sim 1.041
    0.007.96
  • SIR 0.221Z file -0.786sim -0.786
    0.005.52
  • SIR 1.864Z file 1.737sim 1.737
    0.004.79
  • SIR 0.056Z file -1.245sim -1.245
    0.003.32
  • SIR 0.911Z file 0.447sim 0.447
    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.