Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS

TX · Facility ID 450272 · FY2026

Total HAC Score

-0.3907

Percentile

26.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3907

Hospital score -0.3907. 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

-0.3907

Δ from file score

-0.0000

File -0.3907

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 0.857Z file -0.918 → sim -0.918
    0.273.32
  • SIR 0.600Z file -0.015 → sim -0.015
    0.007.96
  • SIR 0.553Z file 0.014 → sim 0.014
    0.005.52
  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.317Z file -0.235 → sim -0.235
    0.003.32
  • SIR 0.824Z file 0.265 → sim 0.265
    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.