HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
TEXOMA MEDICAL CENTER
TX · Facility ID 450324 · FY2026
Total HAC Score
-0.2964
Percentile
32.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.2963. 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
-0.2963
Δ from file score
+0.0001
File -0.2964
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 0.941Z file -0.332 → sim -0.3320.273.32
- SIR 0.361Z file -0.569 → sim -0.5690.007.96
- SIR 0.628Z file 0.195 → sim 0.1950.005.52
- SIR 1.009Z file 0.272 → sim 0.2720.004.79
- SIR 0.185Z file -0.746 → sim -0.7460.003.32
- SIR 0.411Z file -0.598 → sim -0.5980.004.41
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.