HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
METHODIST RICHARDSON MEDICAL CENTER
TX · Facility ID 450537 · FY2026
Total HAC Score
-0.2783
Percentile
33.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.2783. 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
-0.2783
Δ from file score
+0.0000
File -0.2783
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 1.047Z file 0.411 → sim 0.4110.273.32
- SIR 0.362Z file -0.567 → sim -0.5670.007.96
- SIR 0.383Z file -0.395 → sim -0.3950.005.52
- SIR 0.678Z file -0.295 → sim -0.2950.004.79
- SIR 0.388Z file 0.040 → sim 0.0400.003.32
- SIR 0.284Z file -0.864 → sim -0.8640.004.41
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.