Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MEMORIAL HERMANN MEMORIAL CITY HOSPITAL

TX · Facility ID 450610 · FY2026

Total HAC Score

-0.1011

Percentile

45.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1011

Hospital score -0.1011. 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

-0.1011

Δ from file score

+0.0000

File -0.1011

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 0.958Z file -0.213 → sim -0.213
    0.273.32
  • SIR 0.871Z file 0.614 → sim 0.614
    0.007.96
  • SIR 0.337Z file -0.506 → sim -0.506
    0.005.52
  • SIR 0.765Z file -0.146 → sim -0.146
    0.004.79
  • SIR 0.163Z file -0.831 → sim -0.831
    0.003.32
  • SIR 0.925Z file 0.476 → sim 0.476
    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.