Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HCA HOUSTON HEALTHCARE CLEAR LAKE

TX · Facility ID 450617 · FY2026

Total HAC Score

-0.3709

Percentile

28.0th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3709

Hospital score -0.3709. 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

-0.3709

Δ from file score

0.0000

File -0.3709

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 1.064Z file 0.527 → sim 0.527
    0.273.32
  • SIR 0.509Z file -0.226 → sim -0.226
    0.007.96
  • SIR 0.156Z file -0.943 → sim -0.943
    0.005.52
  • SIR 0.873Z file 0.039 → sim 0.039
    0.004.79
  • SIR 0.114Z file -1.021 → sim -1.021
    0.003.32
  • SIR 0.409Z file -0.603 → sim -0.603
    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.