Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

MEDICAL CITY DENTON

TX · Facility ID 450634 · FY2026

Total HAC Score

-1.0790

Percentile

3.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -1.0790

Hospital score -1.0790. 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

-1.0790

Δ from file score

+0.0000

File -1.0790

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 0.885Z file -0.725 → sim -0.725
    0.273.32
  • SIR 0.079Z file -1.223 → sim -1.223
    0.007.96
  • SIR 0.057Z file -1.181 → sim -1.181
    0.005.52
  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.187Z file -0.738 → sim -0.738
    0.003.32
  • SIR 0.147Z file -1.150 → sim -1.150
    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.