Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MEDICAL CITY DALLAS HOSPITAL

TX · Facility ID 450647 · FY2026

Total HAC Score

0.1608

Percentile

62.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1608

Hospital score 0.1608. 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

0.1608

Δ from file score

0.0000

File 0.1608

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 0.701Z file -1.483 → sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.995Z file 0.902 → sim 0.902
    0.007.96
  • SIR 0.835Z file 0.694 → sim 0.694
    0.005.52
  • SIR 0.738Z file -0.192 → sim -0.192
    0.004.79
  • SIR 0.409Z file 0.121 → sim 0.121
    0.003.32
  • SIR 1.139Z file 0.923 → sim 0.923
    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.