Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

NACOGDOCHES MEDICAL CENTER

TX · Facility ID 450656 · FY2026

Total HAC Score

-0.2799

Percentile

33.4th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2799

Hospital score -0.2799. 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

-0.2799

Δ from file score

-0.0000

File -0.2799

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 0.938Z file -0.352 → sim -0.352
    0.273.32
  • SIR 0.964Z file 0.830 → sim 0.830
    0.007.96
  • SIR 0.674Z file 0.306 → sim 0.306
    0.005.52
  • SIR 0.784Z file -0.114 → sim -0.114
    0.004.79
  • SIR 0.147Z file -0.893 → sim -0.893
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.