Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SIERRA MEDICAL CENTER

TX · Facility ID 450668 · FY2026

Total HAC Score

-0.0913

Percentile

46.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0913

Hospital score -0.0913. 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

-0.0913

Δ from file score

+0.0000

File -0.0913

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 1.113Z file 0.868 → sim 0.868
    0.273.32
  • SIR 0.337Z file -0.625 → sim -0.625
    0.007.96
  • SIR 0.567Z file 0.048 → sim 0.048
    0.005.52
  • SIR 0.601Z file -0.427 → sim -0.427
    0.004.79
  • SIR 0.544Z file 0.644 → sim 0.644
    0.003.32
  • SIR 0.192Z file -1.056 → sim -1.056
    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.