Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

HCA HOUSTON HEALTHCARE KINGWOOD

TX · Facility ID 450775 · FY2026

Total HAC Score

-0.5959

Percentile

15.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5959

Hospital score -0.5959. 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

-0.5959

Δ from file score

+0.0000

File -0.5959

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 0.920Z file -0.476 → sim -0.476
    0.273.32
  • SIR 0.403Z file -0.472 → sim -0.472
    0.007.96
  • SIR 0.181Z file -0.882 → sim -0.882
    0.005.52
  • SIR 0.661Z file -0.324 → sim -0.324
    0.004.79
  • SIR 0.062Z file -1.222 → sim -1.222
    0.003.32
  • SIR 0.602Z file -0.199 → sim -0.199
    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.