Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

NORTH AUSTIN MEDICAL CENTER

TX · Facility ID 450809 · FY2026

Total HAC Score

-0.5211

Percentile

19.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5211

Hospital score -0.5211. 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

-0.5211

Δ from file score

-0.0000

File -0.5211

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 0.860Z file -0.897 → sim -0.897
    0.273.32
  • SIR 0.406Z file -0.465 → sim -0.465
    0.007.96
  • SIR 0.243Z file -0.733 → sim -0.733
    0.005.52
  • SIR 0.758Z file -0.158 → sim -0.158
    0.004.79
  • SIR 0.164Z file -0.827 → sim -0.827
    0.003.32
  • SIR 0.675Z file -0.047 → sim -0.047
    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.