HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
CARILION NEW RIVER VALLEY MEDICAL CENTER
VA · Facility ID 490042 · FY2026
Total HAC Score
0.2760
Percentile
68.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.2760. 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
0.2760
Δ from file score
-0.0000
File 0.2760
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 1.721Z file 2.511 → sim 2.5110.273.32
No score impact — already at the measure cap.
- SIR 0.548Z file -0.135 → sim -0.1350.007.96
- SIR 0.822Z file 0.663 → sim 0.6630.005.52
- SIR 0.782Z file -0.117 → sim -0.1170.004.79
- SIR 0.427Z file 0.191 → sim 0.1910.003.32
- SIR 0.000Z file -1.457 → sim -1.4570.004.41
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.