Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MAINEHEALTH MID COAST HOSPITAL

ME · Facility ID 200021 · FY2026

Total HAC Score

0.2356

Percentile

67.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2356

Hospital score 0.2356. 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

0.2356

Δ from file score

+0.0000

File 0.2356

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 0.971Z file -0.126 → sim -0.126
    0.273.32
  • SIR 0.390Z file -0.502 → sim -0.502
    0.007.96
  • SIR 0.876Z file 0.793 → sim 0.793
    0.005.52
  • SIR 0.175Z file -1.157 → sim -1.157
    0.004.79
  • SIR 0.424Z file 0.180 → sim 0.180
    0.003.32
  • SIR 1.839Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

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.