HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
HOLYOKE MEDICAL CENTER
MA · Facility ID 220024 · FY2026
Total HAC Score
-0.3215
Percentile
31.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.3214. 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
-0.3214
Δ from file score
+0.0001
File -0.3215
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 1.054Z file 0.457 → sim 0.4570.273.32
- SIR 0.000Z file -1.407 → sim -1.4060.007.96
No score impact — already at the measure floor.
- SIR 0.311Z file -0.569 → sim -0.5690.005.52
- SIR 0.000Z file -1.456 → sim -1.4560.004.79
No score impact — already at the measure floor.
- SIR 0.634Z file 0.993 → sim 0.9930.003.32
- SIR 0.723Z file 0.054 → sim 0.0540.004.41
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.