Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MELROSEWAKEFIELD HEALTHCARE

MA · Facility ID 220070 · FY2026

Total HAC Score

-0.1710

Percentile

41.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1710

Hospital score -0.1710. 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

-0.1710

Δ from file score

-0.0000

File -0.1710

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 1.371Z file 2.511 → sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.212Z file -0.915 → sim -0.915
    0.007.96
  • SIR 0.248Z file -0.721 → sim -0.721
    0.005.52
  • SIR 0.424Z file -0.730 → sim -0.730
    0.004.79
  • SIR 0.358Z file -0.076 → sim -0.076
    0.003.32
  • SIR 0.173Z file -1.096 → sim -1.096
    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.