Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MASSACHUSETTS GENERAL HOSPITAL

MA · Facility ID 220071 · FY2026

Total HAC Score

0.1843

Percentile

63.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1843

Hospital score 0.1843. 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

0.1843

Δ from file score

+0.0000

File 0.1843

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 0.881Z file -0.751 → sim -0.751
    0.273.32
  • SIR 0.504Z file -0.237 → sim -0.237
    0.007.96
  • SIR 0.595Z file 0.116 → sim 0.116
    0.005.52
  • SIR 0.805Z file -0.077 → sim -0.077
    0.004.79
  • SIR 0.892Z file 1.992 → sim 1.992
    0.003.32
  • SIR 0.728Z file 0.064 → sim 0.064
    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.