Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MILFORD REGIONAL MEDICAL CENTER

MA · Facility ID 220090 · FY2026

Total HAC Score

-0.3243

Percentile

30.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3244

Hospital score -0.3244. 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

-0.3244

Δ from file score

-0.0001

File -0.3243

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 0.835Z file -1.072 → sim -1.072
    0.273.32
  • SIR 0.470Z file -0.316 → sim -0.316
    0.007.96
  • SIR 0.435Z file -0.270 → sim -0.270
    0.005.52
  • SIR 0.654Z file -0.336 → sim -0.336
    0.004.79
  • SIR 0.433Z file 0.214 → sim 0.214
    0.003.32
  • SIR 0.618Z file -0.166 → sim -0.166
    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.