Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

METROWEST MEDICAL CENTER

MA · Facility ID 220175 · FY2026

Total HAC Score

0.5504

Percentile

82.2th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5504

Hospital score 0.5504. 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

0.5504

Δ from file score

+0.0000

File 0.5504

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 1.090Z file 0.712sim 0.712
    0.273.32
  • SIR 0.489Z file -0.272sim -0.272
    0.007.96
  • SIR 2.442Z file 2.386sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 0.000Z file -1.456sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.720Z file 1.326sim 1.326
    0.003.32
  • SIR 0.988Z file 0.608sim 0.608
    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.