Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

LAKELAND HOSPITAL, ST JOSEPH

MI · Facility ID 230021 · FY2026

Total HAC Score

-0.1456

Percentile

42.9th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.1455

Hospital score -0.1455. 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

-0.1455

Δ from file score

+0.0001

File -0.1456

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 0.788Z file -1.402 → sim -1.402
    0.273.32
  • SIR 0.382Z file -0.520 → sim -0.520
    0.007.96
  • SIR 0.890Z file 0.827 → sim 0.827
    0.005.52
  • SIR 1.803Z file 1.632 → sim 1.632
    0.004.79
  • SIR 0.284Z file -0.362 → sim -0.362
    0.003.32
  • SIR 0.196Z file -1.048 → sim -1.048
    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.