Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MYMICHIGAN MEDICAL CENTER ALPENA

MI · Facility ID 230036 · FY2026

Total HAC Score

0.3105

Percentile

71.1th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3105

Hospital score 0.3105. 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

0.3105

Δ from file score

-0.0000

File 0.3105

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 0.927Z file -0.430 → sim -0.430
    0.273.32
  • SIR 0.991Z file 0.892 → sim 0.892
    0.007.96
  • SIR 0.452Z file -0.229 → sim -0.229
    0.005.52
  • SIR 1.659Z file 1.385 → sim 1.385
    0.004.79
  • SIR 0.524Z file 0.567 → sim 0.567
    0.003.32
  • SIR 0.543Z file -0.323 → sim -0.323
    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.