Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SPECTRUM HEALTH

MI · Facility ID 230038 · FY2026

Total HAC Score

-0.0792

Percentile

47.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0792

Hospital score -0.0792. 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

-0.0792

Δ from file score

-0.0000

File -0.0792

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 0.935Z file -0.372 → sim -0.372
    0.273.32
  • SIR 0.537Z file -0.161 → sim -0.161
    0.007.96
  • SIR 0.325Z file -0.535 → sim -0.535
    0.005.52
  • SIR 0.834Z file -0.028 → sim -0.028
    0.004.79
  • SIR 0.416Z file 0.149 → sim 0.149
    0.003.32
  • SIR 0.923Z file 0.472 → sim 0.472
    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.