Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MCLAREN BAY REGION

MI · Facility ID 230041 · FY2026

Total HAC Score

-0.4804

Percentile

21.5th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4804

Hospital score -0.4804. 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

-0.4804

Δ from file score

+0.0000

File -0.4804

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 0.939Z file -0.343 → sim -0.343
    0.273.32
  • SIR 0.223Z file -0.889 → sim -0.889
    0.007.96
  • SIR 0.936Z file 0.938 → sim 0.938
    0.005.52
  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.336Z file -0.161 → sim -0.161
    0.003.32
  • SIR 0.233Z file -0.970 → sim -0.970
    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.