Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

UPHS MARQUETTE DLP HOSPITAL

MI · Facility ID 230054 · FY2026

Total HAC Score

0.1964

Percentile

64.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1964

Hospital score 0.1964. 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

0.1964

Δ from file score

-0.0000

File 0.1964

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 1.104Z file 0.804 → sim 0.804
    0.273.32
  • SIR 0.000Z file -1.407 → sim -1.406
    0.007.96

    No score impact — already at the measure floor.

  • SIR 1.055Z file 1.224 → sim 1.224
    0.005.52
  • SIR 1.754Z file 1.548 → sim 1.548
    0.004.79
  • SIR 0.276Z file -0.394 → sim -0.394
    0.003.32
  • SIR 0.411Z file -0.598 → sim -0.598
    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.