Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

PROMEDICA MONROE REGIONAL HOSPITAL

MI · Facility ID 230099 · FY2026

Total HAC Score

1.0504

Percentile

94.6th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 1.0504

Hospital score 1.0504. 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

1.0504

Δ from file score

-0.0000

File 1.0504

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 1.195Z file 1.439sim 1.439
    0.273.32
  • SIR 1.870Z file 2.240sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.756Z file 0.504sim 0.504
    0.005.52
  • SIR 2.926Z file 2.172sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.585Z file 0.803sim 0.803
    0.003.32
  • SIR 0.288Z file -0.855sim -0.855
    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.