Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

BORGESS MEDICAL CENTER

MI · Facility ID 230117 · FY2026

Total HAC Score

-0.5367

Percentile

18.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.5367

Hospital score -0.5367. 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

-0.5367

Δ from file score

-0.0000

File -0.5367

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 0.814Z file -1.221 → sim -1.221
    0.273.32
  • SIR 0.183Z file -0.982 → sim -0.982
    0.007.96
  • SIR 0.073Z file -1.143 → sim -1.143
    0.005.52
  • SIR 0.415Z file -0.746 → sim -0.746
    0.004.79
  • SIR 0.405Z file 0.106 → sim 0.106
    0.003.32
  • SIR 1.063Z file 0.764 → sim 0.764
    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.