Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MCLAREN GREATER LANSING

MI · Facility ID 230167 · FY2026

Total HAC Score

0.5459

Percentile

82.0th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5459

Hospital score 0.5459. 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

0.5459

Δ from file score

0.0000

File 0.5459

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 1.184Z file 1.365 → sim 1.365
    0.273.32
  • SIR 1.221Z file 1.426 → sim 1.426
    0.007.96
  • SIR 0.639Z file 0.222 → sim 0.222
    0.005.52
  • SIR 1.000Z file 0.257 → sim 0.257
    0.004.79
  • SIR 0.456Z file 0.303 → sim 0.303
    0.003.32
  • SIR 0.555Z file -0.297 → sim -0.297
    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.