Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MCLAREN OAKLAND

MI · Facility ID 230207 · FY2026

Total HAC Score

-0.0710

Percentile

48.3th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0710

Hospital score -0.0710. 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

-0.0710

Δ from file score

-0.0000

File -0.0710

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 0.904Z file -0.589 → sim -0.589
    0.273.32
  • SIR 0.757Z file 0.350 → sim 0.350
    0.007.96
  • SIR 0.531Z file -0.039 → sim -0.039
    0.005.52
  • SIR 1.792Z file 1.613 → sim 1.613
    0.004.79
  • SIR 0.299Z file -0.304 → sim -0.304
    0.003.32
  • SIR 0.000Z file -1.457 → sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.