Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MYMICHIGAN MEDICAL CENTER MIDLAND

MI · Facility ID 230222 · FY2026

Total HAC Score

0.2568

Percentile

68.2th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2568

Hospital score 0.2568. 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

0.2568

Δ from file score

-0.0000

File 0.2568

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 1.144Z file 1.086sim 1.086
    0.273.32
  • SIR 0.567Z file -0.091sim -0.091
    0.007.96
  • SIR 0.342Z file -0.494sim -0.494
    0.005.52
  • SIR 0.893Z file 0.073sim 0.073
    0.004.79
  • SIR 0.219Z file -0.614sim -0.614
    0.003.32
  • SIR 1.454Z file 1.581sim 1.581
    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.