HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MYMICHIGAN MEDICAL CENTER MIDLAND
MI · Facility ID 230222 · FY2026
Total HAC Score
0.2568
Percentile
68.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
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
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 1.086 → sim 1.0860.273.32
- SIR 0.567Z file -0.091 → sim -0.0910.007.96
- SIR 0.342Z file -0.494 → sim -0.4940.005.52
- SIR 0.893Z file 0.073 → sim 0.0730.004.79
- SIR 0.219Z file -0.614 → sim -0.6140.003.32
- SIR 1.454Z file 1.581 → sim 1.5810.004.41
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.