Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ASCENSION PROVIDENCE ROCHESTER HOSPITAL

MI · Facility ID 230254 · FY2026

Total HAC Score

0.4946

Percentile

80.1th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.4947

Hospital score 0.4947. 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

0.4947

Δ from file score

+0.0001

File 0.4946

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 1.035Z file 0.323 → sim 0.323
    0.273.32
  • SIR 0.507Z file -0.230 → sim -0.230
    0.007.96
  • SIR 0.513Z file -0.082 → sim -0.082
    0.005.52
  • SIR 2.911Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.424Z file 0.180 → sim 0.180
    0.003.32
  • SIR 0.987Z file 0.606 → sim 0.606
    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.