Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

DETROIT RECEIVING HOSPITAL

MI · Facility ID 230273 · FY2026

Total HAC Score

0.6721

Percentile

86.7th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.6721

Hospital score 0.6721. 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

0.6721

Δ from file score

0.0000

File 0.6721

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 1.299Z file 2.168 → sim 2.168
    0.273.32
  • SIR 1.332Z file 1.683 → sim 1.683
    0.007.96
  • SIR 0.446Z file -0.243 → sim -0.243
    0.005.52
  • SIR 0.961Z file 0.190 → sim 0.190
    0.004.79
  • SIR 0.316Z file -0.239 → sim -0.239
    0.003.32
  • SIR 0.924Z file 0.474 → sim 0.474
    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.