Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

HURON VALLEY-SINAI HOSPITAL

MI · Facility ID 230277 · FY2026

Total HAC Score

0.3772

Percentile

74.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.3773

Hospital score 0.3773. 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

0.3773

Δ from file score

+0.0001

File 0.3772

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 0.939Z file -0.348 → sim -0.348
    0.273.32
  • SIR 0.323Z file -0.657 → sim -0.657
    0.007.96
  • SIR 0.246Z file -0.726 → sim -0.726
    0.005.52
  • SIR 1.025Z file 0.299 → sim 0.299
    0.004.79
  • SIR 1.020Z file 2.193 → sim 2.193
    0.003.32

    No score impact — already at the measure cap.

  • SIR 1.416Z file 1.502 → sim 1.502
    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.