Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

KARMANOS CANCER CENTER

MI · Facility ID 230297 · FY2026

Total HAC Score

0.2902

Percentile

69.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2902

Hospital score 0.2902. 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

0.2902

Δ from file score

-0.0000

File 0.2902

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 1.006Z file 0.126 → sim 0.126
    0.273.32
  • SIR 0.000Z file -1.407 → sim -1.406
    0.007.96

    No score impact — already at the measure floor.

  • SIR 0.415Z file -0.318 → sim -0.318
    0.005.52
  • SSIUnreported

    Results are not available for this reporting period.

  • SIR 0.765Z file 1.500 → sim 1.500
    0.003.32
  • SIR 1.439Z file 1.550 → sim 1.550
    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.