Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

← All simulations

Counterfactual simulator

MAIMONIDES MEDICAL CENTER

NY · Facility ID 330194 · FY2026

Total HAC Score

0.5454

Percentile

81.9th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.5454

Hospital score 0.5454. 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

0.5454

Δ from file score

-0.0000

File 0.5454

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 0.908Z file -0.563 → sim -0.563
    0.273.32
  • SIR 1.684Z file 2.240 → sim 2.240
    0.007.96

    No score impact — already at the measure cap.

  • SIR 0.990Z file 1.068 → sim 1.068
    0.005.52
  • SIR 0.874Z file 0.041 → sim 0.041
    0.004.79
  • SIR 0.309Z file -0.266 → sim -0.266
    0.003.32
  • SIR 1.057Z file 0.752 → sim 0.752
    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.