HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MEADVILLE MEDICAL CENTER
PA · Facility ID 390113 · FY2026
Total HAC Score
0.2927
Percentile
70.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.2928. 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
0.2928
Δ from file score
+0.0001
File 0.2927
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 1.052Z file 0.445 → sim 0.4450.273.32
- SIR 0.277Z file -0.764 → sim -0.7640.007.96
- SIR 0.730Z file 0.441 → sim 0.4410.005.52
- SIR 1.015Z file 0.282 → sim 0.2820.004.79
- SIR 1.040Z file 2.193 → sim 2.1930.003.32
No score impact — already at the measure cap.
- SIR 0.295Z file -0.841 → sim -0.8410.004.41
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.