Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MERITUS MEDICAL CENTER

MD · Facility ID 210001 · FY2026

Total HAC Score

-0.2234

Percentile

37.3th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2234

Hospital score -0.2234. 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

-0.2234

Δ from file score

+0.0000

File -0.2234

Not penalized (simulated)

Exempt note: Maryland waiver unchanged

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 0.812Z file -1.233 → sim -1.233
    0.273.32
  • SIR 0.648Z file 0.097 → sim 0.097
    0.007.96
  • SIR 0.384Z file -0.393 → sim -0.393
    0.005.52
  • SIR 2.239Z file 2.172 → sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.188Z file -0.734 → sim -0.734
    0.003.32
  • SIR 0.100Z file -1.248 → sim -1.248
    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.