HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
UNIVERSITY OF MARYLAND MEDICAL CENTER
MD · Facility ID 210002 · FY2026
Total HAC Score
0.7646
Percentile
89.0th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.7646. 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
0.7646
Δ from file score
-0.0000
File 0.7646
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 1.037Z file 0.339 → sim 0.3390.273.32
- SIR 1.048Z file 1.025 → sim 1.0250.007.96
- SIR 1.018Z file 1.135 → sim 1.1350.005.52
- SIR 1.930Z file 1.850 → sim 1.8500.004.79
- SIR 0.427Z file 0.191 → sim 0.1910.003.32
- SIR 0.720Z file 0.048 → sim 0.0480.004.41
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.