HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
UNIVERSITY OF MD CAPITAL REGION MEDICAL CENTER
MD · Facility ID 210003 · FY2026
Total HAC Score
0.5800
Percentile
83.2th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.5800. 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
0.5800
Δ from file score
+0.0000
File 0.5800
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 1.604Z file 2.511 → sim 2.5110.273.32
No score impact — already at the measure cap.
- SIR 1.856Z file 2.240 → sim 2.2400.007.96
No score impact — already at the measure cap.
- SIR 0.336Z file -0.509 → sim -0.5090.005.52
- SIR 1.177Z file 0.560 → sim 0.5600.004.79
- SIR 0.345Z file -0.126 → sim -0.1260.003.32
- SIR 0.125Z file -1.196 → sim -1.1960.004.41
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.