Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MERCY MEDICAL CENTER INC

MD · Facility ID 210008 · FY2026

Total HAC Score

-0.0374

Percentile

50.5th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0374

Hospital score -0.0374. 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

-0.0374

Δ from file score

+0.0000

File -0.0374

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 1.007Z file 0.131 → sim 0.131
    0.273.32
  • SIR 0.358Z file -0.576 → sim -0.576
    0.007.96
  • SIR 0.435Z file -0.270 → sim -0.270
    0.005.52
  • SIR 0.230Z file -1.063 → sim -1.063
    0.004.79
  • SIR 1.008Z file 2.193 → sim 2.193
    0.003.32

    No score impact — already at the measure cap.

  • SIR 0.391Z file -0.640 → sim -0.640
    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.