HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
SAINT AGNES HOSPITAL
MD · Facility ID 210011 · FY2026
Total HAC Score
-0.0138
Percentile
51.9th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.0138. 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
-0.0138
Δ from file score
+0.0000
File -0.0138
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 0.974Z file -0.098 → sim -0.0980.273.32
- SIR 1.061Z file 1.055 → sim 1.0550.007.96
- SIR 0.138Z file -0.986 → sim -0.9860.005.52
- SIR 0.207Z file -1.102 → sim -1.1020.004.79
- SIR 0.383Z file 0.021 → sim 0.0210.003.32
- SIR 1.189Z file 1.028 → sim 1.0280.004.41
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.