Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SINAI HOSPITAL OF BALTIMORE

MD · Facility ID 210012 · FY2026

Total HAC Score

0.6934

Percentile

87.2th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.6934

Hospital score 0.6934. 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

0.6934

Δ from file score

-0.0000

File 0.6934

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 1.473Z file 2.511sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.590Z file -0.038sim -0.038
    0.007.96
  • SIR 0.431Z file -0.280sim -0.280
    0.005.52
  • SIR 1.615Z file 1.310sim 1.310
    0.004.79
  • SIR 0.468Z file 0.350sim 0.350
    0.003.32
  • SIR 0.844Z file 0.307sim 0.307
    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.