HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
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
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
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 2.511 → sim 2.5110.273.32
No score impact — already at the measure cap.
- SIR 0.590Z file -0.038 → sim -0.0380.007.96
- SIR 0.431Z file -0.280 → sim -0.2800.005.52
- SIR 1.615Z file 1.310 → sim 1.3100.004.79
- SIR 0.468Z file 0.350 → sim 0.3500.003.32
- SIR 0.844Z file 0.307 → sim 0.3070.004.41
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.