Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MEDSTAR FRANKLIN SQUARE MEDICAL CENTER

MD · Facility ID 210015 · FY2026

Total HAC Score

-0.0235

Percentile

51.5th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0235

Hospital score -0.0235. 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

-0.0235

Δ from file score

+0.0000

File -0.0235

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 1.413Z file 2.511sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.105Z file -1.163sim -1.163
    0.007.96
  • SIR 0.303Z file -0.588sim -0.588
    0.005.52
  • SIR 0.700Z file -0.257sim -0.257
    0.004.79
  • SIR 0.346Z file -0.122sim -0.122
    0.003.32
  • SIR 0.448Z file -0.521sim -0.521
    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.