Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER

MD · Facility ID 210016 · FY2026

Total HAC Score

-0.2079

Percentile

38.2th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2079

Hospital score -0.2079. 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

-0.2079

Δ from file score

-0.0000

File -0.2079

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 1.088Z file 0.694sim 0.694
    0.273.32
  • SIR 0.113Z file -1.144sim -1.144
    0.007.96
  • SIR 0.443Z file -0.251sim -0.251
    0.005.52
  • SIR 0.195Z file -1.122sim -1.122
    0.004.79
  • SIR 0.573Z file 0.756sim 0.756
    0.003.32
  • SIR 0.611Z file -0.180sim -0.180
    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.