HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
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
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
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 0.694 → sim 0.6940.273.32
- SIR 0.113Z file -1.144 → sim -1.1440.007.96
- SIR 0.443Z file -0.251 → sim -0.2510.005.52
- SIR 0.195Z file -1.122 → sim -1.1220.004.79
- SIR 0.573Z file 0.756 → sim 0.7560.003.32
- SIR 0.611Z file -0.180 → sim -0.1800.004.41
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.