Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MEDSTAR MONTGOMERY MEDICAL CENTER

MD · Facility ID 210018 · FY2026

Total HAC Score

-0.6614

Percentile

13.9th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.6614

Hospital score -0.6614. 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

-0.6614

Δ from file score

+0.0000

File -0.6614

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 0.994Z file 0.039 → sim 0.039
    0.273.32
  • SIR 0.347Z file -0.602 → sim -0.602
    0.007.96
  • SIR 0.102Z file -1.073 → sim -1.073
    0.005.52
  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.138Z file -0.928 → sim -0.928
    0.003.32
  • SIR 0.722Z file 0.052 → sim 0.052
    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.