Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

TIDALHEALTH PENINSULA REGIONAL, INC

MD · Facility ID 210019 · FY2026

Total HAC Score

-0.3274

Percentile

30.7th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3274

Hospital score -0.3274. 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

-0.3274

Δ from file score

+0.0000

File -0.3274

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 0.919Z file -0.488 → sim -0.488
    0.273.32
  • SIR 0.302Z file -0.706 → sim -0.706
    0.007.96
  • SIR 0.763Z file 0.521 → sim 0.521
    0.005.52
  • SIR 0.823Z file -0.047 → sim -0.047
    0.004.79
  • SIR 0.255Z file -0.475 → sim -0.475
    0.003.32
  • SIR 0.329Z file -0.770 → sim -0.770
    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.