HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MEDSTAR UNION MEMORIAL HOSPITAL
MD · Facility ID 210024 · FY2026
Total HAC Score
-0.5056
Percentile
20.2th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.5056. 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
-0.5056
Δ from file score
0.0000
File -0.5056
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 0.980Z file -0.060 → sim -0.0600.273.32
- SIR 0.313Z file -0.680 → sim -0.6800.007.96
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SSIUnreported
Results are not available for this reporting period.
- SIR 0.382Z file 0.017 → sim 0.0170.003.32
- SIR 0.465Z file -0.485 → sim -0.4850.004.41
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.