Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

WESTERN MARYLAND REGIONAL MEDICAL CENTER

MD · Facility ID 210027 · FY2026

Total HAC Score

-0.2439

Percentile

36.0th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2440

Hospital score -0.2440. 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

-0.2440

Δ from file score

-0.0001

File -0.2439

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 0.910Z file -0.549 → sim -0.549
    0.273.32
  • SIR 0.120Z file -1.128 → sim -1.128
    0.007.96
  • SIR 0.559Z file 0.029 → sim 0.029
    0.005.52
  • SIR 1.647Z file 1.365 → sim 1.365
    0.004.79
  • SIR 0.292Z file -0.332 → sim -0.332
    0.003.32
  • SIR 0.291Z file -0.849 → sim -0.849
    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.