HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MEDSTAR SAINT MARY'S HOSPITAL
MD · Facility ID 210028 · FY2026
Total HAC Score
-0.7125
Percentile
12.5th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.7125. 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
-0.7125
Δ from file score
+0.0000
File -0.7125
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 0.883Z file -0.733 → sim -0.7340.273.32
- SIR 0.317Z file -0.671 → sim -0.6710.007.96
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 1.174Z file 0.555 → sim 0.5550.004.79
- SIR 0.210Z file -0.649 → sim -0.6490.003.32
- SIR 0.000Z file -1.457 → sim -1.4570.004.41
No score impact — already at the measure floor.
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.