Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

UNION HOSPITAL OF CECIL COUNTY

MD · Facility ID 210032 · FY2026

Total HAC Score

-0.3219

Percentile

31.0th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3219

Hospital score -0.3219. 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

-0.3219

Δ from file score

+0.0000

File -0.3219

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 0.907Z file -0.566 → sim -0.566
    0.273.32
  • SIR 0.813Z file 0.479 → sim 0.479
    0.007.96
  • SIR 0.000Z file -1.319 → sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 0.917Z file 0.114 → sim 0.114
    0.004.79
  • SIR 0.418Z file 0.156 → sim 0.156
    0.003.32
  • SIR 0.316Z file -0.797 → sim -0.797
    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.