HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
CARROLL HOSPITAL CENTER
MD · Facility ID 210033 · FY2026
Total HAC Score
-0.1795
Percentile
40.5th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.1795. 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
-0.1795
Δ from file score
+0.0000
File -0.1795
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 1.065Z file 0.532 → sim 0.5320.273.32
- SIR 0.000Z file -1.407 → sim -1.4060.007.96
No score impact — already at the measure floor.
- SIR 0.496Z file -0.123 → sim -0.1230.005.52
- SIR 0.691Z file -0.273 → sim -0.2730.004.79
- SIR 0.804Z file 1.651 → sim 1.6510.003.32
- 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.