HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MEDSTAR HARBOR HOSPITAL
MD · Facility ID 210034 · FY2026
Total HAC Score
-0.3128
Percentile
31.5th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.3127. 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
-0.3127
Δ from file score
+0.0001
File -0.3128
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 0.868Z file -0.838 → sim -0.8380.273.32
- SIR 0.000Z file -1.407 → sim -1.4060.007.96
No score impact — already at the measure floor.
- SIR 0.142Z file -0.976 → sim -0.9760.005.52
- SIR 1.315Z file 0.796 → sim 0.7960.004.79
- SIR 0.066Z file -1.207 → sim -1.2070.003.32
- SIR 1.537Z file 1.755 → sim 1.7550.004.41
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.