Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER

MD · Facility ID 210035 · FY2026

Total HAC Score

-0.4049

Percentile

25.9th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.4049

Hospital score -0.4049. 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

-0.4049

Δ from file score

+0.0000

File -0.4049

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 0.823Z file -1.158 → sim -1.158
    0.273.32
  • SIR 0.397Z file -0.485 → sim -0.485
    0.007.96
  • SIR 0.391Z file -0.376 → sim -0.376
    0.005.52
  • SIR 0.530Z file -0.549 → sim -0.549
    0.004.79
  • SIR 0.594Z file 0.838 → sim 0.838
    0.003.32
  • SIR 0.363Z file -0.699 → sim -0.699
    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.