HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS
MD · Facility ID 210038 · FY2026
Total HAC Score
1.3222
Percentile
97.4th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 1.3222. 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
1.3222
Δ from file score
-0.0000
File 1.3222
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 0.972Z file -0.118 → sim -0.1180.273.32
- SIR 1.461Z file 1.983 → sim 1.9830.007.96
- SIR 1.908Z file 2.386 → sim 2.3860.005.52
No score impact — already at the measure cap.
- SIR 4.563Z file 2.172 → sim 2.1720.004.79
No score impact — already at the measure cap.
- SIR 0.193Z file -0.715 → sim -0.7150.003.32
- SIR 1.997Z file 2.225 → sim 2.2250.004.41
No score impact — already at the measure cap.
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.