Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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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

Score distributionThreshold 0.3792Hospital 1.3222

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

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 0.972Z file -0.118sim -0.118
    0.273.32
  • SIR 1.461Z file 1.983sim 1.983
    0.007.96
  • SIR 1.908Z file 2.386sim 2.386
    0.005.52

    No score impact — already at the measure cap.

  • SIR 4.563Z file 2.172sim 2.172
    0.004.79

    No score impact — already at the measure cap.

  • SIR 0.193Z file -0.715sim -0.715
    0.003.32
  • SIR 1.997Z file 2.225sim 2.225
    0.004.41

    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.