Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

NORTHWEST HOSPITAL CENTER

MD · Facility ID 210040 · FY2026

Total HAC Score

-0.0055

Percentile

52.3th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0054

Hospital score -0.0054. 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

-0.0054

Δ from file score

+0.0001

File -0.0055

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 1.297Z file 2.156 → sim 2.156
    0.273.32
  • SIR 0.718Z file 0.259 → sim 0.259
    0.007.96
  • SIR 0.410Z file -0.330 → sim -0.330
    0.005.52
  • SIR 0.156Z file -1.189 → sim -1.189
    0.004.79
  • SIR 0.293Z file -0.328 → sim -0.328
    0.003.32
  • SIR 0.410Z file -0.600 → sim -0.600
    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.