Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER

MD · Facility ID 210043 · FY2026

Total HAC Score

0.1583

Percentile

62.2th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.1583

Hospital score 0.1583. 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

0.1583

Δ from file score

-0.0000

File 0.1583

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 0.833Z file -1.085sim -1.085
    0.273.32
  • SIR 1.002Z file 0.918sim 0.918
    0.007.96
  • SIR 0.847Z file 0.723sim 0.723
    0.005.52
  • SIR 0.599Z file -0.430sim -0.430
    0.004.79
  • SIR 0.411Z file 0.129sim 0.129
    0.003.32
  • SIR 1.030Z file 0.695sim 0.695
    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.