Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

GREATER BALTIMORE MEDICAL CENTER

MD · Facility ID 210044 · FY2026

Total HAC Score

0.2342

Percentile

67.1th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital 0.2342

Hospital score 0.2342. 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

0.2342

Δ from file score

+0.0000

File 0.2342

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 1.612Z file 2.511sim 2.511
    0.273.32

    No score impact — already at the measure cap.

  • SIR 0.192Z file -0.961sim -0.961
    0.007.96
  • SIR 0.366Z file -0.436sim -0.436
    0.005.52
  • SIR 1.327Z file 0.817sim 0.817
    0.004.79
  • SIR 0.477Z file 0.385sim 0.385
    0.003.32
  • SIR 0.262Z file -0.910sim -0.910
    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.