HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
JOHNS HOPKINS HOWARD COUNTY MEDICAL CENTER
MD · Facility ID 210048 · FY2026
Total HAC Score
0.3475
Percentile
73.0th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score 0.3475. 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
0.3475
Δ from file score
-0.0000
File 0.3475
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 0.964Z file -0.172 → sim -0.1720.273.32
- SIR 0.670Z file 0.148 → sim 0.1480.007.96
- SIR 0.664Z file 0.282 → sim 0.2820.005.52
- SIR 1.954Z file 1.891 → sim 1.8910.004.79
- SIR 0.512Z file 0.520 → sim 0.5200.003.32
- SIR 0.418Z file -0.584 → sim -0.5840.004.41
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.