Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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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

Score distributionThreshold 0.3792Hospital 0.3475

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

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 0.964Z file -0.172sim -0.172
    0.273.32
  • SIR 0.670Z file 0.148sim 0.148
    0.007.96
  • SIR 0.664Z file 0.282sim 0.282
    0.005.52
  • SIR 1.954Z file 1.891sim 1.891
    0.004.79
  • SIR 0.512Z file 0.520sim 0.520
    0.003.32
  • SIR 0.418Z file -0.584sim -0.584
    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.