Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

MEDSTAR GOOD SAMARITAN HOSPITAL

MD · Facility ID 210056 · FY2026

Total HAC Score

-0.2260

Percentile

37.2th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.2260

Hospital score -0.2260. 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

-0.2260

Δ from file score

+0.0000

File -0.2260

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 1.045Z file 0.393 → sim 0.393
    0.273.32
  • SIR 0.120Z file -1.128 → sim -1.128
    0.007.96
  • SIR 0.538Z file -0.022 → sim -0.022
    0.005.52
  • SIR 0.000Z file -1.456 → sim -1.456
    0.004.79

    No score impact — already at the measure floor.

  • SIR 0.574Z file 0.760 → sim 0.760
    0.003.32
  • SIR 0.744Z file 0.098 → sim 0.098
    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.