HAC Penalty Simulator
FY2026 · counterfactual measure changes (partial-equilibrium)
Counterfactual simulator
MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER
MD · Facility ID 210062 · FY2026
Total HAC Score
-0.5071
Percentile
20.1th
Displayed status
Exempt (Maryland)From CMS Payment Reduction column (file).
Score vs threshold (0.3792) — simulated position
Hospital score -0.5071. 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
-0.5071
Δ from file score
+0.0000
File -0.5071
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 1.037Z file 0.340 → sim 0.3400.273.32
- SIR 0.279Z file -0.759 → sim -0.7590.007.96
- SIR 0.000Z file -1.319 → sim -1.3190.005.52
No score impact — already at the measure floor.
- SIR 0.330Z file -0.891 → sim -0.8910.004.79
- SIR 0.087Z file -1.125 → sim -1.1250.003.32
- SIR 1.038Z file 0.712 → sim 0.7120.004.41
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.