Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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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

Score distributionThreshold 0.3792Hospital -0.5071

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

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 1.037Z file 0.340sim 0.340
    0.273.32
  • SIR 0.279Z file -0.759sim -0.759
    0.007.96
  • SIR 0.000Z file -1.319sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 0.330Z file -0.891sim -0.891
    0.004.79
  • SIR 0.087Z file -1.125sim -1.125
    0.003.32
  • SIR 1.038Z file 0.712sim 0.712
    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.