Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER

MD · Facility ID 210063 · FY2026

Total HAC Score

-0.0806

Percentile

47.5th

Displayed status

Exempt (Maryland)

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.0806

Hospital score -0.0806. 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

-0.0806

Δ from file score

-0.0000

File -0.0806

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 0.724Z file -1.483sim -1.483
    0.273.32

    No score impact — already at the measure floor.

  • SIR 0.731Z file 0.289sim 0.289
    0.007.96
  • SIR 1.363Z file 1.967sim 1.967
    0.005.52
  • SIR 0.858Z file 0.013sim 0.013
    0.004.79
  • SIR 0.426Z file 0.187sim 0.187
    0.003.32
  • SIR 0.000Z file -1.457sim -1.457
    0.004.41

    No score impact — already at the measure floor.

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.