{"slug":"food-bank-contra-costa-solano","organization":"Food Bank of Contra Costa and Solano","program":"Additional Mobile Food Pharmacy course","geography":"Solano County; not San Francisco city","calculator":"pharmacy","unit":"One six-month course offered to an adult with diabetes and food insecurity","how":"Local clinics and the food bank distribute produce and prescribed staples. The model assumes 26 weekly produce opportunities and six monthly staple boxes; monthly prescription frequency is a planning judgment. Costs include missed pickup capacity. Do not transfer Contra Costa Extra Helpings' separate dose.","costs":"Central $600 = $260 produce allowance + $120 staples + $130 logistics + $90 enrollment/admin. All unit prices are judgments. Expanded gross resources of $1,118 add donated food, volunteers and clinical support, before recipient travel/time. These are not audited marginal quotes or a societal incremental ICER.","evidence":"A randomized food-bank diabetes-support trial did not improve HbA1c, depression or diabetes distress. A crossover analysis of 284 of the original 568 participants found a .49-point food-insecurity score change; it is not an independent replication. Mapping each point to .01 utility is entirely judgmental. Do not divide the score by 12 to manufacture utility. Central .25 effective years models gradual onset within six months.","funding":"The May 2026 county/tribal agreement allocated $280,000 to continue this program. That is existing funding, not a $280,000 shortfall. No additional-patient donor offer verified.","equation":"Q = financing × (score improvement × transfer × utility per score point × effective years − harm)","scenarios":[{"name":"Favorable","cost":300,"scoreImprovement":0.77,"utilityPerPoint":0.03,"transfer":0.75,"effectiveYears":0.5,"fundingAdditionality":0.75,"harmQalys":0},{"name":"Central","cost":600,"scoreImprovement":0.49,"utilityPerPoint":0.01,"transfer":0.5,"effectiveYears":0.25,"fundingAdditionality":0.5,"harmQalys":0},{"name":"Pessimistic positive","cost":1000,"scoreImprovement":0.21,"utilityPerPoint":0.002,"transfer":0.25,"effectiveYears":0.125,"fundingAdditionality":0.25,"harmQalys":0}],"version":"large-bay-program-v1","verifiedMarginalOffer":false,"sources":[{"publisher":"Primary source","title":"Provider program newsletter","url":"https://www.foodbankccs.org/wp-content/uploads/2024/06/At-the-Table-Summer-2024_v7_web.pdf","published":"2024","retrieved":"2026-09-07","sourceType":"Primary program, funding or research evidence"},{"publisher":"Primary source","title":"Existing tribal funding","url":"https://yochadehe.gov/2026/05/05/solano-supes-accept-1-million-from-yocha-dehe-wintun-nation/","published":"2026-05-05","retrieved":"2026-09-07","sourceType":"Primary program, funding or research evidence"},{"publisher":"Primary source","title":"Randomized food-bank diabetes trial","url":"https://pubmed.ncbi.nlm.nih.gov/30024798/","published":"2018","retrieved":"2026-09-07","sourceType":"Primary program, funding or research evidence"},{"publisher":"Primary source","title":"Crossover food-security analysis","url":"https://escholarship.org/uc/item/2987s03g","published":"2022","retrieved":"2026-09-07","sourceType":"Primary program, funding or research evidence"},{"publisher":"Primary source","title":"Independent food-as-medicine trial","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10751657/","published":"2024","retrieved":"2026-09-07","sourceType":"Primary program, funding or research evidence"}],"evaluatedScenarios":[{"name":"Favorable","cost":300,"scoreImprovement":0.77,"utilityPerPoint":0.03,"transfer":0.75,"effectiveYears":0.5,"fundingAdditionality":0.75,"harmQalys":0,"netQalys":0.006496875,"costPerTenQalys":461760.46176046174,"maximumCostFor100k":64.96875},{"name":"Central","cost":600,"scoreImprovement":0.49,"utilityPerPoint":0.01,"transfer":0.5,"effectiveYears":0.25,"fundingAdditionality":0.5,"harmQalys":0,"netQalys":0.00030625,"costPerTenQalys":19591836.734693877,"maximumCostFor100k":3.0625},{"name":"Pessimistic positive","cost":1000,"scoreImprovement":0.21,"utilityPerPoint":0.002,"transfer":0.25,"effectiveYears":0.125,"fundingAdditionality":0.25,"harmQalys":0,"netQalys":0.00000328125,"costPerTenQalys":3047619047.6190476,"maximumCostFor100k":0.0328125}]}