{"edition":"denver","organization":"Doctors Care","organizationId":"org:doctors-care","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-10-07","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":784690.7505890245,"canonicalPriceUSDPerTenEquivalentYears":7846907.505890246,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":784690.7505890245,"canonicalPriceUSDPerTenEquivalentYears":7846907.505890246,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"doctors-care-beta-20261007","costScope":"Whole FY2025 annual recipient functional cost against limited clinical partial benefits; combined-program recognized costs and social-resource sensitivities are not marginal gift prices.","geographicAttribution":"Littleton clinic serves beyond its location; g .95 judged beneficiary share within fixed ten-county Denver CBSA19740, not observed residence or all-Colorado share.","formula":"Health = patient N × b × eligible × completion × response × q × discounted finite T × g minus full patient N × harm × g. Household resources use N × unique, then completed incremental access × success. Positive work additionally requires clinical response and adult/caregiver work share. Same household-year components jointly logged; distinct payer losses associated with local recipients included once. Price = 10C/(health + signed income equivalents) only when positive.","counterfactual":"Other primary-care/FQHC providers, public or insurance-covered care, covered counseling and other enrollment assistance without Doctors Care.","attribution":"Incremental care b .3, separate clinical response .4 and resource success .3 are judgments. Clinical patients are not reduced by household grouping. Completion/eligibility gate both clinical and resource receipt; full exposed costs and harms remain when benefits fail.","uncertainty":"Oregon supports mechanisms and contrary labor/physical-health evidence, not local QALY or cash coefficients. Mixed insurance, actual clinical completion, adult/caregiver composition, household grouping and residence remain uncertain.","nativeOutcomes":"Matched FY2025 2,569 clinic clients/7,920 visits;898 coverage clients/1,228 appointments;6,000 ambassador touchpoints not added. Counts are delivery, not successful incremental clinical outcomes.","inputs":[{"name":"C","value":3393823,"unit":"USD annual","basis":"observed","rationale":"Original FY2025 full recipient annual expenses; clinic-only benefits are partial.","sourceIds":["finance"]},{"name":"N","value":2569,"unit":"annual clinical clients","basis":"observed","rationale":"Original FY2025 2,569 clinic clients, not visits or added coverage clients.","sourceIds":["finance"]},{"name":"unique","value":0.8,"unit":"households per clinic client","basis":"judgment","rationale":"Judged .8 household grouping applies only to resource flows, not patient health.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"eligible","value":1,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"completion","value":1,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"b","value":0.3,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"response","value":0.4,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"q","value":0.03,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"T","value":1,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"g","value":0.95,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"delay","value":0.1,"unit":"model parameter","basis":"judgment","rationale":"Judged .1-year engagement period for care and net access/resource flows; no known upfront costs capitalized into a later period.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"r","value":0.03,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"harm","value":0.0005,"unit":"model parameter","basis":"judgment","rationale":"Judged .0005 full process harm per exposed clinical patient, not household.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"success","value":0.3,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"workEligible","value":0.5,"unit":"model parameter","basis":"judgment","rationale":"Judged .5 adult/caregiver positive-work subgroup; no immediate child wages.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"workGain","value":0,"unit":"model parameter","basis":"judgment","rationale":"Central zero net earnings judgment informed by contrary original insurance labor evidence, not a measured clinic null.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"medicalGain","value":200,"unit":"model parameter","basis":"judgment","rationale":"Judged $200 otherwise-paid medical cash avoidance after existing insurance, before separate net access costs; trial direction not direct clinic coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"overlap","value":0.5,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"cost","value":75,"unit":"model parameter","basis":"judgment","rationale":"Judged $75 net additional fees/time/opportunity cost relative to alternatives, retained for all exposed households.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"baseline","value":20000,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"payerLoss","value":0,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"externalCost","value":0,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"payerPeople","value":10000,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]},{"name":"payerBaseline","value":50000,"unit":"model parameter","basis":"judgment","rationale":"Explicit finite conditional judgment; original studies do not measure this Doctors Care coefficient.","sourceIds":["services","fees","oregon-clinical","oregon-labor","cg-cost"]}],"scenarios":[{"id":"central","label":"central","overrides":{},"costUSD":3393823,"clinicalExposed":2569,"exposed":2055.2000000000003,"union":616.5600000000001,"clinicalPeople":308.28,"changed":184.96800000000002,"working":184.96800000000002,"editionQalys":7.543374701311599,"allPopulationQalys":7.940394422433262,"incomePathways":[{"id":"medical-and-work-households","people":184.96800000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":25,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. Only positive gains are overlap-adjusted; full negatives remain.","counterfactual":"Other primary-care/FQHC providers, Medicaid/CHP+, insurance, and otherwise-paid medical care. Positive work benefits apply only to an adult/caregiver subgroup with clinical response.","sourceIds":["services","finance","oregon-clinical","oregon-labor","cg-cost"]},{"id":"other-exposed-households","people":1870.2320000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":-75,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. Only positive gains are overlap-adjusted; full negatives remain.","counterfactual":"Other primary-care/FQHC providers, Medicaid/CHP+, insurance, and otherwise-paid medical care. Positive work benefits apply only to an adult/caregiver subgroup with clinical response.","sourceIds":["services","finance","oregon-clinical","oregon-labor","cg-cost"]}],"incomeEquivalent":-3.218329455840766,"incomeUnknown":false,"totalEquivalent":4.325045245470833,"price10":7846907.505890246,"costPer10Qalys":7846907.505890246,"incomeEquivalentYears":-3.218329455840766,"combinedEquivalentYears":4.325045245470833,"assumptions":"Conditional FY2025 clinic-patient reference with full-recipient annual cost. Clinical patient counts differ from household resources; causal utility, completion, additionality, Denver share and otherwise-paid spending are explicit judgments, not Oregon trial estimates."},{"id":"clinical-null","label":"clinical null","overrides":{"q":0},"costUSD":3393823,"clinicalExposed":2569,"exposed":2055.2000000000003,"union":616.5600000000001,"clinicalPeople":308.28,"changed":184.96800000000002,"working":184.96800000000002,"editionQalys":-1.2166733389212259,"allPopulationQalys":-1.2807087778118167,"incomePathways":[{"id":"medical-and-work-households","people":184.96800000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":25,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. Only positive gains are overlap-adjusted; full negatives remain.","counterfactual":"Other primary-care/FQHC providers, Medicaid/CHP+, insurance, and otherwise-paid medical care. Positive work benefits apply only to an adult/caregiver subgroup with clinical response.","sourceIds":["services","finance","oregon-clinical","oregon-labor","cg-cost"]},{"id":"other-exposed-households","people":1870.2320000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":-75,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. Only positive gains are overlap-adjusted; full negatives remain.","counterfactual":"Other primary-care/FQHC providers, Medicaid/CHP+, insurance, and otherwise-paid medical care. 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Clinical patient counts differ from household resources; causal utility, completion, additionality, Denver share and otherwise-paid spending are explicit judgments, not Oregon trial estimates."},{"id":"financial-only","label":"financial only","overrides":{"q":0,"harm":0},"costUSD":3393823,"clinicalExposed":2569,"exposed":2055.2000000000003,"union":616.5600000000001,"clinicalPeople":308.28,"changed":184.96800000000002,"working":184.96800000000002,"editionQalys":0,"allPopulationQalys":0,"incomePathways":[{"id":"medical-and-work-households","people":184.96800000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":25,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. Only positive gains are overlap-adjusted; full negatives remain.","counterfactual":"Other primary-care/FQHC providers, Medicaid/CHP+, insurance, and otherwise-paid medical care. Positive work benefits apply only to an adult/caregiver subgroup with clinical response.","sourceIds":["services","finance","oregon-clinical","oregon-labor","cg-cost"]},{"id":"other-exposed-households","people":1870.2320000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":-75,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. Only positive gains are overlap-adjusted; full negatives remain.","counterfactual":"Other primary-care/FQHC providers, Medicaid/CHP+, insurance, and otherwise-paid medical care. 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Clinical patient counts differ from household resources; causal utility, completion, additionality, Denver share and otherwise-paid spending are explicit judgments, not Oregon trial estimates."},{"id":"unknown","label":"unknown","overrides":{"clinicalUnknown":true,"incomeUnknown":true,"costUnknown":true},"costUSD":null,"clinicalExposed":2569,"exposed":2055.2000000000003,"union":616.5600000000001,"clinicalPeople":308.28,"changed":184.96800000000002,"working":184.96800000000002,"editionQalys":null,"allPopulationQalys":null,"incomePathways":[{"id":"medical-and-work-households","people":184.96800000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":25,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. 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Positive work benefits apply only to an adult/caregiver subgroup with clinical response.","sourceIds":["services","finance","oregon-clinical","oregon-labor","cg-cost"]}],"incomeEquivalent":-3.218329455840766,"incomeUnknown":true,"totalEquivalent":null,"price10":null,"costPer10Qalys":null,"incomeEquivalentYears":-3.218329455840766,"combinedEquivalentYears":null,"assumptions":"Conditional FY2025 clinic-patient reference with full-recipient annual cost. 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Only positive gains are overlap-adjusted; full negatives remain.","counterfactual":"Other primary-care/FQHC providers, Medicaid/CHP+, insurance, and otherwise-paid medical care. Positive work benefits apply only to an adult/caregiver subgroup with clinical response.","sourceIds":["services","finance","oregon-clinical","oregon-labor","cg-cost"]},{"id":"other-exposed-households","people":1870.2320000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":-75,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. Only positive gains are overlap-adjusted; full negatives remain.","counterfactual":"Other primary-care/FQHC providers, Medicaid/CHP+, insurance, and otherwise-paid medical care. 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Clinical patient counts differ from household resources; causal utility, completion, additionality, Denver share and otherwise-paid spending are explicit judgments, not Oregon trial estimates."},{"id":"clinical-response-null","label":"clinical response null","overrides":{"response":0},"costUSD":3393823,"clinicalExposed":2569,"exposed":2055.2000000000003,"union":616.5600000000001,"clinicalPeople":0,"changed":184.96800000000002,"working":184.96800000000002,"editionQalys":-1.2166733389212259,"allPopulationQalys":-1.2807087778118167,"incomePathways":[{"id":"medical-and-work-households","people":184.96800000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":25,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. Only positive gains are overlap-adjusted; full negatives remain.","counterfactual":"Other primary-care/FQHC providers, Medicaid/CHP+, insurance, and otherwise-paid medical care. Positive work benefits apply only to an adult/caregiver subgroup with clinical response.","sourceIds":["services","finance","oregon-clinical","oregon-labor","cg-cost"]},{"id":"other-exposed-households","people":1870.2320000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":-75,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. Only positive gains are overlap-adjusted; full negatives remain.","counterfactual":"Other primary-care/FQHC providers, Medicaid/CHP+, insurance, and otherwise-paid medical care. 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Clinical patient counts differ from household resources; causal utility, completion, additionality, Denver share and otherwise-paid spending are explicit judgments, not Oregon trial estimates."},{"id":"short-health","label":"short health","overrides":{"T":0.25},"costUSD":3393823,"clinicalExposed":2569,"exposed":2055.2000000000003,"union":616.5600000000001,"clinicalPeople":308.28,"changed":184.96800000000002,"working":184.96800000000002,"editionQalys":0.9733386711369802,"allPopulationQalys":1.024567022249453,"incomePathways":[{"id":"medical-and-work-households","people":184.96800000000002,"annualIncomeBeforeUSD":20000,"annualIncomeGainUSD":25,"years":1,"editionShare":0.95,"delayYears":0.1,"discountRate":0.03,"rationale":"Same household and same-year medical spending, net work resources and net additional access costs are jointly logged. 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Clinical patient counts differ from household resources; causal utility, completion, additionality, Denver share and otherwise-paid spending are explicit judgments, not Oregon trial estimates."},{"label":"work completion null","pricePer10Qalys":null,"assumptions":"Conditional FY2025 clinic-patient reference with full-recipient annual cost. Clinical patient counts differ from household resources; causal utility, completion, additionality, Denver share and otherwise-paid spending are explicit judgments, not Oregon trial estimates."},{"label":"work eligibility null","pricePer10Qalys":null,"assumptions":"Conditional FY2025 clinic-patient reference with full-recipient annual cost. 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