{"edition":"houston","organization":"The Rose","organizationId":"org:the-rose","boundaryVersion":"OMB-23-01-2023-07-21","updated":"2026-10-06","display":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":23829499.0099416,"canonicalPriceUSDPerTenEquivalentYears":238294990.099416,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"listDisplay":{"metric":{"id":"daly-equivalent","years":1,"label":"DALY","priceLabel":"$ / DALY"},"priceUSD":23829499.0099416,"canonicalPriceUSDPerTenEquivalentYears":238294990.099416,"conversion":"display only; QALYs and income equivalents are not measured clinical DALYs"},"model":{"version":"the-rose-beta-20261006","costScope":"Full annual recipient expense against limited uninsured navigation/access hypothesis; all insured screening, other medical and education benefits unknown, not zero. Not whole portfolio EV or marginal gift.","geographicAttribution":"Original uninsured women and navigation counts span recipient Southeast Texas services; mobile residence62counties. Houston .8 share is retained judgment, not observed MSA residence; .5 sensitivity.","formula":"Exposed=N*unique; benefit union=N*unique*b. Clinical=clinicalN*unique*b*clinicalResponse*q*discounted finite years minus all exposed harms; geography once. Resources are joint household logs, positive-only overlap, full exposed costs; distinct payer treatment/transfer costs localized once. Headline=10*C/(health+signed resource equivalents).","counterfactual":"Existing insurance, BCCS, Harris Health, other screening/navigation providers and family support retained","attribution":"The .25 additional response and .3 clinical-benefit response are explicit hypotheses against public/partner alternatives; original trials support variable navigation mechanisms, not local coefficients. 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Small positive conditional denominator is sensitive and not empirical portfolio EV.","nativeOutcomes":"Additional timely appropriate treatment/access, after false-positive and overdiagnosis harms; current187 nav includes177uninsured and10insured in original return, not187new uninsured lives saved.","inputs":[{"name":"C","value":15986247,"unit":"USD annual recognized resources","basis":"observed","rationale":"Recognized annual recipient expense plus netted direct event expense","sourceIds":["services","finance"]},{"name":"N","value":8571,"unit":"annual reference service opportunities","basis":"observed","rationale":"OriginalFY2025 return explicitly8,571 individual unduplicated uninsured women, notverifieduniquehouseholds.","sourceIds":["services","finance"]},{"name":"unique","value":0.95,"unit":"households per patient proxy","basis":"judgment","rationale":"Distinct household mapping prior, not clinical efficacy.","sourceIds":["services","finance"]},{"name":"b","value":0.25,"unit":"incremental annual response share","basis":"judgment","rationale":"Additional annual implementation versus public/insurance/provider alternatives, not an additional marginal-gift haircut.","sourceIds":["services","finance"]},{"name":"q","value":0.2,"unit":"QALY per person-year","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"T","value":2,"unit":"finite clinical years","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"g","value":0.8,"unit":"Houston MSA share","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"delay","value":0.25,"unit":"years","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"discount","value":0.03,"unit":"annual discount rate","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"success","value":0.1,"unit":"additional resource success share","basis":"judgment","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"medicalGain","value":0,"unit":"USD annual otherwise-paid care avoided","basis":"unknown","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"workGain","value":0,"unit":"USD annual net disposable work resources","basis":"unknown","rationale":"Explicit finite local hypothesis, not an empirical recipient coefficient.","sourceIds":["services","finance"]},{"name":"transferGain","value":300,"unit":"USD annual net additional practical-support resources","basis":"judgment","rationale":"Judged $300 net aid/travel/childcare resources after alternatives, taxes and benefit offsets; 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