{
  "version": "2.0",
  "date": "2026-10-05",
  "basis": "Annual incremental resource cost at 2025 valuation basis",
  "physician_rate": 74.1,
  "other_hospital_rate": 34.5,
  "md_full_cost_rate": 214.2123287671233,
  "md_index": 1.428082191780822,
  "hours_per_fte": 1600,
  "scenarios": [
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      "id": "low",
      "label": "Unterer Ansatz",
      "extra_audits": 1000000,
      "physician_hours": 0.15,
      "other_hospital_hours": 0.6,
      "md_assessor_hours": 0.5,
      "md_support_hours": 0.25,
      "insurer_hours": 0.25,
      "insurer_rate": 30.3,
      "hospital_unit_cost": 31.814999999999998,
      "md_unit_cost": 107.10616438356165,
      "insurer_unit_cost": 7.575,
      "unit_cost": 146.49616438356162,
      "hospital_cost": 31814999.999999996,
      "md_cost": 107106164.38356164,
      "insurer_cost": 7575000.0,
      "payer_cost": 114681164.38356166,
      "total_cost": 146496164.3835616,
      "hospital_hours": 750000.0,
      "md_hours": 750000.0,
      "insurer_total_hours": 250000.0,
      "total_hours": 1750000.0,
      "physician_total_hours": 150000.0,
      "fte": 1093.75
    },
    {
      "id": "central",
      "label": "Bevorzugte Schätzung",
      "extra_audits": 1300000,
      "physician_hours": 0.5,
      "other_hospital_hours": 1.0,
      "md_assessor_hours": 0.5,
      "md_support_hours": 0.25,
      "insurer_hours": 0.5,
      "insurer_rate": 46.3,
      "hospital_unit_cost": 71.55,
      "md_unit_cost": 107.10616438356165,
      "insurer_unit_cost": 23.15,
      "unit_cost": 201.80616438356165,
      "hospital_cost": 93015000.0,
      "md_cost": 139238013.69863015,
      "insurer_cost": 30095000.0,
      "payer_cost": 169333013.69863012,
      "total_cost": 262348013.69863015,
      "hospital_hours": 1950000.0,
      "md_hours": 975000.0,
      "insurer_total_hours": 650000.0,
      "total_hours": 3575000.0,
      "physician_total_hours": 650000.0,
      "fte": 2234.375
    },
    {
      "id": "high",
      "label": "Oberer Ansatz",
      "extra_audits": 2000000,
      "physician_hours": 0.75,
      "other_hospital_hours": 1.25,
      "md_assessor_hours": 1.0,
      "md_support_hours": 0.5,
      "insurer_hours": 0.75,
      "insurer_rate": 73.2,
      "hospital_unit_cost": 98.69999999999999,
      "md_unit_cost": 214.2123287671233,
      "insurer_unit_cost": 54.900000000000006,
      "unit_cost": 367.8123287671233,
      "hospital_cost": 197399999.99999997,
      "md_cost": 428424657.53424656,
      "insurer_cost": 109800000.00000001,
      "payer_cost": 538224657.5342466,
      "total_cost": 735624657.5342466,
      "hospital_hours": 4000000.0,
      "md_hours": 3000000.0,
      "insurer_total_hours": 1500000.0,
      "total_hours": 8500000.0,
      "physician_total_hours": 1500000.0,
      "fte": 5312.5
    }
  ],
  "one_way_sensitivity": [
    {
      "parameter": "extra_audits",
      "low": 201806164.38356164,
      "high": 403612328.7671233
    },
    {
      "parameter": "md_assessor_hours",
      "low": 262348013.69863015,
      "high": 401586027.39726025
    },
    {
      "parameter": "physician_hours",
      "low": 228632513.69863015,
      "high": 286430513.6986301
    },
    {
      "parameter": "other_hospital_hours",
      "low": 244408013.69863012,
      "high": 273560513.69863015
    },
    {
      "parameter": "insurer_hours",
      "low": 247300513.69863012,
      "high": 277395513.69863015
    },
    {
      "parameter": "insurer_rate",
      "low": 251948013.69863015,
      "high": 279833013.69863015
    }
  ],
  "fixed_volume_sensitivity": [
    {
      "id": "low",
      "total_cost": 190445013.6986301
    },
    {
      "id": "central",
      "total_cost": 262348013.69863015
    },
    {
      "id": "high",
      "total_cost": 478156027.39726025
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  ],
  "capacity_difference": 4057092.65,
  "full_capacity_at_central_unit_cost": 818746306.2452397,
  "half_year_at_central": 131174006.84931508,
  "md_unindexed_central_cost": 220610000.0,
  "aligned_initiated_audits": [
    {
      "quarter": "2025Q3",
      "invoice_quarter": "2025Q1",
      "identifiers": 1574,
      "unmatched": 0,
      "initiated_estimate": 316938.2549,
      "rounding_bound": 188.72345
    },
    {
      "quarter": "2025Q4",
      "invoice_quarter": "2025Q2",
      "identifiers": 1554,
      "unmatched": 5,
      "initiated_estimate": 304285.785,
      "rounding_bound": 178.5461
    },
    {
      "quarter": "2026Q1",
      "invoice_quarter": "2025Q3",
      "identifiers": 1535,
      "unmatched": 6,
      "initiated_estimate": 320519.2308,
      "rounding_bound": 186.5395
    },
    {
      "quarter": "2026Q2",
      "invoice_quarter": "2025Q4",
      "identifiers": 1533,
      "unmatched": 1,
      "initiated_estimate": 312927.4094,
      "rounding_bound": 188.29055
    }
  ],
  "aligned_initiated_total": 1254670.6801,
  "aligned_rounding_bound": 742.0996
}