Healthcare Budget Offset and Macroeconomic Return of Paraprofessional Primary Care Buffers: Dataset, Break-Even Model, and Statutory Tariff Archive

Open Access Companion Repository for Working Paper:Ovsepian, R. (2026). Healthcare Budget Offset and Macroeconomic Return of Paraprofessional Primary Care Buffers: A Direct Cost-Offset and Break-Even Analysis of Rural Diabetes Control. SSRN Electronic Journal. This repository provides the complete, transparent, and auditable accounting model, sensitivity simulation matrix, and official regulatory sources underpinning the economic evaluation of autonomous primary healthcare (PHC) concessions supported by paraprofessional community health buffers (quasi-Village Health Volunteers, VHVs). Repository Contents: Rural_PHC_Dialysis_GDP_BreakEven_Model.xlsx: Fully parameterized 3-tab workbook: 1_FAP_BreakEven_Model: Single-outpost break-even calculator comparing the 360,000 RUB/year buffer budget (50 T2DM patients) against statutory single-payer hemodialysis and acute DRG tariffs; 2_Regional_Scale_&_Sensitivity: Scenario matrix scaling the intervention across 1,000 rural outposts (50,000 patients) across 5 clinical efficacy scenarios; 3_Verified_Data_Sources: Documentary audit trail linking every numerical parameter to primary statutory releases and peer-reviewed trials. Тарифное-соглашение-на-2025-1.pdf: Official 550-page Tariff Agreement on Compulsory Health Insurance in the Sverdlovsk Region for 2025 (dated December 24, 2024). Verifies the binding statutory hemodialysis tariff of 7,227 RUB/session under Service Code A18.05.002 (Section 15, Table 9, p. 51 and Appendix 36, p. 538; 1,127,412 RUB/patient-year at 156 annual sessions) and rural outpost staffing penalties (Section 6.5, pp. 16–17). Постановление Правительства РФ № 2188: Decree of the Government of the Russian Federation of December 29, 2025 on the State Guarantee Program for 2026–2028 establishing national base inpatient DRG (KSG) weights. Licensing: Creative Commons Attribution 4.0 International (CC-BY 4.0).