Optimal Care America — public technical record
Release date: 2026-09-09
Editorial standard: RVA Cyber Clear Signal Standard
Public status: final sponsor policy; provisional numeric planning envelope
Evidence cutoff: 2026-08-16
Selected policy architecture: A1
Criterion status: 38 of 39 supported; criterion 24 incomplete pending qualified independent validation
Model status: PROVISIONAL_SPONSOR_SCENARIO_NOT_INDEPENDENTLY_VALIDATED

Checked foundations:
- rights-and-outcomes constitution with 39 metrics in 13 domains
- four-layer A1 operating architecture
- eleven patient-journey families with named handoff accountability
- symmetric resource boundary and null-is-not-zero rules
- attack, non-regression, release, and closeout controls

Integrity hashes:
- final paper Markdown: 7e115f24bb5a502d416acf068028677ce46b282ca11226cce11082a1aa9c72af
- final paper PDF: f33760cd6501e852f05b3e0cbee2da3ef9786bbb96145dc6a43f2bc26aee08c5
- source planning envelope: 6be4b24bbdc8c73f6957ec5778a71f06c8e5277c4d95ea9433242bebb52f39dd
- canonical v1 paper: 61ee2ee3fa567178144605a013c430e97e53cd83c2b85f7100262706ea8ecb2a
- original criterion map: d4a4c2fb3ac222fcfd0c9bc38dbdc645fa3dd16a22b75846d1d3349e14726894

Public claim boundary:
- not legislation or sovereign consent
- not an actuarial certification
- not a guaranteed saving
- not a final tax rate
- not implementation authority