A Crash-Course in Comprehensive Risk Stratification

Risk stratification, or separating patient populations based on specific variables, is a central precept in managing value-based contracts like the Medicare Shared Savings Program (MSSP) or Medicare Advantage (MA) plans. The process of risk stratification helps identify patients based on conditions like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), or diabetes. Stratifying patients can also be deployed based on predicted resource utilization (cost of healthcare) over a determined period. For those still familiarizing themselves with population health management and data analytics, comprehensive risk stratification requires different measurements to create a full, accurate picture of a patient’s health status …