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Module 9 · Population Health Intelligence · 9.2

Risk Stratification Workbench

Four stratification models over the 96,000 in-scope population. Model transparency is mandatory: class, inputs, refresh date, and known limitations render on every surface. Rising-risk is the RS-1 default lens.

RS-1 Prospective Risk — distribution
Low59,520
Moderate23,040
Rising8,640
High4,800
Model transparency (mandatory)
Model classForward-looking cost/complexity risk per member. HCC-family model with MOD calibration — same model family as contract risk adjustment, prospective stance (one family, two stances).Input domainsClaims, diagnoses, pharmacy, labs, demographicsRefresh date5 Oct 2027Known limitsAFHSR-catchment strata carry a data-sufficiency caveat (registry DQ).
Cross-model matrix · RS-1 × RS-2 (diabetes)
RS-1 \ RS-2<7.07.0–8.08.0–9.0>9.0
Low1,98072021060
Moderate1,2101,660980540
Rising420560720980
High2002263281,110