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 | <7.0 | 7.0–8.0 | 8.0–9.0 | >9.0 |
|---|---|---|---|---|
| Low | 1,980 | 720 | 210 | 60 |
| Moderate | 1,210 | 1,660 | 980 | 540 |
| Rising | 420 | 560 | 720 | 980 |
| High | 200 | 226 | 328 | 1,110 |