1 June 2015

Beyond risk stratification

Segmenting Populations to Tailor Services, Improve Care
Quality Matters, Commonwealth Fund, June 2015
  • An examination of the efforts of health care organizations to go beyond risk prediction into other sources of information—including clinicians’ observations, data on consumer habits, and social factors—to create more nuanced segmentation approaches.
  • It describes work by Denver Health, Kaiser Permanente and Montefiore Health System to take into account patients’ social and economic status and clinicians judgements to help them to determine which patients might benefit from specific team-based care and case management service.