Value-Based Care Risk Stratification: A Healthcare Executive's Guide to Clinical Implementation

Most healthcare leaders struggle with the same challenge: risk stratification models that generate scores but don't drive clinical action. 

While 90% of hospitals plan to deploy AI for early diagnosis and remote monitoring by 2025, most organizations still battle fragmented data, disconnected workflows, and clinical teams who don't trust or have time for another dashboard.

This creates missed opportunities for cost savings, preventable physician burnout from reactive care, and competitive disadvantage as other health systems implement proactive care models.

Leading organizations are already seeing measurable results by focusing on organizational alignment rather than just technology deployment:

✅Banner Health eliminated hours of manual triage in their cardiology program with smart patient monitoring. 

✅Prisma Health created a three-tiered system that automatically routes high-risk patients to case management, improving contract profitability through precise risk-adjustment coding.

Key takeaways from this whitepaper:

• Uncover the hidden costs of fragmented data: Move beyond historic claims to integrate EHR, pharmacy, and social‑determinant feeds into a unified risk platform.
• Co-create trustworthy models: Engage physicians and operations from day one. Design tiered risk triggers and customized workflows that reflect real‑world care delivery.
• Embed insights into daily workflows: Deliver prescriptive risk scores and next‑step alerts directly within clinician and care‑manager tools, ensuring proactive and timely action. 
• Implement continuous learning loops: Establish feedback channels so your models evolve alongside population needs, local conditions, and staffing capacity.

Download this whitepaper to build a sustainable risk stratification system that aligns data, people, and workflows. Take the first step to drive proactive care and stronger financial performance.

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