DOTmed November 3, 2025
As value-based care (VBC) replaces fee-for-service, providers and payers face pressure to improve outcomes while controlling costs. Because VBC rewards outcomes rather than volume, system-wide risk stratification is emerging to identify not only the sickest patients but also those at future risk.
Too often, traditional stratification focuses on patients already in crisis, limiting its potential impact. This approach invests heavily with only modest improvements, missing opportunities for change.
The real opportunity lies with rising-risk patients. These are individuals whose conditions are beginning to worsen but who may still benefit from timely intervention. Reaching them earlier, while risks are modifiable, is the difference between bending the curve and paying for preventable admissions.
Seeing the whole risk picture
Population risk stratification (PRS)...
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