UNDERSTANDING HEALTH RISK
Populations vary dramatically in their risk for future cost and their need for medical services.
Health risk may be examined at a population (employer group or plan) level or it may be
examined at the individual patient level. Understanding risk at the population level is
important for plan design, re-insurance, networks, reimbursements, and quantification of
other population level concerns. Understanding risk at the patient level allows development
of focused interventions and quantifies the impact on individuals in the population.
Many factors contribute to future risk including:
Access to Care
The single greatest predictor of individual future risk of high utilization is co-morbidity.
Patient-centric measures and metrics tend to deliver the most actionable information both at the
individual patient level and when aggregated to population level concerns.
EmmData has developed and customized tool sets, processes, and services that address risk at
both the individual patient level and also at the population level.