OP Panel Size Adjustment based on Risk

Does anyone have experience or thoughts on adjusting Outpatient panel sizes for “risk” (HCCs, hospitalizations, age…whatever) from your respective organizations?  

Any thoughts or references would be appreciated.
Thank you-



  • I was at Kaiser Colorado for 20 years and we risk adjusted our IM/FM panels based on HCC risk factors.  There were other variables considered as well but that was one of them.  I am now at Iora Health and we are devising a way to adjust panel size as well.  1,000 patients with a RAF of 0.95 is much different than 1,000 patients with a RAF of 1.2.
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