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Risk Management

RAF V28 Simple · Center avg 1.059 · 6 of 18 members on a rising-risk trend

Data as of Feb 28, 2026Generated Wed, 10 Jun 2026 14:28:59 GMT

RAF Distribution

Members grouped by current RAF score (V28 Simple)

Max: 2.639
  • 0.0-0.5: 46
  • 0.5-1.0: 157
  • 1.0-1.5: 152
  • 1.5-2.0: 61
  • 2.0-2.5: 15
  • 2.5-3.0: 1
source: demo.risk_participant_summary

Rising Members Trend

Average RAF across the rising-risk cohort, by month

6 of 18 tracked
source: raw_statepace.risk_scores

High-Risk Outliers

Members whose RAF exceeds the center average by the largest variance

#MemberCurrent RAFCenter avgVariance
1Karen J.2.6391.0591.58
2Jose F.2.3121.0591.253
3Michael B.2.2681.0591.209
4George J.2.2261.0591.167
5Christopher D.2.1801.0591.121
6Susan W.2.1571.0591.098
7Fernando M.2.1451.0591.086
8Fernando L.2.1171.0591.058
9Brian H.2.1081.0591.049
10William A.2.1061.0591.047
source: demo.risk_participant_summary

Potential Coding Gaps

Members with medication burden whose current RAF likely understates clinical complexity

MemberMed countCurrent RAFBurden
Diego G.61.227Polypharmacy
Brian B.61.278Polypharmacy
William B.61.278Polypharmacy
William T.61.370Polypharmacy
Kevin T.50.644Polypharmacy
Andre D.51.315Polypharmacy
source: demo.pharmacy_participant_summary · demo.risk_participant_summary