Population Health Dashboard

Member risk & care-opportunity overview

Care management • Member intelligence

See the shape of your population in one upload.

Drop in your member risk export and get an instant, plain-language picture of who is highest-risk, what conditions are most common, and exactly which members may benefit from outreach.

Your data never leaves this device

Everything is read and charted inside your browser. Nothing is uploaded or stored.

Risk, conditions & an outreach list

A risk pyramid, top conditions, and a ranked, exportable list of members to follow up with.

No file handy?

file.csv 0 members analyzed Processed locally ·

Total members

0

Risk stratification

Your members grouped by predicted health risk. Click a band to see those members.

How to read this: the small group at the top drives most cost and need — they usually benefit most from proactive care management. The middle (rising-risk) band is where early outreach can prevent members from moving up.

Patient need groups

Segments members by overall health need and complexity.

Need group key

Members in each group.

    Care complexity

    Resource Utilization Band — overall expected use of care, from non-users to very high need. Each bar is split by payer / line of business.

    RUB key

    Members in each band.

      Members by age

      Age distribution across the population, split by risk level.

      This view summarizes the data in your export and is intended to support — not replace — clinical judgement. Risk scores reflect predicted health need; always confirm member details before outreach.

      Clinical & morbidity profile

      What is actually driving need in this population — conditions, the body systems carrying disease burden, multimorbidity load, frailty, and open care opportunities. Tap any bar or tile to see exactly which members sit behind it.

      Care modifiers

      ACG care modifiers present across the population — clinical and utilization signals that shape a member's care plan.

      Condition prevalence

      Every chronic condition detected from diagnosis history, ranked.

      Disease burden by body system

      Members with diagnoses in each major clinical system (ACG diagnostic clusters).

      Multimorbidity load

      How many chronic conditions members carry at once.

      Frailty markers

      Geriatric vulnerability signals (ACG frailty taxonomy) among flagged members.

      Care-opportunity flags

      Actionable cohorts worth a closer look. Each tile is a ready-made worklist — tap to open it.

      Risk & cost intelligence

      The model produces several distinct signals — overall predicted cost, pharmacy-specific risk, and the odds of becoming a persistent high-cost member. Use them together to separate one-off events from durable, manageable risk.

      Predicted-cost risk percentile

      Where members fall on the 0–100 risk scale. Tap a band to list them.

      Care complexity (Resource Utilization Band)

      Expected intensity of care use, from non-users to very high.

      Medical vs pharmacy risk

      Each dot is a member. Members high on the pharmacy axis but low on medical are often drug-cost driven — a different management play than medically complex members. Tap a dot to open the member.

      High Rising Low

      Highest predicted-risk members

      Top of the population by overall predicted cost risk.

      Health equity & social drivers

      Clinical risk rarely sits on its own. This view layers in person-level social needs and neighborhood conditions — food access, deprivation, transportation, isolation — so outreach can account for the barriers a member actually faces.

      Race & ethnicity

      Self-reported, where available. Tap a bar to list members.

      Documented social-need markers

      Person-level signals captured from diagnoses (ACG social markers).

      Neighborhood conditions

      Census-derived context for each member's home area. Tap any segment to pull the members living in those areas.

      Payer mix & book of business

      Who carries this population and how risk concentrates across lines of business and plans — useful for contracting, care-management staffing, and knowing where rising-risk members sit.

      Line of business

      Members by coverage type. Tap a bar to list them.

      Top plans & products

      The 12 most common products in this file.

      Risk concentration by line of business

      High and rising-risk share within each book — where to focus care management.

      Member explorer

      Every member, every signal. Search, filter, sort, then open any row for the full clinical and social picture behind the numbers.