What does a risk score above 1.00 suggest?

A risk score above 1.00 indicates that a patient has a higher risk of healthcare utilization compared to the average population. This score suggests the presence of chronic conditions or significant health issues that require regular management and monitoring. When a patient's risk score exceeds 1.00, it typically reflects the complexity of their medical needs and the associated costs of care.

In the context of risk adjustment, a score above 1.00 captures the idea that the patient may require additional resources, more intensive care, or specific interventions due to their health status. It does not imply that the patient is healthy, nor does it primarily indicate a need for preventive care measures or hospitalization; such needs are general and can apply to a variety of risk scores. Therefore, a risk score above 1.00 is a clear sign of chronic conditions that necessitate ongoing management.