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The Risk-Stratified Care Management Rubric is a framework designed to guide the physician and the care team through the process of stratifying patients into six risk based levels on health severity, social determinates, and utilization of services.
Created by AAFP subject matter experts, this rubric provides a framework on how to identify and assign patient's health risk level; given that, provides care plan suggestions; and also includes a diabetes example case illustrating different risk-levels and associated care plan suggestions.