Healthcare organizations entering risk-based contracts often don’t adequately consider how difficult it will be to stratify the risk of patients who will be treated under the contracts, and as a result, they don’t get the outcomes that they envisioned.

The reason is simple, Chilmark Research contends in a new report. Only 10 percent of outcomes are driven by medical care, 20 percent of outcomes are driven by genetics, and 70 are based on individual behavior and social context, says Jody Ranck, an analyst at Chilmark and lead author of the report.

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