The prevalence of multiple chronic conditions is significant, and must factor into strategies for effectively managing care for patient populations.  However, the presence of chronic disease is not the only meaningful way to risk stratify this particular patient population.  Caring for your population doesn’t begin with a risk score; it begins with a clear objective for the scoring strategy.  The risk score cannot be the sole driver in caring for the population, but rather it is a key metric to use for population segmentation and refining strategies that ultimately lead to the appropriate plan of care.