clinical risk groups (CRGs)

Clinical Risk Groups (CRGs) are a classification system used in healthcare to group patients based on their health conditions and medical history. This helps healthcare providers and insurers understand the overall health risk of individuals or populations, enabling better planning and management of care. CRGs consider various factors like chronic illnesses, recent procedures, and health status to categorize patients into groups that reflect their healthcare needs. This system supports targeted interventions, resource allocation, and insurance coverage decisions, ultimately aiming to improve patient outcomes and efficiency in healthcare delivery.