Batch RAF Scoring at Scale: Throughput, Idempotency, and AuditabilityMost teams build RAF scoring for one member and then discover, painfully, that "now do it for the whole population every night" is a different engineering problem. This deep-dive focuses on the three Jul 29 · 5 min readrafscorecalculator.hashnode.dev
How to Score 100K+ Members Overnight: Designing a Batch RAF PipelineThe shape of the problem Each member has demographics and a set of diagnosis codes. Something has to map codes → HCCs, apply the CMS-HCC V28 hierarchies, and sum the weights to produce a RAF. Per membJul 27 · 5 min readrafscorecalculator.hashnode.dev
RAF Score 101: Definition, Formula, Worked ExampleA compact reference you can keep open in a tab. No narrative — just the parts you need to reason about a RAF score. Definition RAF (Risk Adjustment Factor) = a relative predictor of a member's expecte1Jul 4 · 2 min readrafscorecalculator.hashnode.dev
Verifying Provider Credentials at Scale with an NPI Lookup APIProvider data is the quietly cursed dataset of healthcare engineering. Names change, practices merge, taxonomies get re-coded, and the same physician shows up three different ways across your systems.1Jun 25 · 4 min readrafscorecalculator.hashnode.dev
RAF Score, Explained Like You're Building the FormulaIf you've ever had to implement risk adjustment instead of just read about it, you know the textbook definition ("a relative measure of expected cost") doesn't help much. So let's build the RAF score 1Jun 18 · 3 min readrafscorecalculator.hashnode.dev