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The Exam Room

Prevention in Practice: Managing High-Risk Patients with Dr. Andy Mayberry

Oct 23, 2025 · 21m

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On this episode

About this episode

In this insightful episode, Dr. Rhiannon Winsor sits down with Dr. Andy Mayberry , a longtime family physician at Chiricahua Community Health Centers , to explore the art and science of managing high-risk patients . From chronic disease and smoking cessation to care coordination and patient follow-up, Dr. Mayberry explains how proactive communication, preventive screenings, and consistent visits can dramatically improve outcomes. He also discusses the Risk Adjustment Factor (RAF) score as a useful framework for identifying high-risk patients and designing visit schedules that catch problems early. Listeners will walk away with practical ideas for improving chronic care management ,…