Methods, systems, and computer-readable media for creating a model that enables a health system with a population of patients to better understand its patient population by being able to track which patients are being well-managed and which patients may be in need of some type of clinical intervention are provided. The methods, systems, and computer-readable media create a model that enables a health system to assess its patient population in terms of wellness, complexity, and impactability. Wellness provides a measure of resource consumption of patients within the population, complexity measures the long-term complexity of patients within the population, and impactability provides an indication of how in-need a patient is of some type of clinical intervention.