Wakely Products

Wakely National Risk Adjustment Reporting (WNRAR)

WNRAR provides participating issuers with detailed risk adjustment metrics by risk pool (individual, small group, and catastrophic) and state.

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RAPID

The RAPID tool diagnoses data issues that will likely impact ACA risk adjustment transfers.

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RAPID-M

The RAPID-M tool identifies and prioritizes encounter data issues that may adversely impact a Medicare Advantage plan.

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Wakely Risk Insight (WRI)

Wakely Risk Insight provides health plans with detailed reporting that identifies which characteristics of the carrier are driving profitability.

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Risk Score Opportunities (RSO)

Wakely RSO is an algorithm that identifies and prioritizes those members who are most likely to have a condition that has not been coded.

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Wakely Risk Assessment (WRA)

Wakely Risk Assessment assigns risk scores to members in a simple and transparent manner and includes the HHS ACA risk assessment model.

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National ACA Profitability Study

The National ACA Profitability Study provides issuers with key insights into the profitability of their business compared to national benchmarks.

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Wakely ACA Database (WACA)

WACA contains detailed claims, eligibility and premium data from EDGE servers for over 4 million individual and small group market lives for 2019.

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Wakely Plan Valuation Model

The Wakely Plan Valuation Model is a unique tool designed to support premium rate development, benchmarking, healthcare cost & utilization analysis.

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Wakely Medicare Advantage Competitive Analysis Tool (WMACAT)

This tool is used by health plans to compare Medicare Advantage benefits and market information at the national, state, and county level.

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Wakely Analytics Health Operations Optimization (WAHOO)

The WAHOO dashboard and wrap around consulting services uses datasets to drill-down and report member level profitability and key operational metrics.

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Wakely Affordable Care Act Competitive Analysis Tool (WACACAT)

The Wakely Affordable Care Act Competitive Analysis Tool (WACACAT) is designed for users to gather market intelligence for the individual, small group

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Wakely Medicare Repricing Analysis Tool (WMRAT)

WMRAT is a reporting tool that provides claim line level detail and summaries of medical claims repriced to Medicare FFS rates.

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RADIAL

RADIAL- Risk Adjustment Data Integrity: Analysis & Lineage

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Wakely Risk Insights for Medicare Advantage

Wakely Risk Insights for Medicare Advantage houses two major components: The Medicare National Report & WRI-MA.

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