Wakely Quality Solutions
Maximize quality measures with Wakely Quality Solutions.
Wakely Quality Analytics takes a holistic and collaborative approach to healthcare quality measurement. To craft a strategy that maximizes Star Ratings and HEDIS measurement, we leverage actuarial data analytics, data science, and program management experience. Our client-centric quality solutions and services don’t stop at measure run results — we include predictive analytics for year-end and next-year results, help you set targets based on projected Star Ratings cut-points, and recommend action steps toward your goals.
Our expert consultants can also help you interpret performance results and provide you with insights to maximize your scores.
Wakely’s Quality Solutions Services
To set up your organization for ratings success, our consultants and actuaries offer a wide array of services:
- Establishing year-round analytics to improve Star Ratings performance
- Tracking, predicting, and modeling Star Ratings
- Setting meaningful targets based on Medicare Stars cut-point projections, inclusive of new CMS methodologies
- Preparing your organization for digital measurement and other program changes
- Imputing race and ethnicity for HEDIS measurement stratification and enabling data collection to advance health equity efforts
- Uncovering key drivers of your quality measure performance by provider, member, and geography
- Providing customized reporting with targeted data flows for measure-specific member engagement
- Assessing data flows and transformation logic to untap new clinical data sources
- Setting up value-based payment or incentive models to drive improvement and estimate revenue impact
Driving Digital Quality Measurement (dQM) Transformation
As quality measurement moves toward fully digital reporting, payers must rethink how policy, data, and operations work together. Wakely helps organizations drive Digital Quality Measurement (dQM) transformation—aligning regulatory requirements with sustainable operating models and financial outcomes.
We work with clients to:
- Assess dQM readiness across policy, data, analytics, and operations
- Design phased roadmaps aligned with CMS and NCQA timelines
- Model the financial and operational impact of digital quality adoption
- Support pilots, governance design, and scalable operating models
Together with HMA and Leavitt Partners, an HMA Company, Wakely delivers an integrated digital quality capability—combining policy foresight, actuarial and analytics rigor, and execution expertise—to help organizations move from regulatory readiness to measurable performance improvement.
Wakely Quality Solutions Products
In addition to consulting services, Wakely also offers proprietary products and tools to help your organization maximize quality measures.
Stars Calculation Tool: Houses and retrieves extensive historical CMS Star Ratings and enrollment data and allows you to scenario-test measure-level values, cut-points, or Star Ratings to determine the potential impact.
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