Wakely Network Evaluation & Strategy Tool (NEST)
MA networks perform best with the help of Wakely NEST.
Whether you’re a health plan looking to optimize the growth and profitability of your products, or a provider network seeking to improve cost and quality performance, Wakely’s Network Evaluation & Strategy Tool (NEST) gives you the insights you need to build, optimize, and maintain high-performing Medicare Advantage networks.
- Health plan leaders can use the MA comparisons provided by NEST to inform both network development initiatives and contract negotiation strategy. The integrated insights from NEST make it easy to understand how competitors are tailoring provider networks, and which providers they are excluding.
- Health systems can use NEST data and insights to curate high-performing, clinically integrated networks, improving their performance in value-based contracts and making them more attractive to health plans.
Request a consultation to learn more about NEST.
Designed to work harder for you.
Wakely NEST is a web-based software service, available to our customers 24/7. Your organization can use the NEST platform to analyze, explore, and build provider networks with greater confidence than ever, thanks to these features:
- One integrated solution – Unlike fragmented point tools, NEST unifies adequacy, quality, and financial insights in a single platform.
- Actuarial + strategic expertise – NEST was built by expert Wakely consultants who have deep knowledge of Medicare Advantage markets.
- Future-ready platform – NEST was designed to evolve with CMS requirements and support both emerging and established markets.
Understand the competition and improve network performance with one powerful tool.
NEST simplifies the process of evaluating and optimizing provider networks in a competitive environment. Use NEST to:
Understand the competitive landscape
Gain visibility into how your network compares to competitors on utilization, outcomes, and quality.
- Benchmark network strength regionally, nationally, or by county
- Identify provider-level performance variations down to the National Provider Identifier (NPI)
- Support more effective rate negotiations with quality-based insights
Ensure network adequacy & compliance
Simplify the process of meeting CMS requirements and closing coverage gaps.
- Generate CMS-compliant Health Service Delivery (HSD) submissions for providers and facilities
- Pinpoint adequacy shortfalls at the county or regional level
- Prioritize recruitment efforts to strengthen compliance and coverage
Drive strategic network design
Use robust analytics to shape networks that balance quality, access, and financial sustainability.
- Evaluate risk scores and Hierarchical Condition Categorie (HCC) prevalence across provider panels
- Identify opportunities for value-based arrangements at the provider level
- Align network design with market growth, profitability, and quality goals
