Wakely ACA Database (WACA)

Wakely’s ACA Database, named “WACA” contains detailed claims, eligibility and premium data from Edge Servers for over 4.6 million individual and small group market lives in 2021 and almost 3.5 million lives in 2020.

This certified de-identified data contains most HHS Edge Server fields. WACA is perhaps the most robust database containing detailed ACA data constructed available in the industry.

Wakely is making this data available for use in consulting projects, as well as licensing to certain organizations for use in research and other applications. There are two versions of the data available for license:

  1. Summary Level Data – Easy-to-use Excel file with information summarized for key fields such as demographics, condition categories, metal plan tier and income category among many others. Customization is available.
  2. Detailed Data – Full Edge Server detailed data. (For a list of fields, please refer to the Data Dictionary linked below.)
Download the Data Dictionary

WACA data can be used to answer many different questions, such as:

How is the mix of services different by metal tier?

What age and gender demographic tends to purchase each metal tier?

How does my emergency room utilization compare to other ACA plans in my region?

Which health condition categories drive costs, by metal tier and subsidy level?

While the data is useful for many topics such as benchmarking, pricing, and marketing, there are some limitations. The most significant limitation in the database is geography. In order to obtain the required data use permissions, geographic information was removed except for “major region” (North, Southeast, Midwest and West).

Unique products and tools.

Wakely has developed these industry-leading products and tools, which empower our clients to make highly informed strategic decisions.

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Wakely Medicare Advantage Competitive Analysis Tool (WMACAT)

Allows health plans to compare Medicare Advantage benefits and market information at the national, state, and county levels, to evaluate plan design and performance.

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Wakely National Risk Adjustment Reporting (WNRAR)

Provides risk adjustment metrics from 35 states and 19 million lives.

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Risk Score Opportunities (RSO)

Identifies and prioritizes members who are most likely to have a condition that has not been coded.

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Wakely Plan Valuation Model (WPVM)

Supports pricing, mental health parity compliance, cost and utilization analysis and more.

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Risk Adjustment Payment & Identifying Discrepancies (RAPID)

Gets the most out of your EDGE data.

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Wakely Analytics Health Operations Optimization (WAHOO)

Helps payers and providers optimize financial performance with a complete package of services and tools.

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Wakely Affordable Care Act Competitive Analysis Tool (WACACAT)

Allows users to interactively explore market metrics.

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Wakely Risk Assessment (WRA)

Provides a transparent, open-code, high-performance risk assessment model.

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Wakely Risk Insight (WRI)

Includes two major components: The Medicare National Report (MNR) and WRI-MA. Both pinpoint drivers of profitability and compare them to national benchmark data.

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Wakely Risk Insight National Reporting Project (WRINR)

Identifies key profitability drivers for the individual and small group markets.

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Wakely Medicare Repricing Analysis Tool (WMRAT)

Aids the comparison of payment rates across multiple lines of business, categories of service, geographic locations, and providers.

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Risk Adjustment Data Integrity Analysis & Lineage (RADIAL)

Compares multiple data sources to provide transparency in risk score differences.

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Risk Adjusted Payments & Identifying Discrepancies for Medicare Advantage Plans (RAPID-M)

Helps plans optimize risk scores by identifying RAPS and EDS inconsistencies

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