Wakely Risk Assessment (WRA)
Wakely Risk Assessment (WRA) helps take the risk out of risk scoring.
Inaccurate risk scores can lead to lost revenue, non-compliance, incorrect reimbursements, and even a decline in the quality of care. That’s why Wakely has developed the Wakely Risk Assessment (WRA), a transparent, open-code, high-performance risk assessment model. Designed with typical implementation challenges and actuarial needs in mind, the model facilitates more intuitive and accurate actuarial analysis.
Whichever model you choose, Wakely makes it easier.
WRA includes two models for risk assessment:
- The Wakely Risk Assessment model – Developed internally by Wakely Consulting Group, this high-performance model covers more diagnoses and national drug codes than the Health and Human Services (HHS) model. It is also more flexible and simpler to use and understand.
- The Wakely HHS-HCC model – The WRA package includes a fully developed option to run the HHS Affordable Care Act (ACA) Hierarchical Condition Category (HCC) model as well. It’s an intuitive, ready-to-use HHS risk assessment model for up-to-date ACA risk scoring.
Request a consultation to learn more about WRA.
These key features unlock more accurate risk scoring.
Key features of the Wakely Risk Assessment model:
- Uses pharmacy-only data, diagnosis-only data, or both pharmacy- and diagnosis- data
- Includes both prospective and concurrent risk assessment
- Updated annually to reflect the latest codes and cost trends
- Licensed as open-code scripts, in your choice of SAS or SQL platforms
- Offers complete access to all code and output details, including the array of condition markers
Key features of the Wakely HHS-HCC model:
- Users can easily apply any year of the ACA model (2016 and beyond) including all years with released coefficients (up to two years ahead of the CMS DIY)
- Updated several times a year to ensure that it matches the official HHS risk score calculation
- Easier to use than the CMS DIY model
- No need to maintain and update your own version of the HHS model
