Wakely Analytics Health Operations Optimization (WAHOO)

Wakely Analytics Health Operation Optimization (WAHOO) features dashboard technology, reporting, and consulting services designed to help payers and providers manage financial performance. Our WAHOO capabilities connect data-driven analytics to operations, centralize and control sensitive data flow, and leverage tactical tools to increase member and provider engagement and drive profitability. WAHOO provides:

  • Single source of truth and data flow
  • Real-time actionable data purely focused on key profit drivers and membership growth
  • Actuarial-backed analytics
  • Performance benchmarking

Dashboards for all levels of the organization

Using the WAHOO dashboard interface, key executive and operational insights are just clicks away. The dashboard enables you to quickly visualize a broad scope of metrics within a business segment—whether it’s Commercial, Medicare, or Medicaid—and drill down to the plan, provider, and member level. The WAHOO framework features three levels of dashboards:

  • Executives
  • Operational Leaders
  • Tactical Analytics

Centralized data mart

WAHOO transforms what can feel like an overwhelming amount of data into a centralized data mart for a single source of truth. A secure data set flows into the interactive dashboards. Dashboard access is controlled by unique logins to maintain data exclusivity.

Member and provider level profilers

One of the most important functions of WAHOO is member and provider level profiling, which ranks members and providers in terms of financial and operational opportunity improvement and by clinical metrics. Wakely’s analytic methodology identifies provider and member trends, allowing operational leaders to fix the root process while achieving better outcomes, higher member and patient satisfaction, and optimized financial results. Printable member and provider report card capability makes it easy to share actionable metrics.

Consulting wrap-around services

Analytics alone aren’t sufficient to drive strategy and execution. WAHOO also provides consulting wrap-around services to identify trends and contextualize results. Plus, it’s actuarial-backed data analysis and insight. Included are monthly meetings with operational leaders, quarterly meetings with executives, and an annual deep-dive market analysis to help drive operational results.

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 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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Wakely ACA Database (WACA)

Contains the most robust and detailed ACA data available in the industry.

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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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Ready to learn more about WAHOO?