Wakely National Risk Adjustment Reporting (WNRAR)

Risk adjustment reporting that keeps your organization prepared.

The Wakely National Risk Adjustment Reporting (WNRAR) Project provides participating issuers with reports detailing risk adjustment metrics, including payables and receivables. The project covers more than 35 states and 19 million lives, and provides data categorized by risk pool (individual, small group, and catastrophic) and by state. About 80 issuers participate in the project, including nearly all major multi-market Affordable Care Act (ACA) issuers. 

Don’t get blindsided: WNRAR keeps you on top of risk adjustment transfers.

If your organization relies solely on the ACA risk adjustment program for metrics, it’s hard to compare your risk scores to the market throughout the year. WNRAR collects data from participants and provides them with estimates five times each year — five snapshots of the market they can use to project their risk adjustment transfer payments or receivables more accurately. In a historically volatile risk adjustment environment, this can save your organization money and time.

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How to participate — and benefit — with WNRAR.

Any ACA issuer who meets the WNRAR data submission requirements and pays an annual fee may participate in the WNRAR project. Participant benefits include:    

  • Five reports of risk adjustment metrics per year, presented in Excel format, organized by risk pool and state. This concurrent market data helps facilitate more accurate risk accruals, pricing and benchmarking.
  • Metrics include:
  • Year-to-date and projected full-year risk adjustment transfer estimates
    • Issuer and market member months risk scores by metal
    • Issuer and market prevalence by metal for demographics, Hierarchical Condition Categories (HCCs), and Prescription Drug Categories (RXCs)
    • Impact of supplemental diagnosis codes (from chart reviews) for your organization vs. market average
    • Concurrent market data to facilitate more accurate risk accruals, pricing, and benchmarking
  • Access to white papers on risk adjustment topics

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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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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 Payments: Investigation of Discrepancies Tool (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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Wakely ACA Database (WACA)

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

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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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Risk Adjustment Data Integrity Analysis & Lineage (RADIAL)

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

Risk Adjustment Data Integrity Analysis & Lineage (RADIAL)