Wakely Medicare Advantage Competitive Analysis Tool (WMACAT)

The Wakely Medicare Advantage Competitive Analysis Tool (WMACAT) is designed to be used by health plans to compare Medicare Advantage benefits and market information at the national, state, and county level. The tool presents data in Excel format when a comprehensive comparison of benefits is desired, and in Power BI dashboard format when the user wants to drill down into market/county statistics such as enrollment, Star Ratings, historical risk scores, etc.

Why choose WMACAT?

It is impossible to manage what you cannot measure, and measuring performance in the Medicare Advantage market is now more challenging than ever. With an increasingly crowded marketplace leading to more competition than ever before, it is more important than ever to differentiate yourself and stand out in the market. Without knowing what’s out there, how can you know which plan designs work, and which do not?

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WMACAT Key Features

Compare market characteristics such as Medicare enrollment, market share, member premium and benefit details by geography and plan. Derive detailed plan performance year over year.

Determine which plans are the richest based on member expected out of pocket cost. Filter to see comprehensive supplemental benefit information, including details on OTC, Dental, Vision, Hearing, and Transportation.

Utilize detailed competitor benefit information to inform your plan designs. Benefit information contains new details on the latest supplemental benefit offerings including valuations on the richness of these benefits.

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 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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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)

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