The Wakely Plan Valuation Model (WPVM)

WPVM: Optimize plan design with this customizable tool.

Health plan design incorporates so many variables, including population, service line, geographic location, and more. That’s why the Wakely Plan Valuation Model (WPVM) is customizable, allowing users to calculate the most accurate actuarial values for their unique needs. Transparent, flexible, and easy to use, WPVM simplifies pricing, benchmarking, and so much more.

Whether it’s your data or ours, WPVM makes it work harder.

WPVM is an Excel-based tool backed by Wakely’s exclusive ACA database of more than eight million lives, which is updated annually. The flexibility of WPVM means that users can:

  • Use Wakely’s database, their own data, or a combination
  • Input front-end population selections so that the data reflects a certain population
  • “Remix” populations to reflect expected demographic or metal-mix changes, or calibrate the model for a particular use
  • Customize data based on metal tier, subsidy level, specific conditions, PMPM levels, trends, and more

Request a consultation to learn more about WPVM.

How WPVM makes your job easier.

WPVM’s clean user interface, transparent calculations (no black boxes), and customizability simplifies tasks, such as:

  • Plan design for a range of service lines, including individual, small group, large group, Medicare Advantage, specialty product, and more 
  • Actuarial value calculation
  • Premium rate development
  • Benchmarking
  • Healthcare cost and utilization analysis
  • Compliance checking (e.g., mental health parity)
  • Loading plans into the Federal Actuarial Value Calculator (AVC)

Ready to learn more about WPVM?

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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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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)