Wakely Risk Insight National Reporting Project (WRINR)

What drives profitability in ACA markets? Let WRINR show you.

The Wakely Risk Insight National Reporting (WRINR) Project is the largest ACA member-level profitability study of its kind; Wakely has been performing the study for over a decade. We analyze data from more than ten million individual and small-group ACA lives with our innovative Wakely Risk Insight (WRI) software. Using the results, participating issuers can identify key profitability drivers, and see how their own drivers compare to national benchmarks.

Participation in the WRINR project is offered as a free service to issuers, providing invaluable insights into the ACA market.

Request a consultation to learn more about WRINR.

Results you can use, in two formats.

Wakely’s WRINR analysis is provided to participating issuers in two formats:

  • Written report in PDF format
  • Power BI – A web-based visual platform that helps users understand issuer-specific and national trends

Sample Power BI Exhibits:

Sample Power BI Exhibits top drivers of profitability
Sample Power BI Exhibit of key metrics by benefit year

Thorough analysis to find key drivers of profitability.

To find drivers of profitability, the WRI algorithm examines study data by:

  • Demographics
  • Metallic tiers
  • Hierarchical Condition Categories (HCCs)
  • Rating area
  • Deciles and quartiles of cost
  • and more

Reporting also includes regional benchmarks, such as:

  • High level utilization and unit cost by service categories
  • Impact of supplemental diagnosis codes (from chart reviews) for your organization vs. sampled average
  • Utilization of specialty/high-cost drugs for your organization vs. sampled average
  • Prevalence and net income by each individual HCC for your organization vs. sampled average

Ready to learn more about WRINR?

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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 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)