Wakely

Services Provided

Strategy and payer engagement

Wakely’s strategy and payer engagement services leverage our robust payer and CMS / CMMI model knowledge and proprietary data sets.

• Program, product, or service area feasibility analyses.
• Value-based contract or alternative payment model review, assessment and negotiation support.
• Value-based contract or alternative payment model projections and financial modeling.
• Provider network change impact analyses and tools.
• Payer-provider trusted data warehouse intermediary.
• Payer-provider joint economics models.

Performance evaluation, analysis and improvement

Once hospitals and health systems enter value-based arrangements or other alternative payment models, Wakely can serve as a trusted advisor to help providers understand how they are performing and outline areas of opportunity for improvement.

• Value-based contract or alternative payment model reconciliation support and settlement analysis.
• Benchmarking cost, utilization, and clinical outcomes, leveraging Wakely data sets.
• Total cost of care, utilization, unit cost analysis, and population health insights.
• Risk score opportunity and accuracy analyses and tools.
• Provider and patient level scorecards and profilers.

Administrative and operational services for organizations within value-based / risk arrangements

Wakely can support a host of other key administrative and operational functions as an organization progresses throughout its value and risk-taking journey.

• Downstream shared savings and loss strategy and analysis.
• CCLF and claims data processing.
• Ad hoc analyses and population deep dives.
• IBNR and reserving.
• Risk score accrual estimates.
• Year-end statements.

Other Resources

“Real Talk” from the Trenches of the Value-Based Payment Movement

Wakely Analytics Health Operations Optimization (WAHOO)