Wakely Wire
July 23, 2026
New Insights
Whitepapers, briefs, press releases and more
CY 2027 MSSP Proposed Rule Analysis: What the Medicare Shared Savings Program Changes Mean for ACOs
CMS has proposed one of the most significant sets of Medicare Shared Savings Program (MSSP) financial changes in recent years. While many of the proposed changes create new opportunities for Accountable Care Organizations (ACOs), others could significantly affect benchmark calculations, shared savings, financial forecasting, and strategic planning. Our latest white paper provides an actuarial and ... Continue reading
Week in Washington 07/23/26
Regulations CMS Withholds Medicaid Funding – CMS announced it would be withholding more than $1 billion in Medicaid funding for California and Minnesota over alleged fraud and non-compliance. The allegations center on in-home care programs. HHS announced it would also be seeking to expand its authority to remove participants due to suspected fraud. Prescription Drug ... Continue reading
Newsworthy Findings
Novo Sues Lilly, Alleging ‘Misleading’ Advertising Of Obesity Drugs
Novo Nordisk is suing its biggest obesity drug rival, alleging on Tuesday that Eli Lilly is engaging in deceptive advertising by intentionally using outdated studies to compare the higher doses of its medicines to lower doses of Novo’s products.
Clinic and Physician Practice Bankruptcies Spike in 2026 So Far
Clinic and physician practice bankruptcies snowballed in the first half of the year, even as the filings in the healthcare sector overall stabilized compared with historic averages.
CMS Moves to Codify Limits on Medicaid Provider Taxes
The rule is meant to prevent states from guaranteeing that providers will be refunded for their tax costs, and should save Washington $246 billion over the next decade, regulators said.
Clover Health Hit with Data Breach
The insurer, which disclosed the breach in a securities filing late last week, doesn’t yet know what type of data was exposed or how many people may have been impacted.
CMS Appeals Court Decision Behind 2026 MA Star Ratings Recalculations
The Trump administration has appealed a Georgia federal court ruling that required CMS to recalculate 2026 Medicare Advantage Star Ratings, a decision that could significantly affect quality bonus payments and has prompted additional lawsuits from several health insurers.
Bonus Article
5 New Marine Reserves to Protect Dolphins and Kelp Forests off New Zealand's South Island
Just for Fun
Math Joke:
Why are mathematicians great at parties?
Prior Week
Q: Why was the doctor great at algebra?
A: Because they always knew how to solve for X-rays,
Sign up for the
Wakely Wire,
our industry newsletter.




