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Whitepapers, briefs, press releases and more

Evaluating the Medication Adherence Impact of the Low-Income Drug Copay Waiver

Beginning in 2021, Medicare Advantage plans were allowed to waive Part D copay amounts for low-income members through the VBID model. This offering rapidly expanded, with 62 participating Medicare Advantage Organizations offering the benefit on their D-SNPs in the 2025 coverage year. This paper examines the impact of removing Part D copays on medication adherence ... Read more

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Events & More

CY2025 Trends in Medicare Part D Plans

Wakely Webinar:
Wednesday, February 26- 1:00 PM ET

The Inflation Reduction Act’s Part D benefit redesign commenced January 1, 2025. As benefit design becomes more uniform across Part D plans, this webinar explores how sponsors adjusted the benefits of their plans to meet the requirements of the legislation, while still remaining competitive. We will review the CY2025 movements of Part D benefits and formulary placement, in addition to an assessment of the national stand-alone PDP landscape.

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Newsworthy Findings

Trump’s Tariffs Prompt Fears for Cost, Quality of Critical Medications

Tariffs on foreign goods threaten the cost and quality of prescription medications – especially Chinese-made generics upon which the U.S. has become dependent.

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Editor's Note
The Trump administration’s tariffs on Chinese imports could disrupt the pharmaceutical supply chain, potentially leading to shortages and higher costs for generic drugs and antibiotics. Increased production costs may drive some manufacturers to cut corners or stop producing certain essential medications.

As States Mull Medicaid Work Requirements, Two Seek to Scale Back

Proposals from Georgia and Arkansas reveal the disconnect between rhetoric on Medicaid requirements and reality, advocates and researchers say.

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Editor's Note
As the Trump administration renews its push for Medicaid work requirements, requiring enrollees to prove they are working, volunteering, or going to school is back on the table. However, Georgia and Arkansas—two states with firsthand experience implementing such policies—are now moving in the opposite direction.

Trump Endorses House Budget Proposal, Likely Leading to Severe Medicaid Cuts

President Donald Trump has endorsed a House budget plan that includes $880 billion in Medicaid spending reductions over 10 years, as part of broader fiscal policy changes affecting federal programs.

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Editor's Note
The proposed Medicaid spending reductions could impact healthcare access for millions of low-income individuals, alter state budget priorities, and affect funding for hospitals, nursing homes, and mental health services.

Trump Orders Independent Agencies to Run All Regulations by White House

A new executive order expands White House oversight of independent agencies by requiring them to submit regulations for review, coordinate priorities with the administration, and adhere to executive performance standards, with some exceptions.

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Editor's Note
The order may influence healthcare policy and regulation by centralizing decision-making authority, potentially affecting how agencies implement rules related to medical services, insurance oversight, and public health programs.

NIH Cuts to University Research Funding: FAQ

The National Institutes of Health announced major reductions to indirect costs for research funding in a move many experts say would cause irreparable harm to lifesaving medical research, universities, hospitals and patients.

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Editor's Note
The NIH’s decision to cap indirect research costs at 15% has sparked legal challenges and concerns about its impact on medical research, universities, and graduate programs. As hearings approach, the outcome could significantly shape the future of U.S. research funding.

Bonus Article

Just for Fun

Math Joke:

What does an actuary do when they walk into a bar?

Prior Week

Q: Where do mathematicians go on vacation?

A: Times Square

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