Wakely Wire

New Insights

Whitepapers, briefs, press releases and more

Concentration of Specialty Services in Medicaid Provider Networks

Medicaid consumers, providers, managed care organizations, and states all have an interest in ensuring access to specialty care for Medicaid beneficiaries. We sought to interrogate the national Transformed Medicaid Statistical Information System (TMSIS) database to learn more about specialty provider networks and examine the provision of specialty services across various states. The concentration of specialty ... Read more

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Week in Washington 02/06/25

Congress Congress continued to debate next steps on legislation. House leaders appear focused on advancing one bill that tackles all issues tax cuts, spending cuts, and immigration. The Washington Post reported that the majority of the spending cuts would be created through imposition of nationwide work requirements on the Medicaid program. Senate Republicans prefer to ... Read more

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Newsworthy Findings

Argentina Says It Will Withdraw From the World Health Organization, Echoing Trump

A spokesman says President Javier Milei has ordered Argentina’s withdrawal from the World Health Organization due to “profound differences” with the U.N. agency

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Editor's Note
The move, which echoes former U.S. President Donald Trump’s past efforts, is framed as a defense of national sovereignty and comes ahead of Milei’s upcoming U.S. visit.

Trump Tariffs May Play Havoc with Health Prices, Supply Chains

A trade war with China could shock fragile global health care supply chains, driving up the cost of medical supplies, intensifying shortages of common drugs and limiting U.S. medical device makers' ability to import critical parts.

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Editor's Note
President Trump this week imposed a 10% tariff on all imports from China while agreeing to a 30-day pause on 25% tariffs for Canadian and Mexican imports. China responded by threatening 15% tariffs on many U.S. imports.

RFK Jr. Clears Key Hurdle on Path to HHS Secretary

A key Senate committee voted to advance Robert F. Kennedy Jr.’s nomination even after some legislators raised concerns about his vaccine stances and confusion on programs like Medicaid and Medicare.

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Editor's Note
If confirmed as U.S. Health Secretary, RFK Jr. has vowed to address the rise in chronic disease and curb the consumption of ultra-processed foods. However, his controversial stance on vaccines and autism, along with his limited grasp of Medicare’s complexities, remain points of contention.

Hospitals Seek to Intervene in J&J Lawsuit Against HHS to Protect Valuable Drug Discounts

340B Health and two safety-net hospitals want to help the government prove that drugmakers are required to give discounts on 340B drugs at the point of sale.

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Editor's Note
Requiring hospitals to purchase drugs at full price at the point of sale and submit claims later creates financial risk, as drugmakers may reject legitimate rebate claims. This could lead to significant costs for staffing and legal fees to comply with rebate requirements—UMass Memorial Medical Center estimates an annual cost of $400,000.

Cigna to Tie Executive Compensation to Customer Satisfaction

Cigna is one of a handful of national insurers that pledged to ameliorate customer pain points with healthcare, but the first to release a specific plan.

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Editor's Note
Cigna also plans to release an annual “customer transparency” report starting next year with information on its business practices, including data on prior authorization requests, appeals and denials.

Bonus Article

Just for Fun

Math Joke:

Why did the student do multiplication problems on the floor?

Prior Week

Q: What do you call a number that just can’t stand still?

A: A roamin numeral

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