Wakely Wire
New Insights
Whitepapers, briefs, press releases and more
Medicaid Redetermination Impacts on the Individual Market (2025 Revision)
This paper was originally published in July 2024 to present Wakely’s study on how emerging Medicaid redeterminations (data through April 2024) impacted the health of the individual market in 2024. This updated version utilizes revised market-level enrollment and morbidity trends for data through December 2024. The updated metrics continue to support the preliminary results published ... Read more
Events & More
Adapting for Success in a Changing Healthcare Landscape
Join the Plenary Conversations Moving Healthcare Forward
At a time of transformation across Medicaid, Medicare, and the healthcare ecosystem as a whole, the HMA Conference plenary sessions bring together leading voices from across the field to dig into the policies, innovations, and partnerships reshaping care.
From the opening keynote to the closing conversation, you’ll hear from state leaders, federal experts, provider executives, and cross-sector changemakers tackling the most pressing questions in healthcare today.
Early bird pricing ends July 31, 2025. We can’t wait to welcome you to New Orleans this October!
Newsworthy Findings
HHS Watchdog Accuses CVS Medicare Advantage Plan of Upcoding
The vast majority of diagnoses codes that CVS subsidiary Coventry Health and Life Insurance Company submitted to the CMS between 2018 and 2019 weren’t supported by patient documentation, the HHS Office of Inspector General found.
Public Health Scholars Ask HHS to Reject Georgia Medicaid Work Requirement Extension
The American Public Health Association and dozens of other public health scholars had harsh words for Georgia’s request to extend its controversial “Pathways to Coverage” program.
Hospital Finances Improved Through April: Kaufman Hall
The improved financial performance was driven largely by rising patient volumes and hospital efficiency, according to the consulting firm.
Four Ways Trump’s ‘One Big Beautiful Bill’ Would Undermine Access to Obamacare
Major changes could be in store for the more than 24 million people with health coverage under the Affordable Care Act, including how and when they can enroll, the paperwork required and the premiums they pay.
Rising Costs Push Employers to Rethink Benefits Strategies: WTW
WTW’s latest Benefit Trends Survey reveals that rising costs are prompting employers to adopt a more strategic approach to managing their benefits. A growing number plan to reallocate or rebalance their benefits spending over the next several years.
Bonus Article
Scientists Identify New Way Cancers Sustain Themselves–and That Ginger Could Disrupt it
Just for Fun
Math Joke:
Why did the geometry teacher eat pizza?
Prior Week
I’m over it — said the numerator to the denominator.
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