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

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Week in Washington 06/05/25

CBO Score Released CBO released its integrated estimates of the effects of the House reconciliation bill.  They also released their updated estimates on changes is the number of uninsured people as a result of changes in federal policy over the next decade (both the reconciliation bill, sunsetting of ePTCs, and other federal regulatory changes).  CBO ... Read more

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Events & More

See Who You’ll Meet at #HMACon2025

The HMA Conference brings together a diverse mix of healthcare leaders from across the country, including state and federal policymakers, health plan executives, community-based innovators, and strategy leads from payer and nonprofit organizations.

Whether you focus on behavioral health, Medicaid transformation, delivery system reform, risk arrangements in Medicare and Marketplace, or digital innovation, this event offers not only the insight—but the right people—to help you move your work forward.

Early bird pricing ends July 31, 2025. We can’t wait to welcome you to New Orleans this October!

Learn more and register

Newsworthy Findings

Amazon Pharmacy’s PillPack expands to Medicare patients

Seniors on Medicare can now use PillPack from Amazon Pharmacy, a service that pre-sorts medication packets before sending them to consumers’ homes. Amazon also announced a new feature allowing customers to invite caregivers to manage medications on their behalf.

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Editor's Note
Amazon is expanding its pharmacy footprint with features that support prescription adherence and caregiver oversight, while making its PillPack service available to Medicare beneficiaries—tapping into a large, high-need population amid rising competition in the pharmacy space.

CVS, Cigna Sue Arkansas to Overturn New PBM Law

CVS and Cigna have filed two separate lawsuits seeking to overturn Arkansas’ new law, which bans pharmacy benefit managers from owning or operating pharmacies in the state, from going into effect

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Editor's Note
As lawmakers push back against PBM consolidation and alleged anticompetitive practices, companies like CVS and Cigna are turning to the courts to challenge Arkansas’ sweeping reform, warning of job losses and reduced pharmacy access if the law stands.

Trump Administration Rescinds Biden-Era Guidance Protecting Access to Emergency Abortions

The CMS says it will continue to enforce EMTALA, including in cases where the health of a pregnant woman or unborn child are in “serious jeopardy.”

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Editor's Note
EMTALA, a longstanding federal law, requires Medicare-participating hospitals to provide stabilizing treatment in medical emergencies. The Biden administration interpreted this obligation to include care for pregnancy-related complications, such as miscarriage or emergency hypertensive conditions. While CMS has reaffirmed its commitment to enforcing EMTALA, its recent statement offers little clarity on what qualifies as a case of “serious jeopardy” to the pregnant patient or fetus.

Trump Administration Names National Coordinator for Health IT

Thomas Keane, who previously worked as a senior advisor to the deputy secretary of the HHS, began the role on Monday.

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Editor's Note
Thomas Keane brings a diverse background to the role, having worked as a software engineer, interventional radiologist, and senior administrator. He previously oversaw the COVID-19 Provider Relief Fund and helped lead the development of AHRQ’s National Nursing Home COVID Action Network. His appointment comes as HHS seeks $130 million to establish a formal Chief Technology Officer position—potentially signaling broader shifts in the federal health IT landscape.

State Exchange Directors Urge Senate to Reconsider GOP Megabill, Citing Harm to ACA Enrollees

State exchange directors sent a letter to Senate leadership this week urging lawmakers to reconsider provisions in the reconciliation megabill that are set to significantly reduce enrollment in Affordable Care Act plans. The letter asks the Senate to reject policies in the House-passed bill that would create red tape to get ACA coverage, and to extend more generous credits for ACA plans scheduled to expire at the end of this year.

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Editor's Note
The House passed a GOP-backed bill aligning with many of Trump’s policy priorities, including major healthcare cuts that could leave nearly 11 million uninsured — prompting widespread pushback from state officials, healthcare advocates, and even some Republicans as the Senate prepares to revise the legislation. Critics warn the proposed changes would destabilize insurance markets, raise premiums, and reverse a decade of ACA coverage gains.

Bonus Article

Just for Fun

Math Joke:

I’m over it — said the numerator to the denominator.

Prior Week

My math teacher called me average. How mean!

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