Wakely Wire
March 19, 2026
New Insights
Whitepapers, briefs, press releases and more
ACA Non-Network Plans: How Big of a Disruption?
On February 9, 2026, the US Department of Health and Human Services (HHS) released the proposed Notice of Benefit and Payment Parameters (NBPP) for 2027. Under the proposed rule, non-network plans would be allowed to be certified as Qualified Health Plans (QHPs) and be able to offer Affordable Care Act (ACA) products on the Exchange ... Continue reading
Potential Swings in County-Level Benchmarks: Understanding the Nuanced Impacts of CMS’s Proposed Changes for 2027
CMS’s Calendar Year 2027 Advance Notice, released on January 26, 2026, proposed changes to fee-for-service (FFS) expenditures and introduced a new risk adjustment model. Together, these updates could result in material changes in the average geographic adjustment (AGA) factors, which drive the county-level Part C benchmark rates. In this whitepaper, we describe three key proposed ... Continue reading
Week in Washington – 3/19/26
Vaccine Change Injunction A federal judge issued an injunction against changes on vaccine policy. The injunction blocks recent changes to the vaccine schedule and likely halts further potential changes in the near term. Vaccine take-up has rapidly eroded since Secretary Kennedy took office. Researchers have estimated that further reductions in vaccine take-up in measles vaccination ... Continue reading
Newsworthy Findings
Federal Court Blocks RFK Jr.’s Moves to Upend US Vaccine Policy
The ruling, related to a lawsuit from several major medical organizations, stated that HHS ignored established protocols in altering the childhood immunization schedule and overhauling a CDC panel.
CMS Wants Seniors to Use AI for Care Navigation
The agency plans to introduce AI agents to help Medicare beneficiaries find doctors and health plans, a challenge given many enrollees don’t yet trust the tools, CMS Administrator Dr. Mehmet Oz said.
Allina Health To Join Sutter Health In $26B Proposed Transaction
Sacramento-based Sutter Health and Minneapolis-based Allina Health unveiled plans to join and form a 39-hospital, $26 billion nonprofit health system.
Moody's: Insurers' 2026 Outlook Is Negative as Cost Pressures Continue to Batter Industry
The health insurance industry's credit outlook for the year remains negative as medical costs continue to rise, according to a new report from Moody's Ratings. The Moody's analysts said that in the current environment, payers will have "limited prospects for profitable growth" this year.
Payers, Hospitals Pan CMS' Plan to Bring Non-Network Plans to ACA Exchanges
Insurers and hospitals have come together to rebuke a Trump administration proposal to roll back limits of plan designs that may be listed on the Affordable Care Act’s (ACA’s) exchanges.
Bonus Article
Dialing ‘867-5309’ Will Now Connect You with a Professional Cancer Support Line Free of Charge
Just for Fun
Math Joke:
Why did the statistician bring a ladder to the bar?
Prior Week
Q: Why did the function stop dating the constant?
A: There was no change in the relationship.
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