Wakely Wire
May 28, 2026
New Insights
Whitepapers, briefs, press releases and more
From Premiums to Performance: Managing Risk in Self-Funded Health Plans
This brief is the second in a series outlining the fundamentals of self funding. It highlights key steps to successfully establish and manage a self funded health plan, with a focus on funding strategy, risk management, and cost control, and explores alternative funding approaches such as level funding, HRAs, captives, and trusts.
Week in Washington 05/28/26
Medicaid Regulation Watch: All eyes are on CMS as it prepares for the release of the Medicaid work requirements regulation. One of the key questions is what flexibilities states will have around the definition of medical frailty. The work requirement law requires states to exempt from work requirements individuals who are medically frail. KFF has ... Continue reading
Newsworthy Findings
Ōura Files for IPO Amid Healthcare Push
The smart ring maker’s filing follows a recent $900 million fundraise and comes amid plans to develop more health features for the device.
HHS Launches AI-Backed Health Fraud Crackdown
The department will use AI to examine audits from states and other federal grant recipients, and potentially withhold funds if they aren’t able to fix errors.
Hospitals Sue CVS for Allegedly Siphoning $250M In 340B Funds
The hospitals allege CVS artificially deflated reimbursement for 340B drugs and caused them to lose $250 million in savings over five years.
ACAP Warns Final ACA Rule Adds Further Uncertainty to a Market in Flux
ACAP warned that the Trump administration’s delayed ACA marketplace rule is adding uncertainty to the 2027 bid process and could destabilize exchange markets by expanding non-network and catastrophic plans that may weaken consumer protections and risk pools.
CMS Finalizes Changes to No Surprises Act Dispute Resolution Process
CMS finalized a rule updating the No Surprises Act’s dispute resolution system by lowering administrative fees, enabling batched claims, and introducing a centralized IDR Gateway to improve efficiency amid high arbitration volumes.
Bonus Article
Everglades Restoration Project Ongoing for 20-Plus Years Sees Huge Rewilding Success
Just for Fun
Math Joke:
How do you make seven an even number?
Prior Week
Q: Why did the mathematician break up with the calculator?
A: Because she felt like he was only using her for solutions
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