Wakely Wire
September 13, 2024
New Insights
Whitepapers, briefs, press releases and more
MAPD Turns 18
Medicare Advantage and Prescription Drug (MAPD, or simply MA) plans have been in the market for nearly two decades when Medicare Part D coverage began in 2006 and have grown into viable options for Medicare beneficiaries. As we celebrate MAPD’s 18th birthday in 2024, we are reflecting on its major achievements, as well as the ... Read more
Optimizing Contracting and Performance Assessments for Health Plans, Care Management Providers, and Benefit Vendors
In the evolving landscape of healthcare, care management organizations (CMOs) and benefit solution vendors play a critical role in delivering value-based care and high-quality health outcomes. Assessing savings and financial performance is essential, both to ensure that they are providing value to beneficiaries and to garner support from the health plans and other risk-bearing entities ... Read more
Events & More
Unlocking Solutions in Medicaid, Medicare, and Marketplace
Are you ready to tackle the pressing issues that are defining the future of housing and healthcare?
Rising costs, limited supply, and instability are reaching record highs putting housing out of reach for millions of people. These issues lead to mental health challenges, chronic disease, lower birthweight in newborns, and higher mortality.
Join us at HMA’s Fall Conference, for engaging discussions with highly regarded experts and federal and state policymakers working to unlock solutions at the intersection of healthcare, housing, and human services. Community organizations, health systems and health plans, will be there discussing trends in health and housing policy. Whether you’re implementing re-entry programs, housing crisis services or elder housing innovations – learn about the unexpected challenges and pathways to success.
Newsworthy Findings
Telehealth groups urge Congress, White House to extend controlled substance virtual prescribing
More than 300 telehealth and provider organizations say time is running out for regulators to propose a rule before pandemic-era flexibilities expire at the end of the year.
Iowa Awards Centene Medicaid Managed Care Contract
Iowa Total Care, a subsidiary of the St. Louis-based payer, can continue doing business in Iowa’s managed care program, which paid it $2.8 billion in the last fiscal year.
Major PBMs could be zeroing in on specific payer markets for dominance, study suggests
New research into PBMs’ market strategies could inform lawmakers looking to reform the industry.
Biden administration finalizes rule raising mental health coverage standards for private plans
The rule gives additional teeth to an almost 16-year-old law meant to force health insurers to cover mental health and substance use benefits at the same level as physical healthcare.
House Republicans Stand Firm on Association Health Plans
Republicans voted to support association health plans, which critics argue undermine Affordable Care Act protections, while proponents claim they increase coverage flexibility.
Bonus Article
Remembering James Earl Jones – The Voice of Millennials’ Childhood and Titan of the Theater
Just for Fun
Math Joke:
Why did the fraction break up with the decimal?
Prior Week
Q: What do you call an empty parrot cage?
A: A polygon (a polly gone).
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