Wakely Wire

New Insights

Whitepapers, briefs, press releases and 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

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Week in Washington 09/05/24

Congress Watch Congress has generally been on recess this summer but will reconvene next Monday and in session this month. The most pressing issue it will tackle this month is that it has until October 1 to pass an appropriation bill. The expectation is that there will likely be a temporary funding bill until after ... Read more

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Events & More

Unlocking Solutions in Medicaid, Medicare, and Marketplace

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  • Connect with over 200 professionals from more than 130 organizations that have already signed up. Explore the list of registered organizations to plan your “side-bar” meetings.
  • Dive into the issues at the intersection of Medicaid, Medicare, and Marketplace to bring back strategies to better align and integrate where your organization most needs it.
  • Participate in our event’s intimate, focused sessions. The more personalized experience with industry leaders, speakers, and HMA experts fosters meaningful conversations and insights relevant to your needs

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Newsworthy Findings

Drug Distributors Agree to $300M Settlement for Role in Opioid Epidemic

The settlement adds to the billions of dollars that McKesson, Cencora and Cardinal have already agreed to pay in restitution for flooding the U.S. with highly addictive painkillers.

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Editor's Note
The settlement, which does not require the distributors to admit wrongdoing, was disclosed Friday in an Ohio federal court, and still requires a judge’s approval.

Amid Shortages, U.S. Allows Expanded Production of ADHD Drug Vyvanse

Following a request from the U.S. Food and Drug Administration in July, the DEA said Thursday that Takeda Pharmaceuticals may now increase its production limit by 24%.

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Editor's Note
ADHD medication has been in short supply for years, partly due to the schedule II controlled substance classification that requires approval to increase production.

Healthcare Labor Shortage Predicted by 2028, with Uneven State Impacts: Report

Certain states and specialties will face acute shortages, while others will see a surplus of workers, according to a new study from Mercer.

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Editor's Note
According to the study, an aging population with heightened care needs and lagging labor trends will create a shortage of over 100,000 critical healthcare workers around the close of the decade, with certain states and specialties facing most of the burden.

Hospitals Boost Operating Margins in July: Report

Increased demand for services helped offset high expenses for hospitals, according to analytic solutions firm Strata.

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Editor's Note
Hospitals’ median year-to-date operating margin climbed from 4.9% in June to 6.5% in July amid increasing demand for both inpatient and outpatient services, according to the report.

Errors In Deloitte-Run Medicaid Systems Can Cost Millions And Take Years To Fix

The computer systems run by the consulting giant Deloitte that millions of Americans rely on for Medicaid and other government benefits are prone to errors that can take years and hundreds of millions of dollars to update. While states wait for fixes from Deloitte, beneficiaries risk losing access to health care and food.

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Editor's Note
For example, 35 change requests were made for the eligibility system for Georgia in 2023. These requests are estimated to take more than 104,000 hours of work by Deloitte employees.

Bonus Article

Just for Fun

Math Joke:

What do you call an empty parrot cage?

Prior Week

Q: Why did students wear glasses during math class?
A: They improved di-vision.

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