Wakely Wire
October 10, 2024
New Insights
Whitepapers, briefs, press releases and more
Optimizing Healthcare Costs: Quantifying the Role of Annual Wellness Visits
Annual Wellness Visits (AWVs) play a crucial role in Medicare’s preventive care services, aiming to improve health outcomes through early risk identification and personalized prevention plans. Introduced as part of the Affordable Care Act (ACA) in 2010, AWVs are fully covered under Medicare Part B, focusing on long-term health management rather than immediate medical concerns. ... Read more
Week in Washington 10/10/24
2026 ACA Payment Notice CMS released its annual proposed 2026 Notice of Benefit of Payment Parameters which sets forth key regulations that affect the individual and small group market. The proposed rule includes tightening rules around agents and brokers, changes to the medical loss ratio for certain issuers, potential changes to the risk adjustment program ... Read more
Newsworthy Findings
Medicare Tweaks Rules For Second Round Of Drug Price Talks
The U.S. government is fine-tuning the rules for how it will negotiate drug prices within Medicare when the second round of talks with drugmakers begins early next year. Specifically, officials at the CMS plan to offer manufacturers earlier meetings to discuss pricing offers, according to final guidance the agency released Wednesday.
CMS Rolls Out Proposed Generic Drug List To Ease Cost-Sharing Burden
The Centers for Medicare & Medicaid Services (CMS) released a list of prescription drugs it hopes to include in its new Medicare $2 Drug List Model, the agency announced Wednesday.
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.
CMS Increases Scrutiny On Nursing Home Ownership By Seeking Mandatory Medicare Revalidation
Nursing homes must prepare for an off-cycle revalidation process being mandated by the Centers for Medicare and Medicaid Services (CMS), or risk losing billing privileges.
Widespread IV Fluid Shortages Have Providers Starting To Cancel Procedures, Survey Finds
In a poll of its provider membership fielded earlier this week, healthcare group purchasing organization Premier Inc. found that 86% are reporting IV fluid shortages after Hurricane Helene interrupted operations at a Baxter International facility in North Carolina.
Bonus Article
Largest-Ever Planetary Spacecraft Set for Launch Towards Jupiter to Study the Ocean Moon of Europa
Just for Fun
Math Joke:
Do you know who invented algebra?
Prior Week
Q: Why is 69 so scared of 70?
A: Because once they fought, and 71.
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