Wakely Consulting Group
@WakelyCG
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Wakely Consulting Group, an HMA company, delivers professional actuarial services and health care consulting beyond expectation for the health care industry.
Tampa, FL
Joined September 2016
What's new with our latest Wakely Wire, with news on Employers, Workers to Face Healthcare ‘Affordability Crunch,’ Mercer Warns, Urban Safety-Net Hospitals Vulnerable to Medicaid Cuts, CMS Issues Guidance on Medicaid Provider Tax Overhaul & more:👇
wakely.com
Explore the latest insights, events, newsworthy findings and more in the November 20, 2025 issue of the Wakely Wire, our industry newsletter.
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What's new with our latest Wakely Wire, with news on CMMI to Launch Model to Lower Medicaid Drug Spending, Novo, Lilly Cut Deal with Trump to Lower Prices of Obesity Drugs, FDA to Remove Safety Warnings on Hormonal Menopause Therapy & more:👇
wakely.com
Explore the latest insights, events, newsworthy findings and more in the November 13, 2025 issue of the Wakely Wire, our industry newsletter.
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Check out our latest Week in Washington: 📰 - Government Shutdown Ends - Things to Watch: End of Year Health Package + ACA Subsidies/Changes - KFF released its annual survey of Medicaid officials Read more in our latest release here 👉
wakely.com
Shutdown Ends
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What's new with our latest Wakely Wire, with news on Federal ACA Enrollment Kicks off Without Action on Subsidies, Medicare Finalizes Controversial Cut to Specialty Care, Legislators Object to Proposed CMS Payment Changes for Diabetes Tech & more:👇
wakely.com
Explore the latest insights, events, newsworthy findings and more in the November 6, 2025 issue of the Wakely Wire, our industry newsletter.
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PBMs face growing scrutiny for their role in generic specialty drug pricing. Recent reports: CBO sees limited impact, while FTC finds major markups & profit transfers. The debate on transparency and fair competition in pharma continues. Read more:
wakely.com
In the pharmaceutical industry, pharmacy benefit managers (PBMs) serve as the “middle men” of the industry, facilitating price negotiation, network
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If enhanced ACA subsidies expire in 2026, many—especially young and low-income—could see huge premium hikes. Impact varies by location, with some counties still offering $0 Silver plans, but others facing hikes over $16,000. #ACA
wakely.com
This white paper analyzes how ACA affordability will change in 2026 if enhanced subsidies expire. Using county-level premium data, it shows that
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Wakely’s latest analysis shows 2025’s individual market risk pool has a clear increase in relative risk vs. 2024 and past years—trend holds in early and mid-year data. Read more:
wakely.com
This white paper reviews the emerging 2025 individual market risk pool and how relative risk compares with 2024 and historical years. Results indicate an
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Check out our latest Week in Washington: 📰 - No updates on the the longest in US history shutdown - Supreme Court ruling could curtail many current tariffs - CMS finalized Medicare physician fee schedule rule Read more in our latest release here 👉
wakely.com
Shutdown – Generally no updates on the shutdown, which will be the longest in US history. Several observers noted that this week’s election, which favored
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What's new with our latest Wakely Wire, with news on Centene Posts $6.6B Loss on Massive Value Writedown, Senators Bipartisan Support for Reforming 340B, EmblemHealth Taps Prime Therapeutics, Amazon for New Pharmacy Benefit Collaboration & more:👇
wakely.com
Explore the latest insights, events, newsworthy findings and more in the October 30, 2025 issue of the Wakely Wire, our industry newsletter.
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Check out our latest Week in Washington: 📰 - Still no updates on an end to the government shutdown - 2026 ACA Open enrollment will open for most states on Saturday - Cigna Ends Prescription Drug Rebates Read more in our latest release here 👉
wakely.com
Shutdown
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2026 ACA open enrollment will be tough—expiring tax credits, rising premiums, and policy shifts create challenges. HMA & @WakelyCG are here to guide states, issuers, and vulnerable consumers through these changes. #ACA #OpenEnrollment
https://t.co/ElShNX0TL8
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Join experts from HMA and @WakelyCG, on November 20 at 1pm ET, for an inside look at how our teams help organizations navigate and thrive in the value-based landscape. Register now: https://t.co/Hl5Qn82hk9
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What's new with our latest Wakely Wire, with news on Optum Launches AI System to Speed Medical Claims, Elevance Outperforms In Q3 But Warns Of Medicaid Challenges, A New Car vs. Health Insurance? Average Family Job-Based Coverage Hits $27KI & more:👇
wakely.com
Explore the latest insights, events, newsworthy findings and more in the October 23, 2025 issue of the Wakely Wire, our industry newsletter.
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Check out our latest Week in Washington: 📰 - No progress on ending the government shutdown - CMS plans to recall about 3,000 staff that were furloughed - Potential changes to Social Security Read more in our latest release here 👉
wakely.com
Shutdown
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Join Wakely on November 6 for a deep dive into the 2026 Medicare Advantage Star Ratings. We’ll unpack what this year’s results mean for plans, including the projected impact on 2027 Medicare Advantage payments: https://t.co/E18RQEFQ6W
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What's new with our latest Wakely Wire, with news on California Passes Laws Targeting PBMs, Private Equity, Humana Loses Medicare Advantage Stars Lawsuit for a Second Time, Healthcare AI Investment Focused on Profit Margins, ROI & more:👇
wakely.com
Explore the latest insights, events, newsworthy findings and more in the October 16, 2025 issue of the Wakely Wire, our industry newsletter.
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Check out our latest Week in Washington: 📰 - Government Shutdown - Oz on Medicare Advantage Read more in our latest release here 👉
wakely.com
Shutdown
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ACA Marketplaces face a critical moment as enhanced subsidies expire 12/31/25 unless Congress acts. Millions could lose affordable coverage. HMA & @WakelyCG's Issue Brief reveals who’s impacted. More info on the HMA website: https://t.co/xDBcns6VON
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.@WakelyCG's new analysis of 2026 Medicare Star Ratings shows overall stability, with tighter cut points for med adherence & member experience. Early signs of quality improvement. Read more: https://t.co/pl1P2CfLRq
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What's new with our latest Wakely Wire, with news on No Surprises Dispute Resolution Remains Operational Despite Shutdown, A Look at the Current State of Medicare Part D, Oz Speaks Out About Shutdown, Medicaid Cuts, Medicare Advantage Audits & more:👇
wakely.com
Explore the latest insights, events, newsworthy findings and more in the October 9, 2025 issue of the Wakely Wire, our industry newsletter.
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