Uncategorized


July 29, 2026

[ENSG, PACS, SBRA, OHI, LTC, CTRE]: SNF Final Rule Meets Expectations but Future PDPM Rate Pressures Remain Overhang

By Beth Steindecker

CMS’s final FY27 Medicare skilled nursing facility (SNF) reimbursement regulation, which was released late Wednesday, was largely uneventful and in line with expectations for SNF operators [ENSG, PACS] and related REITs [SBRA, OHI, LTC, CTRE]….

Read More >>

July 29, 2026

(META, GOOGL, SNAP, PINS, RDDT, STUB, LYV) California: Social Media Bill Likely to Pass; Ticket Resale Cap More Uncertain

By Joe Lieber

We wanted to update you on two California bills that we believe are likely to become law and would negatively Meta Platforms (META), Alphabet (GOOGL), Snap (SNAP), Pinterest (PINS), Reddit (RDDT), TikTok, StubHub (STUB) and…

Read More >>

July 29, 2026

[CNC, CVS, UNH, HUM] CMS Raises Stakes for Standalone PDPs for CY27 Part D

By Beth Steindecker

Tuesday’s CMS release detailing the financial components of its CY27 standalone Medicare Part D program and its decision to sunset the related two-year Part D Premium Stabilization Demo suggest additional uncertainty for standalone Part D…

Read More >>

July 28, 2026

ASML & Tokyo Electron: Another China Risk

By Joe Lieber

We see Congress as another—and potentially more immediate—risk to ASML (ASML) and Tokyo Electron (TOELY) following yesterday’s weakness in semiconductor-equipment stocks on reports that China has begun producing domestic immersion deep-ultraviolet (DUV) lithography machines. The…

Read More >>

July 27, 2026

Capitol Policy Weekly: Senate Runs Short on Time for CLARITY and Reconciliation as AI Debate Grows

By Joe Lieber

The Senate is in session for the final two weeks before its month-long August recess begins on Friday, August 7, while the House is out until September 1. The pause in U.S. and Iranian attacks…

Read More >>

July 27, 2026

Rx Pricing: MFN Risks & Path Ahead

By John Leppard

With the GUARD (Part D) & GLOBE (Part B) most favored nation (MFN) models under review at the White House, we give ~80% odds to the administration moving forward with final rules, where our estimates…

Read More >>

July 23, 2026

Defense Funding Is Likely, but Healthcare Cuts Could be Revived Post-Election

By Joe Lieber

We expect Congress to approve more than $60 billion in additional defense funding through a bipartisan supplemental appropriations bill or reconciliation measure, on top of a 5%-8% increase in baseline FY27 defense spending. While our…

Read More >>

July 23, 2026

(COIN, HOOD, GLXY, CRCL) CLARITY Act: Time Is Running Out

By Joe Lieber

We continue to assign 1-in-3 odds that the CLARITY Act becomes law this year—and we wonder if that number is too high. The Senate has roughly two weeks to resolve several major disputes before leaving…

Read More >>

July 22, 2026

[CNC, MOH, HCA, THC, UHS]: Medicaid Work Requirement Litigation Thoughts

By Beth Steindecker

We think the July 28 federal court hearing on the 25 states and the District of Columbia’s request to preliminarily enjoin CMS’s interim final rule (IFR) for Medicaid community engagement (CE) requirements for the Medicaid…

Read More >>

July 20, 2026

Capitol Policy Weekly: Government Funding, Reconciliation and China Export Controls (ASML, TOELY, NVDA, AMD)

By Joe Lieber

The House and Senate are in session this week, but the legislative window before the August recess is narrowing. The House is scheduled to leave at the end of the week and return August 31,…

Read More >>