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May 21, 2026

CMS Proposal Pushes DPP Restrictions but Near-Term Impacts on Hospitals, Nursing Homes Still Limited Due to Grandfathering

By Beth Steindecker

CMS’s long-awaited proposed rule implementing the One Big Beautiful Bill’s (OBBB) restrictions on state directed payment programs (DPPs) pushes the envelope a bit further than the statute itself, particularly for hospitals [HCA, THC, CYH, UHS,…

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May 21, 2026

GKOS: iDose Coverage & Second Line Therapy

By John Leppard

The draft local coverage decision (LCD) issued today by five MACs with jurisdiction over ~70% of Glaukos (GKOS) Medicare FFS volumes is both better and worse than we had anticipated for the company’s growing iDose…

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May 20, 2026

(STUB, LYV) California Advances 10% Cap on Ticket Resale Markups

By Joe Lieber

We expect AB 1720, the California Fans First Act, which would prohibit a ticket reseller (STUB, LYV) from selling or facilitating the sale of a covered ticket for more than the original price plus 10%,…

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May 18, 2026

Hospitals: Latest CMS Batch of Approved Hospital-Specific DPPs [HCA, CYH, THC]

By Beth Steindecker

Two long-anticipated hospital-specific Medicaid state directed payment programs (DPPs) in Florida and Indiana, benefitting HCA, CYH, and THC and other hospitals in those states, appear to have been approved by CMS in recent weeks, according…

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May 18, 2026

Capitol Policy Weekly: Reconciliation, Highway Bill, Crypto, Housing, Gas Tax and E15 in Focus

By Joe Lieber

With the Trump/Xi summit having concluded with little fanfare, though that was mostly expected, the House and Senate are in session for one final week before a week-long Memorial Day recess. The top item in…

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May 15, 2026

INSP: New Code Denial & Implications

By John Leppard

With today’s rejection of INSP’s coding application for the Inspire V device by the AMA, the company’s last opportunity to have a new code take effect by Jan. 1, 2028 will be to secure approval…

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May 14, 2026

(VMC, MLM, CRH, ROAD, GVA, STRL, CAT, URI) Highway Bill Outlook: Expect Extensions, but Watch the Deadline

By Joe Lieber

Key Takeaways We expect Congress to pass a short-term extension of the highway bill, potentially before the Sept. 30, 2026, deadline, likely at current funding levels plus an inflation adjustment. Multiple short-term extensions could follow…

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May 13, 2026

(NVDA, AMD, BA) Conference Call Takeaways: Trump/Xi Summit

By Joe Lieber

Below are the key takeaways from our conference call on this week’s Trump/Xi summit in Beijing. During the call, we touched on trade in general as well as the USMCA agreement. Our base case remains…

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May 13, 2026

Hospice / Home Health Moratorium Headwind & Advantages for Established Operators [CHE, PNTG, EHAB, BTSG]

By Beth Steindecker

CMS’s announcement of a six-month moratorium on new hospice and home health agency enrollment in Medicare is the latest escalation in the administration’s broader crackdown on alleged waste fraud, and abuse, reinforcing its ongoing targeting…

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May 13, 2026

(META, GOOGL, SNAP, TikTok) AB 1709 Watch: Timeline and Outlook for California’s Youth Social Media Bill

By Joe Lieber

Below we provide an update on AB 1709, legislation in California that would ban kids under 16 years old from creating accounts on social media platforms (META, GOOGL, SNAP, TikTok) with addictive features. We continue…

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