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July 16, 2026

CDNA: Positive Coverage Surprise & Implications

By John Leppard

Today’s final coverage decision on organ allograft rejection testing represents a clear positive for CareDx (CDNA), with meaningful improvements over both last year’s initial proposal and even our own expectations, likely neutralizing what had been…

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July 15, 2026

PRVA, ASTH, RDNT, LMRI, USPH, RadPar: CY27 Physician Proposal Offers Modest Positives for ACOs, Radiology, and Physical Therapy Despite Small Base Rate Cut

By Beth Steindecker

CMS’s proposed CY27 Medicare Physician Fee Schedule (PFS) includes an expected decrease in aggregate Medicare spending of $2.1B and up to a ~1.7% cut in the conversion factor (i.e., base rate) due to the expiration…

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July 15, 2026

SIBN Up, BSX Down: Physician Rule Standouts

By John Leppard

We view positive rate changes for SI-BONE’s (SIBN) iFuse 3D / TORQ and negative adjustments for Boston Scientific’s (BSX) Watchman as the most notable items for investors following release of CMS’s draft CY27 Physician Fee…

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July 13, 2026

Policy Weekly: A Compressed July Calendar, Warsh Testimony, Crypto’s Difficult Path, Reconciliation and Defense

By Joe Lieber

The House and Senate return this week with a crowded legislative agenda and fewer working days than lawmakers expected. The House is scheduled to be in session for only two weeks before starting its August…

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July 10, 2026

Trade Policy Update: Section 301 Tariffs Likely to Replace Section 122, While USMCA Uncertainty Extends

By Joe Lieber

We are watching two trade policy issues over the next several months: Whether the administration will replace the temporary 10% Section 122 tariffs that expire on July 24 with new Section 301 tariffs. We think…

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July 9, 2026

Online Sports Betting: State Tax Risk, New State Openings, the Prediction-Market Wild Card and Federal Regulation and Legislation

By Joe Lieber

We believe the online sports betting debate is moving in two directions. In already-legal states, the risk is higher tax rates on online sports betting operators (DKNG, FLUT, MGM, CZR) as states look for revenue…

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July 7, 2026

Midterm Election Preview: House Very Likely Flips, Senate Still Leans Republican

By Joe Lieber

We continue to believe that divided government is the most likely scenario after the midterm elections as we view Democrats as having an over 80% probability of retaking the House, while Republicans have roughly a…

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July 2, 2026

Hospital/ASCs: Proposed 340B Rate Cut, Imaging Site Neutral and Outpatient Surgeries Inure Benefit to For-Profits While Hit to Nonprofits/Govt Hospitals

By Beth Steindecker

For-profit hospitals [THC, HCA, CYH, ARDT, UHS] received some expected positive news – though the magnitude surprised us – in the CMS’s proposed CY27 hospital outpatient prospective payment system (OPPS) rule. Ambulatory surgery centers (ASCs)…

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July 2, 2026

Home Health: Medicare Proposal Seeks Modest 3% PDGM Recoupment Cut but Ups Spending by 2.4% and Rates Even More

By Beth Steindecker

Home health (HH) agencies [PNTG, BTSG, AVAH, UNH, ADUS, Elara] received a favorable surprise in CMS’s proposed CY27 Medicare HH reimbursement rule, released Wednesday. The regulation includes: A temporary 3% recoupment adjustment, matching the final…

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July 1, 2026

(NVDA, AMD, ASML, TOELY, AVGO, MRVL) NDAA Tech/AI Amendments Left Out of House Floor Debate

By Joe Lieber

The House Rules Committee did not make the MATCH Act, the Chip Security Act, or the AI Overwatch Act in order as amendments to the fiscal year 2027 National Defense Authorization Act (NDAA). This move…

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