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With one week until the midterm elections, we continue to put the odds of Democrats retaking the House at more than 85%, and we expect them to emerge with a 12–17-seat majority when all is…

We view CMS’s 2028 ACA pre-eligibility verification proposal, released late Friday, as an incremental risk to exchange insurers [OSCR, CNC, ELV] and hospitals and dialysis centers [HCA, THC, ADRT, DVA, FRE.DE], rather than a new…

CMS’s release of its preliminary PAMA rate determinations earlier this week for lab services without private payer data implies a 14.9% reduction in ABT’s [EXAS] Cologuard Plus payments next year, taking the Medicare FFS rate…

Below are our thoughts on this afternoon’s HHS release of the National Kidney Dialysis Plan [DVA, FRE.DE, private US Renal, Innovative Renal Care]: The stock reaction [DVA, FRE.DE] seems overblown, especially given the limited near-term…

There are some reasons to believe the Republicans could perform better than current polling suggests, despite the fact that the political environment remains difficult for the GOP, with President Trump’s overall approval rating at just…

Questions remain about potential CY28 policy pressures on Medicare Advantage (MA) insurers [HUM, ALHC, CLOV, UNH, CVS, ELV, CNC, MOH] and value-based care providers [AGL, ASTH, PRVA, EVH, private Aledade], particularly Star Ratings, risk adjustment,…

Recent developments are raising the risk of future changes to the No Surprises Act, with implications for specialty physicians and hospitals [NUTX, private TeamHealth, Radiology Partners, SCP Health] and commercial insurers [UNH, CI, ELV, CVS]….

Yesterday’s publication of DXCM’s full non-insulin treated (NIT) Type 2 diabetes CONNECT study in NEJM is likely the last puzzle piece needed for the DME MACs to move forward with an expanded Medicare coverage proposal,…

After yesterday’s earnings report for ASML (ASML), we wanted to update investors on the MATCH Act, which is being debated in Congress and would likely have a material impact on the company if passed. We…

We continue to believe there is an 85% chance Democrats win control of the House and a 60% chance they also take the Senate in November. Given Democratic control of the House is very likely…