November 3, 2025
[MDXG, CTEC.LN, COLOB.C] Skin Substitute Rates & Additional Risks
Consistent with our expectations, we view MDXG and CTEC.LN as most exposed to CMS’s finalized Physician Fee Schedule (PFS) policy to reduce skin substitute payments from current Average Sales Price (ASP) / invoice levels to…
November 3, 2025
Physicians: Final Rule Favors Independent Doctors / Freestanding Centers but Cost Growth and Rate Pressures on Facility-Based Doctors Remain [RDNT, USPH, SEM, PRVA, ASTH, RadPar, Envision]
CMS’s final CY26 Medicare Physician Fee Schedule (PFS), released late Friday, offered a split-screen picture for physicians, largely depending on whether they provide care in the office / freestanding center (positive) or in a facility…
November 3, 2025
Capitol Policy Weekly: Govt. Shutdown Ending in Sight?; Elections; and IEEPA and the Supreme Court
We see three topics that will be front and center in Washington this week: The government shutdown, which we believe will end this week. Tuesday’s gubernatorial elections in New Jersey and Virginia and the redistricting…
November 3, 2025
PRCT: Nominal Rates vs Opportunity Costs
CMS’s final CY26 Physician Fee Schedule (PFS) released late Friday will reduce payments for PRCT Aquablation services by -29% in 2026, going from a volume-weighted $765 across the seven Medicare Administrative Contractors (MACs) to $542,…
October 31, 2025
Merit Medical (MMSI): Net vs List Price in Pass-Through Payments
We remain skeptical of MMSI’s prospects for a Wrapsody Medicare hospital outpatient transitional pass-through (TPT) payment following company confirmation last night that its application relies on an $8K list price, rather than the $5.8K net…
October 29, 2025
Trade and Tariff Conference Call Takeaways
With President Trump in Asia and trade agreements expected between the U.S. and various countries, including at least a narrow deal with China, we held a conference call yesterday with trade expert Dr. Derek Scissors. …
October 29, 2025
[MDT, Otsuka] Renal Denervation: Broad Coverage, With New Guardrails
We view CMS’s final coverage policy for renal denervation (RDN) [Medtronic (MDT), Otsuka (4578.JT)] as largely consistent with the initial proposal, but with some modest new guardrails that may incrementally slow utilization and delay /…
October 27, 2025
Capitol Policy Weekly: Trade, the Fed and the Continuing Government Shutdown
This week’s main policy focus will be on: 1) trade; 2) the Fed’s decision on interest rates, where a 25-bps cut is widely anticipated on Wednesday; and 3) the government shutdown. President Trump is in…
October 27, 2025
GKOS: iDose Coverage Question Tea Leaves
The questions to be addressed at a November 12 Contractor Advisory Committee (CAC) on GKOS’s iDose bolster our expectations for real, but likely manageable, headwinds via an eventual local coverage determination (LCD), which we suspect…
October 27, 2025
Health Insurers & Providers 4Q25 Issue Items
Even amid a government shutdown, the remaining months of 4Q25 promises various policy catalysts across the health insurer and provider landscapes, informing company growth and revenue prospects for the year ahead. To help investors keep…