Uncategorized


May 7, 2025

Rx MFN Announcement Monday?

By John Leppard

Apropos of our note on the subject earlier today, there are reports this afternoon that as early as Monday, May 12 President Trump “is expected to sign an executive order directing aides to pursue ……

Read More >>

May 7, 2025

PBMs: Death by a Thousand Cuts? [CI, CVS, UNH, ELV, GDRX]

By Beth Steindecker

The list of potential state and federal legislative threats to pharmacy benefit managers (PBMs) [CI, CVS, UNH, ELV, GDRX] seems to be growing, even though there has not been widespread enactment of these bills. Putting…

Read More >>

May 7, 2025

Reconciliation Update: Corporate Tax Provisions

By Joe Lieber

We continue to give ~75% odds that the reconciliation/ tax bill is likely to pass Congress this summer and to include many other tax provisions than just those from the 2017 Tax Cuts and Jobs…

Read More >>

May 7, 2025

Rx Most Favored Nation (MFN) Estimates

By John Leppard

We continue to assign ~35% odds to Congress including Medicaid Most Favored Nation (MFN) price controls into its broader reconciliation bill given: (A) the complexities of such a policy; (B) the expedited timeline lawmakers are…

Read More >>

May 6, 2025

Optimism for Longer Term Resolution on Obamacare eAPTCs Remains but CMS Suggests Expiration [OSCR, CNC, MOH, ELV, HCA, THC]

By Beth Steindecker

Notwithstanding a recent CMS memo advising insurers to design their Obamacare plan bids assuming expiration of the enhanced premium subsidies at year-end, we remain optimistic that Congress ultimately settles on a middle ground (revision and…

Read More >>

May 5, 2025

Capitol Policy Weekly—May 5 through May 9: Reconciliation, Trade, the Debt Limit, FY26 Spending and Crypto

By Joe Lieber

This week, with the not-so-surprising postponements of key House committee reconciliation markups, the focus will be on cobbling together a reconciliation bill. We could see a major trade deal announced this week. There is some…

Read More >>

May 2, 2025

Trump Budget: Broad Funding Levels Dead on Arrival Despite GOP Trifecta

By Joe Lieber

We believe President Trump’s “skinny budget” proposal, released today, is mostly dead on arrival and could easily lead to a government shutdown at year’s end or early next year. We expect a more detailed version…

Read More >>

May 1, 2025

GKOS: iDose & iStent Policy Landscape

By John Leppard

With GKOS shares down pre-market amid questions on its earnings call last night regarding the Medicare policy issues affecting iDose and iStent sales, we offer the following takeaways: We generally agree with the company that,…

Read More >>

April 30, 2025

DC Quick Takes: Reconciliation / Tax Bill Update, Trade, Rescissions, CFPB and Stablecoin Legislation

By Joe Lieber

Congressional Republicans have begun marking up the reconciliation bill this week passing out of committee $150 billion in increased defense spending. The House Judiciary Committee is expected to approve legislation providing $45 billion in funding…

Read More >>

April 29, 2025

[CNC, MOH, ELV, ARDT, UHS, CYH] Rising Risk of Medicaid Expansion Reforms in Reconciliation – Per-Capita Cap in the Lead

By Beth Steindecker

A week away from an anticipated House Energy and Commerce committee (E&C) hearing – and whose timing could easily slip – we do not see any release of pressure on Medicaid insurers [CNC, MOH, ELV,…

Read More >>