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December 16, 2025

Skin Substitute Coverage: Pyrrhic Victory?

By John Leppard

While an improvement from the skin substitute coverage policies that have been delayed since Nov. 2024, CMS’s updated intentions risk prolonging uncertainty for the likes of CTEC.LN, MDXG, and ORGO, as well as benefits for…

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December 16, 2025

EW, ABT, MDT: TAVR Coverage Coming

By John Leppard

Coming roughly in line with our timing expectations outlined in early June (admittedly, a quarter or so early), we would expect CMS’s reopening of its transcatheter aortic valve replacement (TAVR) coverage policy to provide greater…

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December 15, 2025

Capitol Policy Weekly: ACA, Trade and Retail, Permitting Reform, AI Executive Order, NDAA, the CFTC and the Ukraine-Russia War

By Joe Lieber

This is the last week the House and Senate will be in session until the week of January 5. Hence, we see some notable items that investors should be interested in:   House vote on a…

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December 12, 2025

INSP: Inspire V Coverage Questions Answered

By John Leppard

Having received a large number of questions on whether Medicare Administrative Contractors (MAC) might refuse to cover INSP’s Inspire V device under CPT 64568 following CMS’s recent facility rate increase via assignment to a New…

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December 11, 2025

FY26 and FY27 Defense Spending Update: Reconciliation 2.0 in the Cards?

By Joe Lieber

We see growing uncertainty for the trajectory of defense spending beyond FY26 due to several policy-related crosscurrents:  Recent comments from OMB Director Russ Vought signaling potential use of a reconciliation bill next year to increase…

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December 10, 2025

HIMS Hit by SAFE Drugs Bill Headlines, But Low Enactment Odds in Near Term

By Beth Steindecker

Given today’s weakness in HIMS following the introduction of a drug compounding pharmacy oversight bill (HR 6509) by Reps. Rudy Yakym (R-IN) and André Carson (D-IN), we have received some inbound questions about the near-term…

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December 10, 2025

INSP / LIVN: Pricing, Payments & Policy

By John Leppard

With shares of INSP up ~60% since CMS announced a 48% hospital rate increase for Inspire V procedures billed under CPT 64568 in CY26 (+58% for ASCs), we continue to believe that this will be…

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December 9, 2025

NVDA: Blackwell’s to China?

By Joe Lieber

Yesterday’s announcement by the White House to allow Nvidia (NVDA to sell the H200 chip to China reinforces our view that there’s an out of consensus 40-50% probability that NVDA could sell the more advanced…

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December 8, 2025

Capitol Policy Weekly: ACA Subsidies, Farm Aid, the NDAA, Permitting Reform, Sports Betting, U.S.-India Trade Talks and Ukraine

By Joe Lieber

The House and Senate are in session for the next two weeks before taking off for the rest of the year. As for this week, we see the following items that could be important to…

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December 4, 2025

ACA Situation Stuck in Place but We Remain Optimistic of Eventual HIX Deal with a Slipping Timeline

By Beth Steindecker

The recent fits-and-starts for around a compromise to avert expiration of the ACA enhanced premium tax credits (eAPTCs) at year-end unsurprisingly remains stalled, with no meaningful concessions from either side’s leaders. As we head into…

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