Uncategorized


July 16, 2025

Misses For LNTH, LIVN, PRCT, Wins for BSX / MDT

By John Leppard

CMS’s CY26 hospital outpatient proposal last night hews closely to our expectations going in: INSP: With the company targeting use of LIVN’s cranial nerve code for its Inspire V device, payment group reassignment likely would…

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July 15, 2025

DC Quick Takes: Russian Sanctions; Trade; the Fed; and T-Bill Demand

By Joe Lieber

We want to highlight four issues this morning: 1) Russian sanctions; 2) trade; 3) Fed Chair Jerome Powell; and 4) increased T-bill demand as a result of the GENIUS Act—all four of which for the…

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July 15, 2025

Skin Substitutes: When it Rains it Pours [MDXG, ORGO, CTEC.LN, COLOB.DC]

By John Leppard

We view MDXG and ORGO as most negatively exposed to CMS’s proposed skin substitute policy issued last night, which would pay physicians a flat $125 / cm2 rather than product-specific rates based on Average Sales…

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July 15, 2025

Physician Fee Schedule: Despite 3+% Increase YoY, CMS Proposes Some Squeezes [RDNT, USPH, PRVA, RadPar, Envision]

By Beth Steindecker

While Monday night’s proposed CY26 Medicare Physician Fee Schedule (PFS) provides an annual rate increase for physicians of 3.3%+ compared to cuts during prior years, closer examination of the proposal reveals some potential reimbursement headwinds…

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July 14, 2025

PRCT: Pro Fee -28%, Competitor -25%

By John Leppard

CMS’s draft CY26 Physician Fee Schedule (PFS) released this evening would reduce payments for PRCT’s Aquablation by -28% in 2026, going from a volume-weighted average of $765 across the seven Medicare Administrative Contractors (MACs) to…

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July 14, 2025

Capitol Policy Weekly: Trade, the Fed, Russia, Crypto Week and Rescissions—A Busy Week in Washington

By Joe Lieber

The main focus in Washington this week will likely be on trade, as negotiations between the U.S. and various trading partners continues.  Speculation surrounding whether President Trump might yet fire Fed Chair Jerome Powell could…

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July 11, 2025

[MDT, Otsuka] Renal Denervation: Broad Coverage, With Constraints

By John Leppard

We view CMS’s coverage proposal for renal denervation (RDN) [Medtronic (MDT), Otsuka (4578.JT)] as an incremental positive relative to our expectations, but likely to be largely in line in terms of its effects. With patients…

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July 10, 2025

(PLNT, ADBE, ADT, CMCSA) FTC’s Click-to-Cancel Vacated: States Step In

By Joe Lieber

With the U.S.’s Eighth Circuit Court of Appeals vacating the Federal Trade Commission’s (FTC) “click-to-cancel” rule yesterday, we have two main takeaways:  While companies who make it difficult to cancel subscriptions dodged a bullet yesterday,…

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July 9, 2025

(FLTR, DKNG, MGM, CZR, LVS, WYNN) Expect 100% Gambling Deduction to be Restored

By Joe Lieber

We believe legislation to take the 90% gambling loss deduction back to 100% is ultimately likely to become law, but finding a legislative vehicle this year may not be easy. Should enactment leak into next…

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July 9, 2025

Reconciliation: Final Healthcare Provisions; Clarifying Tweaks to DPP Language and Overlooked Parts of Work Requirements

By Beth Steindecker

While we still agree with consensus about the negative bias towards hospitals and Medicaid insurers from the One Big Beautiful Bill Act (OBBA) signed into law last Friday, we note a few tweaks in the…

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