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December 20, 2024

Government Shutdown Update and What the Divide Might Mean for the Next Congress

By Joe Lieber

When Speaker Mike Johnson (R-LA) initially pulled his negotiating continuing resolution (CR) with the Democrats, our view was that a government shutdown was unlikely.  Yes, we might have technically had one over the weekend, but…

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December 20, 2024

EW: Tricuspid Coverage Positive, With Some Caveats

By John Leppard

We view CMS’s draft coverage policy for transcatheter tricuspid valve replacement (TTVR) as incrementally more positive for EW’s Evoque relative to our initial expectations. The lack of facility / operator volume thresholds will likely allow…

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December 18, 2024

Government Shutdown Unlikely; CR Likely to Pass

By Joe Lieber

Despite all the criticism, especially from President-elect Trump, Vice President-elect JD Vance and Elon Musk, we do not believe there will be a government shutdown this week and expect Congress to pass a continuing resolution…

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December 18, 2024

[PBMs, Cancer Screening, Medicare Advantage] A Few Surprises in the Healthcare Spending Package but Otherwise Mirroring Prior Compromise

By Beth Steindecker

Following Tuesday night’s release of a short-term continuing resolution (CR) funding the government through March 14, we outline some key differences from previously-reported iterations of the healthcare extenders package, involving PBMs [CI, CVS, UNH, ELV],…

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December 17, 2024

[GRAL, EXAS, GH] Multi-Cancer Test Coverage: Details Fall Flat

By John Leppard

While positive on its face, the inclusion of multi-cancer early detection (MCED) screening test [GRAL, EXAS, GH] coverage provisions in tonight’s continuing resolution (CR) to fund the government through March 14 leaves much to be…

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December 17, 2024

[DKNG, FLUT, CZR, MGM] Sports Betting in the Crosshairs?

By Joe Lieber

We don’t believe today’s Senate Judiciary Committee hearing entitled “America’s High-Stakes Bet on Legalized Sports Gambling” does little to move the needle on federal legislation, despite most senators being critical of the industry. In fact,…

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December 17, 2024

Trump Tariff and Trade Conference Call Takeaways

By Joe Lieber

Below we provide our key takeaways from a conference call we hosted last week with a former trade official in Trump’s first administration. A transcript of the call is available upon request. Our guest believes…

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December 13, 2024

[PBMs, Hospitals, Docs] Healthcare Extenders: State of Play

By Beth Steindecker

While Republicans and Democrats are trying to hash out a healthcare extenders package to add to a short-term government funding measure that needs to be taken up and passed by next Friday, we ascribe just…

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December 12, 2024

(GEO, CXW) DC Quick Takes: Cap Gains/Dividend Taxes, Reconciliation and Ukraine

By Joe Lieber

We don’t see the top long-term 20% capital gains tax or the 20% divided tax rate coming down in the tax bill next year, despite President-elect Trump mentioning this policy goal in response to a…

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December 11, 2024

[CVS, CI, UNH] PBMs: Proposed Ban on Pharmacy Ownership, New FTC Chair Nominee, Trump’s Comments, Healthcare Extenders, Oh My!

By Beth Steindecker

Key Takeaways:  While we had expected pharmacy benefit managers [PBMs] to remain in the legislative / regulatory crosshairs during the lame duck and into the Trump administration, recent developments confirm that the anti-PBM sentiment is…

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