November 6, 2025
(NVDA) Nvidia’s Blackwell Chips and the China Trade Outlook
With Nvidia (NVDA) exports to China once again making headlines, we see roughly a 40–50% probability that the company will be permitted to export China-specific versions of its Blackwell chips as early as next year. …
November 5, 2025
Medicare Advantage: Still Expecting Light Regulatory Touch for CY27 [HUM, ALHC, AGL, UNH, CVS, ELV, CNC, PRVA]
Listening to recent earnings calls held by various Medicare Advantage (MA) insurers and value-based care providers [HUM, ALHC, AGL, UNH, CVS, ELV] leaves us with the following thoughts on the MA regulatory policy environment for…
November 5, 2025
[LLY, NVO] Obesity Rx Deal Expectations
Following reports yesterday [here, here] that the White House may announce an agreement with LLY and NVO as early as tomorrow to make obesity products available for $149 / month, “in return for coverage” under…
November 4, 2025
IEEPA at the Supreme Court: The Stakes for Trump’s Tariff Strategy
We continue to give ~60% odds that the Trump administration sees a partial loss in the International Emergency Economic Powers Act (IEEPA) case, which will be argued before the Supreme Court (SCOTUS) tomorrow. However, as…
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. …