August 18, 2025
[CVS, CI, UNH, ELV]: CA’s PBM Reform Bill Appears Next Up in PBM Fight
With California’s legislature coming back Monday from its summer recess for its final few weeks of the regular session, pharmacy benefit manager (PBM) legislation is still on the docket and likely to invite headline risk…
August 13, 2025
Senate 2026 Election Preview
We think the Senate is likely to remain in Republican hands after the 2026 mid-term elections, though with GOP at risk for losing seats, which could have implications for financial markets. We continue to view…
August 13, 2025
[PNTG, EHAB, BTSG, ADUS, AMED, AVAH, UNH]: Where Might CMS Go with Home Health Rates?
With slightly more than two weeks left in CMS’s comment period for the CY26 Medicare reimbursement proposal rule for home health [PNTG, EHAB, BTSG, ADUS, AVAH, AMED, UNH], we continue to expect mitigation from CMS’s…
August 12, 2025
Rx Most Favored Nation Company Risks
With President Trump demanding “binding commitments” from drug manufacturers to offer Most Favored Nation (MFN) pricing by Sept. 29, we outline company-specific revenue risks and our expectations for an eventual regulatory proposal in 4Q25 /…
August 8, 2025
Stephen Miran Can Be Confirmed before the Next Fed Meeting
In our view, if President Trump insist, we believe that Stephen Miran can be confirmed by the Senate before the September 17 Federal Open Market Committee (FOMC) meeting. While the market already anticipates that the…
August 7, 2025
House 2026 Election Preview
While we are a more than a year away from the mid-term elections, we offer our early view about which party might control the House after next November. Our bottom line: we expect the House…
August 7, 2025
Health Insurer / Provider Legislative Agenda: Band-Aid Likely in September CR, More Substantial Package Potentially Later in the Year
With the August recess in full swing for the next few weeks, the various healthcare-related legislative items on Congress’s to-do list (see below) remains lengthy for the rest of the calendar year. We are still…
August 5, 2025
Trade and Tariff Update: Unpacking Trump’s Comments
We have the following takeaways on trade and tariffs regarding President Trump’s interview on CNBC this morning. While Trump mentioned that he would raise tariffs on India over the next 24 hours since India continues…
August 3, 2025
Hospices, IRFs, IPFs: Thoughts on Final FY26 Medicare Payment Rules
Medicare’s final FY26 payment regulations for hospices [CHE, AMED, ADUS, PNTG, BTSG, Gentiva, Compassus, Elara], inpatient rehab facilities (IRFs) [EHC, SEM], and inpatient psych facilities (IPFs) [UHS, ACHC] aligned with expectations for: 1) slightly higher aggregate spending…
August 1, 2025
Hospitals, LTCHs, SNFs: Thoughts on Medicare’s Final FY26 Inpatient Rate Rules
Medicare’s final FY26 payment regulations for inpatient hospitals [HCA, THC, CYH, ARDT, UHS, MPW, municipal bond-backed facilities], long-term care hospitals (LTCHs) [SEM, Kindred], and skilled nursing facilities (SNFs) [ENSG, PACS, Providence] with implications for their post-acute…