October 6, 2025
Capitol Policy Weekly: Government Shutdown, Farmer Aid and Drug Pricing
While the government shutdown is the top issue in Washington this week, we could also expect: 1) positive news out of the White House on aid for farmers, which is likely positive for the farm…
October 1, 2025
Rx Pricing: More Shoes to Drop or Clearing Event?
The White House’s Rx pricing agreement with PFE yesterday – with the promise of additional company deals next week – may provide industry with some incremental goodwill, but we are dubious that it takes broader…
September 29, 2025
Capitol Policy Weekly: A Government Shutdown, Liquidity, Trade and the NDAA
Two issues are likely to dominate Washington this week: 1) the likelihood of a government shutdown; and 2) the fallout of Trump’s recent trade announcements. Additionally, we expect the Senate to resume consideration of the…
September 29, 2025
Medicare Advantage: CMS’ Stable Message Eclipsed by Falling Enrollment Forecast, But A Wait and See Attitude Is Appropriate
While reports over the weekend about CMS’s Friday release of the Medicare Advantage (MA) and Part D Plan (PDP) premium, deductible and other information for the 2026 plan year focused on the 2.6% projected cut…
September 26, 2025
Medicare Advantage RADV Audits in Legal Limbo, But Don’t Discount Its Resurrection [HUM, UNH, CVS, CNC, ELV, ALHC]
Medicare Advantage (MA) insurers [HUM, UNH, CVS, CNC, ELV, ALHC] received some positive legal news that for now neutralizes the concern of widespread Medicare audits and potential concomitant recoupments. However, yesterday’s federal district court ruling…
September 25, 2025
Obamacare Fix: Still Optimistic, But Not Clean or Near Term [OSCR, CNC, HCA, THC, UHS, ACHC]
We continue to be optimistic and think the odds have risen above 50% that Congress later this year reaches a compromise to “fix” the expiring enhanced Obamacare subsidies, which would further remove some of the…
September 25, 2025
Rx Pricing: MFN Demo Incoming?
The White House’s Office of Management & Budget’s (OMB) disclosure this morning that it is reviewing what appears to be a Most Favored Nation (MFN) drug pricing model is consistent with our long-held expectations, if…
September 22, 2025
DC Quick Takes: Govt. Shutdown, NDAA, Durbin 2.0 (V, MA), Interest on Fed Reserves (JPM, C, BAC, WFC), and GAIN AI Act (NVDA, AMD)
We continue to believe that the odds of a government shutdown are at least 75%, though that might be too low given that Congress is out of session this week. The Senate is scheduled back…
September 18, 2025
Odds and Impacts of a Government Shutdown
We are bumping our odds to ~75% (up from 65%) that a government shutdown occurs on Oct. 1. This is partially in light of the Democrats’ funding proposal, which includes: A continuing resolution (CR) funding…
September 15, 2025
Capitol Policy Weekly: Government Shutdown/Funding, NDAA, Healthcare, and the HIRE Act
Both chambers of Congress are in session this week before a scheduled recess next week for Rosh Hashana, though we suspect that break will be cut short given the need to avoid a government shutdown…