Uncategorized

Key Takeaways: Consistent with our pre- and post-rule expectations [here, here, here], CMS this weekend has updated the payment tables released with its CY25 hospital outpatient rule on Nov. 1, reducing the per unit rate…

Congress is back next week for the lame duck session and there is a laundry list of items that various constituencies would like to see enacted. Meanwhile, it still looks like the Republicans will maintain…

Key Takeaways: We think investors exposed to insurers in the ACA exchange markets (OSCR, CNC, MOH, ELV) are underestimating the odds that the next Congress temporarily extends some of the enhanced Obamacare subsidies to focus…

We continue to believe that CMS is likely to issue a revised hospital outpatient payment rate for Lantheus’ (LNTH) Pylarify in the coming days / weeks that would reduce the Medicare per service rate by…

A Trump victory has wide ramifications for taxes, trade, M&A as well as for many various sectors like healthcare, infrastructure, consumer, and others. Republicans have won back the Senate and, as of publication, the House…

We continue to believe Trump has the slightest of edges in the election. The GOP is likely to win three Senate seats, giving them a 52-48 advantage, and the House is very close with a…

We continue to expect that a Massachusetts ballot measure affecting Uber (UBER) and Lyft (LYFT) is very likely to pass, but we believe it shows that the gig companies are winning the regulatory battle.    Meanwhile,…

Key Takeaways: CMS largely met reimbursement and policy expectations with its CY25 final Medicare payment rules for hospital outpatient departments (HOPDs), ambulatory surgery centers (ASCs) and physician firms. This is despite the improvement, relative to…

Key Takeaways: We appear to have run the table with our pre-rule expectations [here, here] following CMS’s release Friday of its CY25 hospital outpatient payment rule, which includes the following company-specific implications: MDT & Otsuka…

Key Takeaways: Consistent with our pre-rule expectations [see here], hospital outpatient rates for LNTH’s Pylarify appear set for a ~45% YoY decline in CY25 following CMS’s final rule. While enactment of “separate payments” for all…