October 9, 2025
CGMs & Insulin Pumps: Competitive Bidding Lookahead
Despite the nearly ubiquitous opposition of stakeholders, we think CMS will likely finalize its intention to include continuous glucose monitors (CGMs) [DXCM, ABT] in the next round of the Competitive Bidding Program (CBP), along with…
September 11, 2025
[EXAS, GH] Colorectal Cancer Coverage to Get More Crowded
With CMS reopening its coverage policy for colorectal cancer (CRC) screening yesterday after the close, it seems likely that the space will get a bit more crowded for EXAS and GH, as we would expect…
September 8, 2025
Merit Medical (MMSI): Wrapsody Pass-Through Prospects
We remain skeptical of Merit Medical’s (MMSI) prospects for a Medicare hospital outpatient transitional pass-through (TPT) payment for its Wrapsody Cell Impermeable Endoprosthesis (CIE), following confirmation of its application last week, setting it up for…
September 2, 2025
Tools & NIH: House Rejects Trump But Targets Indirect Costs
We view the FY26 NIH funding bill released by the House Appropriations Committee last night, in advance of its markup at 5pm ET this afternoon, as positive for life science tools (LST) manufacturers, with both…
August 29, 2025
Tools: NIH Markup & Improving Award Outlays
With the House Appropriations health subcommittee announcing a markup of its FY26 HHS funding bill on Tues., Sept. 2 [available here], we maintain our view that topline funding numbers for NIH will likely remain flat…
July 31, 2025
The State of Biopharma, Tools, & Research Spending
This morning’s Senate Appropriations Committee’s markup of the FY26 Labor / HHS funding bill, which includes a $400M increase (+0.8% YoY) for NIH, should serve as an interim clearing event for life science tools (LST)…
July 23, 2025
Guardant Health (GH) Reveal Rate Expectations
We view CMS’s clinical laboratory advisory panel today as an incremental positive for Guardant Health (GH), despite what appears to be a lack of endorsement for the company’s request that payments for Reveal (0569U: $1,644)…
July 16, 2025
MMSI: Wrapsody Pass-Through Reprieve Unlikely
With shares of MMSI off today – we suspect in part on investor disappointment over the lack of any discussion of the company’s Transitional Pass-Through (TPT) payment application for its Wrapsody product in CMS’s CY26…
July 16, 2025
Misses For LNTH, LIVN, PRCT, Wins for BSX / MDT
CMS’s CY26 hospital outpatient proposal last night hews closely to our expectations going in: INSP: With the company targeting use of LIVN’s cranial nerve code for its Inspire V device, payment group reassignment likely would…
July 15, 2025
Skin Substitutes: When it Rains it Pours [MDXG, ORGO, CTEC.LN, COLOB.DC]
We view MDXG and ORGO as most negatively exposed to CMS’s proposed skin substitute policy issued last night, which would pay physicians a flat $125 / cm2 rather than product-specific rates based on Average Sales…