Case Studies


  • The Smartest Insurers in the Room: How Medicare Advantage Insurers Continue to Evade By: Grace Totman August 31, 2021 — In 1997, President Clinton and Republicans championed a new form of Medicare: managed Medicare offered by private insurance companies, an interesting artifact of how far to the left Democrats have moved on health policy. Now known as Medicare Advantage (MA), the program offers beneficiaries enhanced benefits and a […]Learn More
  • Delta Variant to Cause Long, Broad Rise in COVID Cases; Renewing Pressure for Mask Mandates, Additional Precautions By Hunter Hammond August 10, 2021 — Capstone believes a broader, longer-lived wave of COVID-19 cases is likely to develop in the coming months, likely adding mounting pressure on governments to institute mask mandates and businesses to take precautionary steps to reduce transmission. In the US, COVID-19 cases, hospitalizations, and deaths are climbing, increasing 544%, […]Learn More
  • Dialysis Industry to Face Regulatory Scrutiny in 2021, Driven by Kidney-care Models, Medicare Advantage May 6, 2021 — Capstone believes kidney care—namely DaVita Inc. (DVA) and Fresenius Medical Care AG & Co. (FMS)—will come under regulatory scrutiny in 2021 due to the launch of recent value-based care models, an aging population, Medicare Advantage coverage extending to end-stage renal disease (ESRD) patients, and continued attention on consolidation in the dialysis […]Learn More
  • Charts of the Month: SPACs, ERCOT, Medicare Advantage Reform, and CA Clean Energy Capstone’s Charts of the Month highlight regulatory, legislative, and policy-driven developments that investors should be paying attention to. All graphics were recently published in Capstone research.For more information on any issue, contact this edition: 1. SPACs: SEC Scrutiny Unlikely to Undermine Market; No Momentum for Impactful Legislation2. California’s Vision for 100% Clean Energy Will […]Learn More
  • COVID-19 State Reopening Tracker Winter is coming, and with it, another wave of new Coronavirus cases October 1, 2020 – Capstone believes states removing restrictions on indoor gatherings, entering the fall season, will lead to a third wave of new COVID-19 cases by November, possibly coinciding with election day and hampering voter turnout. While we believe at least one […]Learn More
  • Opioid Litigation Focus Will Shift to Chain Pharmacies Walgreens, CVS, Rite Aid, and Walmart face $30 billion-35 billion in liabilities. August 14, 2020 – Capstone believes the focus of state attorneys general and municipalities opioid litigation will shift to chain pharmacies—primarily Walgreens Boots Alliance Inc. (WBA), CVS Health Corp. (CVS), Rite Aid Corp. (RAD), and Walmart Inc. (WMT)—as opioid distributors and several opioid […]Learn More
  • Emerging Privacy Legislation and its Risks to a Healthcare Tech Company’s Business Model The Request: Capstone advised a client on the potential acquisition of a healthcare analytics company that paired bolstered, value-added overlays to healthcare provider contact data. Specifically, we analyzed regulation, legislation, and other government initiatives that could impact the company. Our diligence paid particular attention to the evolving landscape of amendments to the California Consumer Privacy […]Learn More
  • 340B Reform and the Risks to a Hospital-Based Specialty Pharmacy The Request: Capstone advised a client on the potential acquisition of a US company that provides 340B-focused retail and specialty pharmacy management. Our diligence focused on determining the likelihood, rationale, and impact of federal and state 340B reforms to the target company across a dozen specific issues, including: Medicare reimbursement cut for 340B scripts; Commercial […]Learn More
  • Federal Surprise Medical Bill Reform—Team Health and Envision Our Call: Capstone first wrote in December 2018 that federal surprise medical bill legislation—recently introduced in the US Senate—was likely to garner significant momentum in 2019 and pose a meaningful risk to physician staffing companies, particularly those with emergency department exposure such as Team Health Inc. (TMH) and Envision Healthcare Corp. (EVHC). The policy under […]Learn More