Insights

Fifteen+ years of
healthcare thinking

Several hundred perspectives on the questions facing payers, providers, biopharma, medtech, and digital health — plus our running read on the clinical literature. Start with our sharpest work, or filter to your world.

The New England Journal of Medicine

An opinionated take on NEJM highlights for Q3 of 2026

  • NEJM
Payer studies of cheaper biologics, lentiviral in vivo CAR-Ts, new hope for COPD patients, base-editing PCSK-9, ADCs for SCLC, and the Rolls-Royce of data packages (or the holy grail?). Much to reflect on this quarter.

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Emerging blood-brain barrier drugs in development

  • Biopharma
Despite the historical difficulty in designing therapeutics that cross the BBB, Denali’s landmark approval could signal an inflection point for the BBB-crossing therapeutic pipeline.

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The New England Journal of Medicine

An opinionated take on NEJM highlights for Q2 of 2026

  • NEJM

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The New England Journal of Medicine

An opinionated take on NEJM highlights for Q1 of 2026

  • NEJM

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The New England Journal of Medicine

An opinionated take on NEJM highlights for Q4 of 2025

  • NEJM

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Oncology Development Update: Winners, Losers, and the Ones Still in Play

  • Biopharma

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The New England Journal of Medicine

An opinionated take on NEJM highlights for Q3 of 2025

  • NEJM

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Outcomes of mid-size biopharma “revenue” acquisitions

  • Biopharma
Merck's acquisition of Verona is the latest in a long line of "revenue acquisitions". How have prior mid-size biopharma revenue acquisitions fared? We found that forecasts at the time of deal are often optimistic, with many transactions missing their projected sales trajectories.

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The New England Journal of Medicine

It was bioengineering at its best: An opinionated take on NEJM highlights for Q2 of 2025

  • NEJM

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A few thoughts about navigating biopharma macro scenarios

  • Biopharma
Planning biopharma strategies against a robust set of macro-scenarios will be crucial to mid- and long-term success. While historically these scenarios have revolved around targeted issues, the current challengescall for a more expansive - and likely more difficult - set of questions to be asked.

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the first quarter of 2025

  • NEJM

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the fourth quarter of 2024

  • NEJM

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Incentivizing even small progress in Alzheimer’s therapy should be a priority

  • Biopharma , 
  • Institutional

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the third quarter of 2024

  • NEJM

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A Kaplan-Meier view of oncology development

  • Biopharma , 
  • Digital , 

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the second quarter of 2024

  • NEJM

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the first quarter of 2024

  • NEJM

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Average deal values

Trends in biotech deals in 2022 and 2023: oncology vs. the rest

  • Biopharma

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the fourth quarter of 2023

  • NEJM

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The New England Journal of Medicine

An opinionated take on NEJM highlights for the third quarter of 2023

  • NEJM

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