This is a bet that oncology monitoring shifts from discretionary ordering to standardized cadence across more tumor types, with coverage durability improving as prospective evidence accumulates. Natera’s advantage is operational trust plus a compounding data flywheel that can improve assay performance and create higher-margin data/AI collaborations. The
multiple can compress as the business matures, but remain premium if
gross margin and cash generation keep improving and if the company becomes embedded in workflows (ordering, eligibility, documentation, results trending).