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Recent Federal Reserve Actions: Impact on Healthcare Stocks

September 21, 2024

Note: We reveal investment insights through the quotes of top business leaders.

Key Takeaways

  • Federal Reserve actions are leading to reduced consumer spending on healthcare, impacting sales and profits for major companies like JNJ and MRK.
  • Despite economic challenges, firms like CVS and Eli Lilly are optimistic about Medicare trends and revenue growth, indicating resilience in the sector.
  • Healthcare companies are focusing on cost realignment and strategic investments to navigate rising operational costs and macroeconomic pressures.
  • Regulatory changes and innovation strategies are crucial for healthcare firms to maintain competitive advantages and drive long-term growth.
  • Overall, while challenges persist, the healthcare sector shows potential for recovery and growth amidst Federal Reserve policies.

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Financial impacts of Fed actions on healthcare

Federal Reserve actions are influencing healthcare stocks through economic downturns, leading to reduced consumer spending on healthcare services, as noted by JNJ. Companies like MRK anticipate negative impacts on sales and profits, while PFE focuses on cost realignment to improve financial returns amidst these challenges.

"Changes in the behavior and spending patterns of purchasers of healthcare products and services, including delaying medical procedures, rationing prescription medications, reducing the frequency of physician visits and foregoing healthcare insurance coverage, as a result of the current global economic downturn, may continue to impact the Company’s businesses." --- (JNJ, sec filing, 2024/Q2)

"Within this, the return to more normal claims submission patterns from care providers and, to a lesser extent, the impact of the South American actions, decreased days claims payable from the first quarter." --- (UNH, press release, 2024/07/16)

"The Company anticipates all of these actions and additional actions in the future will negatively affect sales and profits." --- (MRK, sec filing, 2024/Q1)

"savings from our cost-realignment program by the end of the year. Improving our cost base will put us on strong footing towards margin expansion and improved financial returns as we move forward." --- (PFE, earning call, 2024/Q1)

"As a result, the entire $220 million was recorded as a reduction to premium revenue in the second quarter, increasing our reported medical care ratio by about 25 basis points. Turning to the second quarter medical care ratio, it was also impacted by about 40 basis points, or $290 million due to the suspension of some care management activities after the cyberattack." --- (UNH, earning call, 2024/Q2)

Investment trends in healthcare post-Fed actions

Post-Fed actions, healthcare stocks show positive investment trends, with companies like CVS and Eli Lilly expressing confidence in Medicare trends and revenue growth. Bristol-Myers Squibb emphasizes strategic R&D investments, while Amgen highlights macroeconomic challenges that investors should consider. Overall, optimism prevails despite potential risks.

"I hope that that should give investors some confidence. Then as you look at the specific risks, what we’ve done is we’ve taken the presumption that the trends in Medicare that we’ve seen throughout the first half, that they will persist throughout the remainder of the year and that they could modestly increase." --- (CVS, earning call, 2024/Q2)

"This means advancing and, where possible, accelerating first or best-in-class treatments across our therapeutic areas, prioritizing pipeline assets with meaningful growth potential and discontinuing programs that no longer meet our threshold for return on investment. Through these actions, we are ensuring our R&D efforts are focused on programs where BMS has a right to win and where we can deliver compelling ROI to shareholders." --- (BMY, earning call, 2024/Q2)

"And our $3 billion increase in revenue guidance reflects our expectation that momentum will accelerate through the balance of the year." --- (LLY, earning call, 2024/Q2)

"Macroeconomic and other challenges Uncertain macroeconomic conditions, including the risk of inflation, higher interest rates and instability in the financial system, as well as rising healthcare costs continue to pose challenges to our business." --- (AMGN, sec filing, 2024/Q2)

"In summary, we are continuing into 2024 with confidence in our ability to drive further value for all stakeholders, including patients, society and investors." --- (GILD, event transcript, 2024/05/08)

Operational cost implications from Fed policies

Federal Reserve policies are influencing operational costs in healthcare, with companies like HCA and Medtronic managing expenses amid rising supply and labor costs. Both firms anticipate ongoing challenges from macroeconomic factors, including interest rate fluctuations, which could further impact their operational cost structures.

"We continue to make progress on our cost agenda. Operating costs across most categories were in line with our expectations." --- (HCA, earning call, 2024/Q1)

"Beyond the contractual obligations and other minimum commercial commitments outlined above, we have recurring cash requirements arising from the normal operation of our business that include capital expenditures, research and developments costs, and other operational costs." --- (MDT, sec filing, 2024/Q4)

"• Our financial results are subject to fluctuations in the cost and availability of the supplies we use in, and the labor we need for, our operations." --- (DHR, sec filing, 2024/Q2)

"And so we're looking at the business sort of over a longer run. And with the exception of proceeds, which we believe will moderate over time; we will continue to see operating leverage in most scenarios when we have incremental volume because we have fixed cost in our labor platform." --- (HCA, earning call, 2024/Q1)

"Looking ahead, a number of macro-economic and geopolitical factors could negatively impact our business, including without limitation: • Competitive product launches and pricing pressure, geographic macro-economic risks including fluctuations in currency exchange rates, general price inflation, changes in interest rates, reimbursement challenges, impacts from changes in the mix of our product offerings, delays in product registration approvals, replacement cycle challenges, and supply chain challenges from time to time; • National and provincial tender pricing for certain products, particularly in China;" --- (MDT, sec filing, 2025/Q1)

Strategic responses of healthcare companies to Fed actions

Healthcare companies are strategically responding to Federal Reserve actions by modernizing infrastructure, evaluating acquisitions, and aligning their value propositions with economic objectives. Firms like Centene and AbbVie are focusing on access and regulatory risks, while IQVIA and Vertex emphasize growth through strategic transactions.

"We are executing against our strategic plans, fortifying and modernizing our infrastructure and successfully delivering access to affordable, high-quality healthcare for millions of Americans." --- (CNC, earning call, 2024/Q1)

"We believe that the process that our proposal seeks would be beneficial to AbbVie because extended exclusivity periods gained from secondary patents and the resulting delay in generic entry limit patient access and saddle the healthcare system with unsustainable costs, thereby creating potential regulatory and reputational risk for the company. Companies like AbbVie play an important role in developing new and improved medicines for the benefit of society." --- (ABBV, event transcript, 2024/05/03)

"As part of our ongoing business strategy, we also continually evaluate new acquisition, expansion and investment possibilities or other strategic growth opportunities, as well as potential dispositions of assets or businesses, as appropriate, including dispositions that may cause us to recognize a loss on certain assets." --- (IQV, sec filing, 2024/Q2)

"Strategic Transactions Acquisitions As part of our business strategy, we seek to acquire technologies, products, product candidates and other businesses that are aligned with our corporate and research and development strategies and complement and advance our ongoing research and development efforts." --- (VRTX, sec filing, 2024/Q2)

"And so we think about the economic objectives of our hospital customers and we look to align our value that we create for them economically also." --- (ISRG, event transcript, 2024/04/25-26)

Current performance and future outlook for healthcare stocks

Healthcare stocks are currently focused on product performance and strategic realignment, with companies like Pfizer and Johnson & Johnson emphasizing growth through innovation. Regulatory changes, such as FDA actions, also impact stock valuations, while firms like UnitedHealth and Amgen pursue long-term strategies to enhance value-based care and market access.

"3rd, we try to maximize the performance of our new products and core products, and we had so many launches in the last 18 months, which is being achieved through a relentless focus on execution with the goal of continuing to grow our top line.4th, we are realigning our cost base and we can continue and so that by doing that, we will continue bringing new and impactful treatments to market for years to come." --- (PFE, event transcript, 2024/04/25)

"We consistently evaluate new business opportunities through a strategic and scientific lens to deliver value for patients and for Our preference is to be in areas in which we have internal capabilities and know how and also to pursue products that represent progress in improving the current standard of care." --- (JNJ, event transcript, 2024/04/25)

"We certainly saw stocks on both of the leading parties benefit here. The FDA would be specific about updating the label for Wegovy. And what are you seeing at the actual interface of the payers?" --- (LLY, conference, 2024/06/10)

"Our differentiated long term strategy is built around 2 core complementary ambitions: helping accelerate the U. S. Health system's transition to value based care by aligning incentives across care providers, health plans and consumers to deliver the highest quality outcomes at the lowest cost, while at the same time bringing to bear the full resources of our enterprise capabilities, our technology, data and clinical expertise to fundamentally empower and transform the way American consumers engage with their health care." --- (UNH, event transcript, 2024/06/03)

"We're really playing the long game to drive true differentiation benefits to the patient and to access segments of the market that are not well addressed even by the current medicines." --- (AMGN, earning call, 2024/Q2)

Sector-specific impacts of Fed actions on healthcare

Federal Reserve actions are influencing the healthcare sector through various channels. UnitedHealth Group's pending acquisitions may be affected by financing conditions, while HCA Healthcare highlights risks from potential subsidy changes. CVS Health anticipates that lower medical costs will enhance Medicare Advantage retention, indicating a complex interplay between Fed policies and healthcare dynamics.

"Pending Acquisitions. As of March 31, 2024, we have entered into agreements to acquire companies in the health care sector, subject to regulatory approval and other customary closing conditions." --- (UNH, sec filing, 2024/Q1)

"Obviously, there's risk with the additional subsidies that come from the Affordable Care Act sun setting on that component at the end of 2025." --- (HCA, conference, 2024/06/05)

"What does that mean? That means lower overall medical costs will improve retention of those Medicare Advantage offers over time, will grow because we have a different and unique assets that we can bring to our Medicare Advantage members." --- (CVS, conference, 2024/05/29)

"And how do I think about the impact in the quarter of V28 in both Optum Health as well as on the UnitedHealth side?" --- (UNH, earning call, 2024/Q1)

"But we expect, as I mentioned in my comments, that the demand for healthcare over the course of the year will continue to be strong, and we will be able to sustain growth." --- (HCA, earning call, 2024/01/08)

Comparison of healthcare stocks vs. other sectors post-Fed

Healthcare stocks, particularly those of Johnson & Johnson, show resilience post-Fed actions, driven by strong performance in medtech and innovative portfolios. While facing some international sales challenges, the focus on growth in specific segments positions healthcare favorably compared to other sectors.

"We're proud of the solid results in ortho and see that continuing to be driven by strong results within hip 6%, in knees, almost 10%, driven by tremendous innovation, especially in VELYS. And then more broadly, I'll end with our real confidence in the growth of our cardiovascular portfolio." --- (JNJ, earning call, 2024/Q2)

"Sales by international companies were $19.6 billion, a decrease of 1.7%, including an operational increase of 2.4%, offset by a negative currency impact of 4.1% as compared to the fiscal six months sales of 2023." --- (JNJ, sec filing, 2024/Q2)

"The Contact Lenses/Other operational growth was primarily driven by the continued strong performance in the ACUVUE OASYS 1-Day family of products (including recent launches) partially offset by the impact of the Blink divestiture, U.S. distributor stocking dynamics, competitive pressures and Japan macroeconomic pressures." --- (JNJ, sec filing, 2024/Q2)

"And so is that the right framework to think about on the forward, whereas like medtech is more kind of these growthy medtech assets is really where you'll be focusing on pharma because of that ability to kind of find assets early and generate a very strong return." --- (JNJ, conference, 2024/09/04)

"And so we have that ranking and position really based on the strength of our innovative portfolio and the access that we're able to get for patients across the markets in Europe and also the value that we're able to demonstrate from, you mentioned MFN." --- (JNJ, conference, 2024/06/12)

Long-term implications of Fed policies on healthcare innovation

Federal Reserve policies are shaping long-term healthcare innovation by encouraging companies to leverage science and technology for growth, as seen in Danaher and Amgen's strategies. Vertex Pharmaceuticals emphasizes influencing policy for non-opioid alternatives, while Gilead highlights operational efficiencies in cell therapy, all indicating a positive outlook for innovation amidst economic changes.

"And it's on the basis of our strategy, which is to apply science and technology to improve human health, that we set a frame and then look for those markets that have the most attractive long term secular growth drivers." --- (DHR, conference, 2024/05/14)

"And well, in short, we have great confidence we're on a path to deliver very attractive long term growth through the end of the decade and beyond, not just because of obesity, but rather from the breadth and the depth of opportunities across the 4 therapeutic area pillars, general medicine, oncology, inflammation and rare disease, each of which have strong momentum and plenty of room to grow." --- (AMGN, conference, 2024/06/10)

"Our long-standing efforts continue to help shape state and federal policy initiatives to: one, encourage consideration and use of non-opioid alternatives; and two, remove financial barriers to choosing a branded non-opioid." --- (VRTX, earning call, 2024/Q1)

"And finally, from the overall business of cell therapy, having a shorter turnaround time improves our opportunity to get returns on the business over that period of time as well." --- (GILD, conference, 2024/06/12)

"for 5 years. And so as you think that through, while that's perhaps shorter than it has been, it actually advantages the development of biologic drugs going forward, as they would have longer protection." --- (DHR, conference, 2024/05/14)

See also