Health care sector overview
In general, health care companies' balance sheets are solid, their stocks have offered attractive dividend yields and the sector's overall cost structure appears to have improved. Demand appears to be on the rise for health care products and services. On the other hand, political and legal rhetoric around the Affordable Care Act and “Medicare for all” can be expected to fuel continued volatility.
Market outlook for the health care sector
The health care sector continues to be in the headlines, with announced Democratic 2020 presidential candidates often promising to rein in health care costs and increasingly pushing for “Medicare for all.” This appears to have contributed to recent heavy selling in the sector, surprising me as I still believe with the rancor in Washington, the risks of major legislative changes coming to fruition are relatively low, and that investor fear of such is providing a potential opportunity for investors. Also, we believe another area of risk that may be overdone is concern over the Affordable Care Act (ACA) and potential changes to it. The majority of the ACA will likely stay in place, in our view, either through legal or political means. Health care investors should always be prepared for volatility, given the influence the political arena can have on the health care world. However, if investor sentiment towards the group continues to decline, and fears of “Medicare for all” continue to grow—our rating would likely have to be moved lower.
In our view, the health care sector still has a lot of positives going for it. Balance sheets are solid, stocks in the group generally have good dividend yields, and the overall cost structure appears to be much improved. Also, demand appears to be on the rise for health care products and services, partly as a result of an aging population.
Government actions and proposed actions continue to be likely sources of volatility for the sector, but we believe this creates potential opportunities for investors and are currently rating the group at outperform. While large-scale changes to the existing system seem highly unlikely in the near term given the environment in Washington and the split Congress that resulted from the midterm elections, there are smaller changes being made administratively and proposed legislatively that will likely continue to result in ebbs and flows in the sector as investors try to gauge the impact on various areas of the sector. This is a story that will continue to develop, with health care continuing to be at the center of many political debates and the mix in Washington changing but remaining divided. This will likely keep the health care sector more volatile than usual, but also create some opportunities for investors willing to ride the potential roller coaster.
We believe an outperform rating for the entire sector is appropriate, although at times, such as recently, it will feel disappointing as the sector experiences short-term dips on speculation as to what changes may or may not occur, but we urge investors to remain patient and ride out these short-term potential storms for now. We won’t fight negative sentiment forever, however, and have moved closer to reducing our rating of the group.
Factors that may affect the health care sector
Positive factors for the health care sector include:
- Increased need for services: An aging population requires more extensive drug treatments and medical care. The health issues associated with obesity also could boost demand for medical services.
- Strong financials: Balance sheets in the health care sector remain flush with cash, increasing the possibility of higher dividend payments, share-enhancing stock buybacks, and mergers and acquisitions.
Negative factors for the health care sector include:
- Regulatory uncertainty: Entering a political campaign season that includes a presidential election where health care is likely to be the center of many political campaigns, volatility is likely to increase at times.
- Government takeover concerns: If investors increasing believe the “Medicare for all” rhetoric is going to come to fruition, it would likely be a very negative development for the health care sector.
- Fiscal policy concerns: The current fiscal situation in Washington creates uncertainty regarding the health care sector. Certain funding mechanisms could be changed as Congress deals with growing deficits.
Clients can see our top-rated stocks in the health care sector.
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