Stent Doctors Wary Of US Efforts To Restrain Health Costs
March 30 2009 - 3:15PM
Dow Jones News
Doctors who perform angioplasty and implant heart stents are
concerned about the potential for government moves that could
compress reimbursement payments for such procedures, which would in
turn hurt device makers.
The White House's proposed fiscal 2010 budget didn't spell out
any direct impact for products like stents, but it did enflame
long-running worries that pressure on product prices could emerge,
sending medical-device stocks into a tailspin following release of
the proposed budget.
Boston Scientific Corp. (BSX), Abbott Laboratories (ABT),
Johnson & Johnson (JNJ) and Medtronic Inc. (MDT) are the big
makers of stents, which prop open clogged heart arteries.
Medical-device companies typically sell their wares to
hospitals, and hospitals' ability to pay top dollar is linked to
insurance coverage. The key mechanism is a complex series of
Medicare codes that determine hospital payments for procedures
involving devices, as many device patients are older and covered by
the U.S. insurance plan, and because Medicare sets trends for
private insurers.
Doctors feel the same squeeze that companies do, but at an
earlier link in the chain. Stent-implanting interventional
cardiologists cited worries about such pressure during and ahead of
the American College of Cardiology's annual conference.
"There's a general concern that reimbursement for hospitals as
well as physicians will be under increasing pressure," said Gregg
Stone, who directs cardiovascular research and education at the
Center for Interventional Vascular Therapy at the New
York-Presbyterian Hospital/Columbia University Medical Center.
Stone said this is a long-running worry that threatens to drag
down salaries, making medicine a less attractive profession. He
also noted the potential for worse circumstances, saying he dreads
"being in a hospital system that tries to limit the type of care I
practice."
Martin Leon, who is the same facility's associate director,
noted that reimbursement for stents is currently very strong, which
has held prices up. But the same relationship between reimbursement
rates and prices could go the other way.
That worry took a toll after the budget proposal was issued on
Feb. 26, and medical-device stocks haven't reclaimed lost territory
despite the market's recent scorching run.
The Standard & Poor's 500 index rose 6.7% between the budget
release and Friday's market close, with a steep drop and a sharp
rise in between. Over the same stretch, two Dow Jones Wilshire
indexes tracking device companies and other medical suppliers were
down 2.9% and 5%.
"You saw the market and some of the medical-device companies
frown because they basically see this as truly a clamping down on
newer, expensive technologies," said Mark Turco, an interventional
cardiologist who directs the Center for Cardiac & Vascular
Research at Washington Adventist Hospital in Maryland.
A broad move from typical "safe-haven" sectors may also be
playing a role as investors venture back into more sensitive
industries.
There has been no government signal about sudden plans to
squeeze prices for medical devices such as drug-coated stents --
which cost about $2,000 each and are very profitable. While big
profit margins could make an enticing target, some Wall Street
analysts have called the recent price-related concerns overblown.
High prices also support the steep expense of developing new
medical products.
In the interventional cardiology sector, doctors noted that
costs can vary widely across different hospitals and geographic
regions. A one-size-fits-all judgment about the market would be
tough.
Steven Bailey, chief of the Division of Cardiology at the
University of Texas Health Science Center in San Antonio,
highlighted the aging population, which will likely put more people
at risk of heart problems amid the effort to constrain costs.
Bailey, who is also president-elect of the Society for
Cardiovascular Angiography and Interventions, an organization for
stent-implanting doctors, noted that there is a certain amount of
money in the Medicare system. If changes are made in one place, it
opens the door for changes elsewhere to balance things out.
"I think that everyone is concerned about what those changes
will be and what the basis will be for making those decisions," he
said.
-By Jon Kamp, Dow Jones Newswires; 617-654-6728;
jon.kamp@dowjones.com