The performance of incumbent players in the MedTech industry continued to be hamstrung by a spate of macro issues (including sustained price and procedure volume pressures) in the September quarter. The prevailing macroeconomic factors, pricing headwinds, austerity measures, reimbursement pressure and the impact of health care reform continues to weigh on the medical devices industry, exacerbated by Europe's sovereign debt plight.
The beleaguered U.S. implantable defibrillator market continues to bother cardiac devices makers, as reflected by sustained implant volume pressure. On the other hand, companies in the orthopedic domain remain affected by a still choppy reconstructive implant market as they faced sustained pressure across hip, knee and spine businesses in the third quarter (albeit to a lesser extent vis-à-vis the sequentially prior quarter).
Although a number of these issues are expected to linger through 2011, the industry is expected to fare relatively better this year thanks to several attractive growth opportunities and healthy tailwinds.
The global medical devices industry is fairly large, intensely competitive and highly innovative, with estimated worldwide sales of more than $300 billion in 2011. The U.S. is the largest market, with estimated sales of roughly $95 billion in 2010. Innovation is the quintessential in MedTech industry leading to continuous advancement in treatment and delivery of health care while driving competitiveness through differentiated and improved product offerings.
The highly-regulated medical devices industry is divided into different segments including Cardiology, Oncology, Neuro, Orthopedic and Aesthetic Devices. The U.S. medical devices industry continues to grow at a brisk pace, backed by an aging Baby Boomer population, high unmet medical needs and increased incidence of lifestyle diseases (including cardiovascular diseases, diabetes, hypertension and obesity). Neuro, orthopedic and aesthetic represent the fastest-growing categories.
Last year was challenging for medical device companies, given the exigent economic conditions and a precarious healthcare environment. The industry faced several issues in 2010, including pricing concerns, hospital admission and procedural volume pressures, health care reform, reimbursement issues and increasing regulatory involvements, which put investors in a dilemma about these stocks. Yet, the MedTech industry weathered the economic vortex better than many others and is emerging as an important contributor to economic recovery.
While several catalysts for growth in 2011 exist -- such as new product cycles, an aging population, geographic expansion, ongoing transition towards minimally-invasive techniques and emerging markets -- lingering issues from last year remain an overhang.
The aging population represents a major catalyst for demand of medical devices. The elderly population (persons 65 years and above) base in the U.S. was roughly 40 million in 2010, representing around 13% of the nation’s population and accounting for a third of health care consumption. Federal government estimates indicate that the elderly population will catapult to 72 million by 2030, ensuing a major fillip for medical devices utilization.
Given the maturing legacy markets, medical device companies are looking to expand into lucrative incipient markets. Expansion in the emerging markets, especially those with double-digit annual growth rates, represents one of the best potential avenues for growth in 2011 and beyond.
Pros and Cons of U.S. Healthcare Reform
The Government-mandated healthcare reform in the U.S. enacted last year -- the Patient Protection & Affordable Care Act -- has created a degree of uncertainty for medical devices companies. The reform has led to a less flexible pricing environment for these companies and may pressure pricing across the board. Moreover, the proposed tax on device companies will be a drag.
Nevertheless, the Act places considerable emphasis on patient safety and aims to reduce the number of uninsured people (from 19% of all residents in 2010 to 8% by 2016). The new law is expected to eventually extend health insurance coverage to an estimated 32 million Americans currently not insured.
Medical device companies are susceptible to significant reimbursement risks as their products are reimbursed by the Center for Medicare and Medicaid (“CMS”) and commercial payers. Third-party reimbursement programs in the U.S. and abroad, both government-funded and commercially insured, continue to develop different means of controlling health care costs, including prospective reimbursement cuts with careful review of medical bills and stringent pre-approval requirements.
An increase in the publicly insured base (resulting from healthcare reform) is expected to lead to lower reimbursement obtained by physicians, hospitals and other health care providers as public insurance generally offers lower reimbursement vis-à-vis private payors. Moreover, private insurance companies are increasing their scrutiny of certain surgeries, which is materially impacting utilization in 2011.
The 510(k) Reform – A Regulatory Overhang
The U.S. Food and Drug Administration (FDA) declared, in August 2010, a set of ambitious proposals for revamping the 510(k) device approval protocols. The 200-page report, consisting of 55 proposed changes, was designed to serve as a blueprint for the reform, representing FDA’s vision to streamline the device review process and make it more predictable and transparent.
As part of the listed proposals, the FDA intends to create the “Center Science Council,” which will oversee medical device science-based decision-making. Moreover, the regulator is seeking additional information regarding the safety and efficacy of devices in the 510(k) submissions. The FDA also aims to form a subset of moderately risky devices (to include devices such as infusion pumps) under the “Class IIb” moniker that would require submission of more clinical data and manufacturing information compared to the existing Class II devices.
In a major move, the FDA outlined a plan in January 2011, consisting of 25 proposals, which it intends to implement during 2011 to improve the regulatory approval pathway for medical devices. Most of these proposals, announced by the FDA’s Center for Devices and Radiological Health (“CDRH”), appear favorable for the medical devices industry.
The proposals are aimed at overhauling the three-and-a-half-decade-old 510(k) device approval program by which roughly 4,000 devices have been cleared annually. The list includes streamlining the de novo review process for lower-risk devices, clarifying when devices companies should submit clinical data for a 510(k) application and establishing a new council of senior FDA experts.
However, interestingly, the regulator shelved the most controversial issues of its previously-announced proposals including a definition of its authority to rescind approval of potentially unsafe or ineffective products and the creation of a new category of devices, which have drawn sneers from industry groups and devices companies. President Obama emphasized that the planned changes represent the government’s efforts to keep patients safer and accelerate the approval process of innovative and life-saving products.
The CDRH forwarded seven of the controversial proposals to the Institute of Medicine (“IOM”), which provides national advice on medical issues, for independent review. In a shocking move, in late July 2011, the IOM recommended the FDA scrap the 510(k) process and replace it with a new regulatory framework that integrates pre-market clearance and better post-market surveillance. The IOM review concluded that the 510(k) process fails to evaluate the safety and effectiveness of Class II devices before they enter the market. The recommendation was met with immediate industry-wide criticism.
However, the FDA noted that the IOM’s recommendation is not binding and the 510(k) process should not be eliminated. The regulator is currently seeking public feedback on the proposal.
While the 510(k) overhaul is still in process, it may eventually make device approval more complex, lengthy and burdensome. Moreover, with the expected rise in the regulatory bar for approvals, medical devices companies may be required to shell out more for R&D.
We continue to recommend companies providing life-sustaining products and procedures, given their strong recurring stream of revenues as patients are unable to forego these products. Furthermore, investors should look at companies with strong earnings quality and liquidity profiles. These companies appear attractive considering their ability to leverage strong balance sheet and cash flows in maximizing shareholder value (via dividends/share repurchases).
Large companies with a wide product portfolio/healthy pipeline and strong infrastructure are also better poised for improved returns. Moreover, companies focusing on more judicious R&D investment, expansion into new markets and cost-saving through restructuring are better placed in 2011. These companies have greater capability of withstanding the sustained macro-level issues and increasing regulatory pressure.
Pressed by a still-soft economy, top-tier devices makers are continuing their merger/acquisition binge in 2011, especially as a means to enter new markets and diversify their portfolio. Although this represents an important means for growth, we continue to advise investors to shun companies that have grown historically through extensive acquisitions only. These companies may find it difficult to fund acquisitions considering the lingering impact of the recession.
Also, they face increasing challenges in integrating acquisitions and delivering operational synergies from them, which are considered to be the prime reason for failures of mergers and acquisitions. Moreover, we still recommend investors to eschew companies making non-life-sustaining products and procedures (including elective procedures such as hip and knee replacement), as they are still engulfed by softened patient demand.
In our universe, we see growth potential in companies dealing with cardiovascular devices, neuro and radiation oncology products. Names include Medtronic Inc. (MDT - Analyst Report), Boston Scientific Corporation (BSX - Analyst Report), St. Jude Medical (STJ - Analyst Report), Edwards Lifesciences (EW - Analyst Report), ZOLL Medical (ZOLL), Abiomed Inc. (ABMD), Thoratec Corporation (THOR) and Varian Medical (VAR - Analyst Report).
The above-listed companies make life-sustaining products and are less affected by the economic turbulence. These companies are all leading players in their respective fields and are potential winners in the long run. Some of these players have been successful in weathering the storm (pricing, currency and volume headwinds) in the cardiovascular space.
MedTech Majors: Long-Term Winners
With a slew of new products, the Big Three players (Medtronic, Boston Scientific and St. Jude) in the $6.5 billion implantable cardioverter defibrillator (“ICD”) market are well-positioned to gain market share, despite the challenging business environment and several other barriers to growth. These companies have a number of levers to pull and represent a good bet for long-term investors.
Among the names above, Medtronic, the undisputed leader in the MedTech space, has a diversified presence in cardiovascular, neuro, spinal, diabetes and ENT and boasts an attractive pipeline. Although the company is experiencing weakness in its ICD business, new products should gradually contribute to growth and help it maintain/gain ICD share.
The long-awaited issue of the FDA warning letters, relating to Medtronic’s Mounds View facility and manufacturing unit in Puerto Rico, was finally resolved in March 2011, paving the way for the U.S. approval and launch of new products including the much-anticipated Protecta ICD device. We believe that the new REVO MRI SureScan pacemaker and Arctic Front catheter should provide support to Medtronic’s CRM business.
Boston Scientific has maintained its leadership in the drug eluting stent (“DES”) market. Its pipeline DES product Promus Element (expected U.S. launch in mid-2012) is shaping up to be a major driver for its stent business. Although the CRM segment remains challenging, we believe that the company’s continuous focus on strategic initiatives to drive growth and profitability should yield steady results moving ahead.
Boston Scientific is leaving no stone unturned to stay on course for growth. It has undertaken a series of management changes and restructuring initiatives that are expected to contribute to the bottom line and margins. The company also plans to expand its footprint in the emerging markets by reinvesting the savings from restructuring efforts. It has recorded double-digit sales growth across Brazil, India and China, the three largest emerging markets, in the most recent quarter.
We remain intrigued by St. Jude’s ability to consistently produce positive earnings surprises and revenue growth. The company is gaining ICD market share despite a sluggish market condition. St. Jude is poised for incremental opportunities in CRM on the back of strong product momentum. A surfeit of new growth drivers are expected to offer opportunities for accelerated sales growth over the next few years.
St. Jude’s Fortify and Unify devices are gaining notable traction and increased penetration of these products should enable it to expand its position in CRM. The company recently commenced the European roll out of its Unify quadripolar CRT-D system and is currently awaiting approval of the product in the U.S. , representing a major growth prospect. St. Jude is currently the only company to offer this technology globally. Moreover, the company is well placed to leverage the solid growth momentum in atrial fibrillation market.
Beyond the MedTech giants, Edwards Lifesciences represents another value proposition. The company recorded strong revenue growth in the third quarter, banking on robust performance of its heart valve therapy products. Apart from heart valve therapy, healthy growth at Critical Care and Cardiac Surgery Systems segments was encouraging.
Edwards recently received the U.S. approval for the highly-anticipated Sapien transcatheter aortic heart valve (for inoperable patients). With this approval, it became the first company in the U.S. to receive approval for a transcatheter device which allows surgeons to replace a patient's ailing aortic valve without resorting to open-heart surgery. The device should offer a major boost to the company’s sales in the long term.
Another interesting pick in our portfolio is resuscitation devices-maker ZOLL Medical. ZOLL is a leading player in the global market for external defibrillators, which is worth more than $1 billion. The company’s LifeVest wearable defibrillator business continues to grow at a healthy quarterly run rate, benefiting from increased awareness of the product and associated sales force enhancements. Moreover, its significant international presence should also push growth.
We also believe that cardiac assist devices maker Abiomed represents another attractive opportunity for investors. The company possesses a broad portfolio of products that are life-sustaining in nature and has been able to deliver sustainable growth in a challenging economy. Abiomed enjoys strong demand for its Impella cardiac pumps. The company turned in a profit in the most recent quarter riding on record sales. Higher Impella sales fueled healthy double-digit revenue growth. We have upgraded the stock to Outperform based on its strong results and upbeat prospects for Impella.
Varian is the world’s leading manufacturer of integrated radiotherapy systems for treating cancer. The company is poised to increase its market share in the radiation oncology market. Varian is currently enjoying a healthy demand for its RapidArc radiotherapy technology, which is meaningfully contributing to its oncology net order growth. Strong order activity in oncology coupled with healthy momentum in the X-ray products business will set the stage for better performance in 2011.
Another value proposition is robotic surgical systems maker Intuitive Surgical (ISRG - Analyst Report). Intuitive’s recurring revenue stream continues to grow and provides a shield against cyclicality of revenues, arising from the sale of discretionary capital equipment to hospitals. We believe that its da Vinci surgery system has the capacity to improve outcomes and cut down on procedure time. Intuitive enjoys nearly a monopoly in robotic surgery.
Another upbeat prospect is heart devices maker Thoratec. The company enjoys a first mover advantage in the ventricular assist devices (VAD) market and the growing number of centers for its HeartMate II pumps indicates increasing acceptance. VAD represents a substantial market opportunity for Thoratec with a significant number of eligible heart failure patients globally.
With HeartMate II, Thoratec enjoys a monopoly in the U.S. market because it is the only device of its kind for the destination therapy indication (for heart failure patients who are not eligible for heart transplant). Favorable adoption trend of the device is expected to support revenue growth moving forward. We recently upgraded the stock to Outperform.
We are also optimistic about scientific instrument maker Thermo Fisher Scientific (TMO - Analyst Report). The company has been successful in expanding operating margins over the past few quarters on the back of operational efficiency and cost control. Thermo Fisher has strong international exposure and is focusing on emerging market for growth.
The company’s strong cash position enables it to make suitable acquisitions. The acquisition of leading chromatography systems maker Dionex Corporation has provided Thermo Fisher ample scope to further strengthen its position in mass spectrometry, representing one of the fastest growing categories in life sciences tools. Moreover, the company recently closed its acquisition of Sweden-based blood test systems maker Phadia for $3.5 billion, adding allergy and autoimmunity diagnostic tests to its portfolio and strengthening its position in the high-growth specialty diagnostics markets.
Emerging Markets: A Big Role to Play
The leading U.S. cardiovascular devices companies such as Medtronic, Boston Scientific and St. Jude are exploring new avenues of growth beyond the mature pacemaker and ICD markets. These companies are increasingly seeking opportunities to expand into fast-growing new therapy areas within or outside the cardiology space, including markets such as atrial fibrillation and neuromodulation.
Among the emerging cardiology markets, an encouraging prospect represents the structural heart market with its major categories including Patent Foramen Ovale (PFO) and Left Atrial Appendage (LAA) occlusion. The AGA acquisition has provided St. Jude with devices targeted at PFO and LAA markets.
Moreover, the Transcatheter Aortic Valves (TAVI) market, a potential blockbuster prospect, is emerging as a substantial new growth opportunity for the top-tier MedTech companies. St. Jude has registered the first human implant of its next-generation TAVI product dubbed Portico. The company expects to commence the European clinical trial of Portico valve in fourth-quarter 2011 and is optimistic about its entry in the European TAVI market by end-2012. Medtronic’s TAVI offering, CoreValve, is currently undergoing evaluation in a pivotal trial in the U.S.
Intravascular ultrasound imaging (IVUS), Optical Coherence Tomography (OCT) and other next-generation imaging technologies are expected to offer incremental opportunity for companies such as Volcano Corp. (VOLC), Boston Scientific and St. Jude. The OCT market has been projected to grow at a double-digit clip over the next five years. Another emerging prospect is renal denervation for treating resistant hypertension. We believe that emerging markets represent a key catalyst for growth in 2011 and beyond.
Favorable Hospital Spending Cycle
A soft hospital capital spending backdrop was challenging for MedTech stocks in 2010. The North American and European markets were affected by shrinking budgets for equipment purchases at the height of the recession.
However, results from the first three quarters of 2011 indicate a silver lining stemming from continued recovery in hospital spending in the U.S. Spending levels are improving as hospitals appear to have started replacing their worn-out equipment. A healthy replacement/upgrade cycle will favorably impact results in the December quarter.
Japan - Weakest Link in the Chain
The impact of the horrific March 11 earthquake in Japan and its aftermath has led to a major disruption in the global supply chain with Japan being a critical link. It has resulted in some delays in shipments, elective surgical procedures and regulatory clearance for new products.
Medtronic, Boston Scientific and Johnson & Johnson’s (JNJ - Analyst Report) Depuy has a major exposure to the Japanese medical devices sector. Other key players such as Abbott Laboratories (ABT - Analyst Report), St. Jude, Stryker Corporation (SYK - Analyst Report), Becton, Dickinson (BDX - Analyst Report) and Zimmer Holdings (ZMH) also have a strong foothold in this lucrative market. Many of these players derive sizable revenues from Japan and envision lower sales from this region to weigh on their top line in 2011.
A Still-Clouded Orthopedic Space
We continue to advise investors to spurn companies in the orthopedic domain. Companies in this space continue to struggle as patients defer their elective procedures given the lingering economic softness, exacerbated by sustained pricing pressure.
The reconstructive market fundamentals (pricing and volume) remain challenging with little or no clear visibility for a material turnaround in near future. Reconstructive procedure volumes in the September quarter have been lower than historical utilization rates.
Companies that fit the bill include Stryker, Zimmer Holdings, CONMED Corporation (CNMD), Wright Medical Group (WMGI) and Symmetry Medical (SMA). We remain cynical about these stocks given the sustained price/volume pressure.
However, we acknowledge that companies such as Stryker and Zimmer, with less exposure to metal-on-metal (MoM) hip products, are better placed to gain share in 2011 than their highly-exposed counterparts such as JNJ/Depuy and Wright Medical. The ongoing transition from MoM implants to next-generation hip systems represents a tailwind for these players.
Pricing: A Lingering Issue
Pricing compressions on hips, knees and spine products, which impaired the performances of most of the orthopedic companies in 2010, remain a key concern, at the macro-level. The effect of government health care cost containment efforts and continuing pressure from local hospitals and health systems as potential Medicare reimbursement cuts create additional reasons for hospitals to push back pricing. This is expected to continue hurt selling prices on a global basis.
Moreover, the advent of group purchasing organizations (GPOs), which act as agents that negotiate vendor contracts on behalf of their members, has also put pressure on pricing. The prevailing economic climate has bolstered the bargaining power of GPOs. The pricing scenario in 2011 is expected to stay the same as last year as hospitals continue to push back pricing.
Spine Continues to Hurt
The U.S. spine market, which grew at a double-digit rate in 2009, took a tumble in 2010. The spinal market was worst hit by the pricing/volume headwinds and payor push back as manifested by a moribund quarterly growth trend. Leading companies in the orthopedic space such as Stryker and Zimmer continue to experience price and volume pressure, which was evident in their results for the first three quarters of 2011.
Pricing pressure and reimbursement uncertainties coupled with austerity measures in Europe are expected continue to weigh on this market through 2011. Moreover, private payors are delaying spine surgeries by requiring more documentation before approving such procedures, thereby contributing to the slowdown in this market.
Volume: Stabilizing but Still a Headwind
The $12 billion replacement hips and knees markets have been affected by lingering economic softness, as reflected in procedure volume pressure. Cash-strapped patients continue to defer surgeries given the weak economy and reimbursement-related pushback.
Procedural volumes in the U.S. have been negatively impacted as a result of a high unemployment rate, which has resulted in the expiry of health insurance as well as a decline in enrollment in private health plans.
As per the demographic analysis, these trends had a significant impact on the potential patient base for joint replacement procedures, those between 45 and 65 years of age and without any Medicare coverage. On the other hand, austerity measures are contributing to the reduction in procedure volumes in Europe.
The hip/knee market in Europe is expected to remain challenged in 2011, but to a lesser extent than 2010. Volume headwind is likely to sustain through 2011 as unemployment continues to influence procedure deferrals.
Companies such as Stryker and Zimmer derive a chunk of their revenues from replacement hips and knees. Most of the leading players in the orthopedic space reported weak knee sales in the most recent quarter, echoing a general softness in the market.
September quarter trends indicate sustained lumpiness in procedure volume growth across hip and knee markets (although manifesting signs of stabilization) and a substantial recovery is not likely at least in the near term. In fact, the timing of the rebound in procedure volume to pre-recession level remains unclear, at this stage. We continue to recommend investors to steer clear of the above-mentioned orthopedic stocks until the pricing/volume pressure unwinds.