Health Care Reform and the Stock Market: Economic Impact, Growth Opportunity and Private Sector Investors
Abstract
Objective: To study the potential economic impact of the health care reform (PPACA) on business in the health care sector.
Data Sources: Financial statement data from Compustat and stock return data from CRSP.
Study Design: Firms are categorized into 12 industries including medical clinics, drug distributors, hospitals, insurers, medical product manufacturers, nursing homes, pharmaceuticals, etc. To study the PPACA’s economic impact on the health care sector, we use the event study method and regression analysis to examine the excess stock returns caused by the Congress’s passage of the PPACA in 2010 and the Supreme Court’s upholding of the Act in 2012.
Findings: The market appears to support the Act in general and reacts positively to the health service business including hospitals, medical clinics, and specialty outpatient facilities.
Conclusions
For regulators who want to explore how to reduce the costs of public funding to health care, or for private investors who are considering entering the health care market, this result helps identify growth opportunities within the sector and the levels of interest that majority of investors have towards them.
Full Text:
PDFReferences
Afendulis, Christopher, Mary Landrum, and Michael Chernew, 2012, “The Impact of the Affordable Care Act on Medicare Advantage Plan Availability and Enrollment,” Health Services Research, 47, 2339–2352.
Altarum Institute, 2011, “Health Sector Economic Indicators Brief,” Center for Sustainable Health Spending.
Ball, Ray and Philip Brown, 1968, “An Empirical Evaluation of Accounting Income Numbers,” Journal of Accounting Research, 6, 159–178.
Barer, Morris, 1995, “So Near, and Yet So Far: A Canadian Perspective on U.S. Health Care Reform,” Journal of Health Politics, Policy and Law, 20, 463-476.
Beach, William and Patrick Tyrrell, 2012, “The 2012 Index of Dependence on Governance,” A Report of the Heritage Center for Data Analysis, The Heritage Foundation, Washington, DC.
Beallor, Gerald, 2002, Trends in Health Care Will Impact Social Work Service Delivery, Health Care and Policy Network.
Berger, Philip, 1993, “Explicit and Implicit Tax Effects of the R&D Tax Credit,” Journal of Accounting Research, 31, 131-171.
Blumenthal, David, 1996, “Effects of Market Reforms on Doctors and Their Patients,” Health Affairs, 115, 170-184. Campbell, John, Andrew Lo and A. Craig MacKinlay, 1996, The Econometrics of Financial Markets, Princeton University Press.
Cantor, Joel, Alan Monheit, Derek DeLia, and Kristen Lloyd, 2012, “Early Impact of the Affordable Care Act on Health Insurance Coverage of Young Adults,” Health Services Research, 47, 1773–1790.
Cardon, James, Joel Moore, and Mark Showalter, 2012, The Distributional Effects of Health Reform Limits on Flexible Spending Accounts, Forum for Health Economics & Policy, 15.
Catte, Pietro, Giampaolo Galli and Salvatore Rebecchini, 1994, “Concerted Interventions and the Dollar: An Analysis of Daily Data,” The International Monetary System (Peter Kenen, Francesco Papadia and Fabrizio Saccomanni, Ed.,) Cambridge University Press, Cambridge
Chandra, Ramesh, Shane Moriarity and G. Lee Willinger, 1990, “A Reexamination of the Power of Alternative Return- Generating Models and the Effect of Accounting for Cross-Sectional Dependencies in Event Studies,” Journal of Accounting Research, 28, 398–408.
CMS, 2010, “National Health Expenditure Projections 2010-2020,” Centers for Medicare and Medicaid Services.
Cutler, David, 1988, “Tax Reform and the Stock Market: An Asset Price Approach,” American Economic Review, 78, 1107-1117.
Dale, Spencer, 1993, The Effect of Changes in Official U.K. Rates on Market Interest Rates since 1987, The Manchester School, 61, 76–94.
Dominguez, Kathryn and Jeffrey Frankel, 1993, “Does Foreign Exchange Intervention Work?” Institute for International Economics, Washington D.C.
Enthoven, Alain and Sara Singer, 1995, “Market-based Reform: What to Regulate and by Whom,” Health Affairs, 14, 105-119.
Fama, Eugene, 1970, “Efficient Capital Markets: A Review of Theory and Empirical Work,” Journal of Finance, 25, 383– 417.
Fama, Eugene, Lawrence Fisher, Michael Jensen and Richard Roll, 1969, “The Adjustment of Stock Prices to New Information,” International Economic Review, 10, 1–21.
Fatum, Rasmus and Michael Hutchison, 2003, “Is Sterilised Foreign Exchange Intervention Effective After All? An Event Study Approach,” Economic Journal, 113, 390–411.
Ferlie, Ewan, Andrew Pettigrew, Lynn Ashburner and Louise Fitzgerald, 1996, The New Public Management in Action, Oxford University Press.
Garfinkel, Michelle and Daniel Thornton, 1995, “The Information Content of the Federal Funds Rate: Is it Unique?” Journal of Money, Credit and Banking, 27, 838-847.
Gilligan, Thomas and Keith Krehbiel, 1988, “Complex Rules and Congressional Outcomes: An Event Study of Energy Tax Legislation,” Journal of Politics, 625-654.
Gompers, Paul and Andrew Metrick, 2001, “Institutional Investors and Equity Prices,” Quarterly Journal of Economics, 116, 229-259.
Herzlinger, Regina, 2007, Who Killed Health Care? America’s $2 Trillion Medical Problem - and the Consumer-Driven Cure, McGraw-Hill.
Hinings, C. Robert, Ann Casebeer, Trish Reay, Karen Golden-Biddle, Amy Pablo and Royston Greenwood, 2003, “Regionalizing Health care in Alberta: Legislated Change, Uncertainty and Loose Coupling,” British Journal of Management, 14, 15–30.
Horwitz, Jill, 2005, “Making Profits and Providing Care: Comparing Nonprofit, For-Profit, And Government Hospitals,” Health Affairs, 24, 790–801.
Jaffe, Adam and Karen Palmer, 1997, “Environmental Regulation and Innovation: A Panel Data Study,” Review of Economics and Statistics, 79, 610–619.
Kaiser Family Foundation, 2010, Summary of New Health Reform Law, Focus on Health Reform, The Henry J. Kaiser Family Foundation, Menlo Park, California.
Kothari, S.P. and Jerold Warner, 2007, “Econometrics of Event Studies,” Handbook of Corporate Finance: Empirical Corporate Finance (B. Espen Eckbo, Ed.,) Elsevier.
Lanoie, Paul, Jérémy Laurent-Lucchetti, Nick Johnstone and Stefan Ambec, 2011, “Environmental Policy, Innovation and Performance: New Insights on the Porter Hypothesis,” Journal of Economics & Management Strategy, 20, 803– 842.
Manchikanti, Laxmaiah, David Caraway, Allan Parr, Bert Fellows and Joshua Hirsch, 2011, “Patient Protection and Affordable Care Act of 2010: Reforming the Health Care Reform for the New Decade,” Pain Physician, 14, 35-67. Meyer, Jack, Randall Bovbjerg, Barbara Ormond, and Gina Lagomarsino, 2010, Expanding Health Coverage in the District of Columbia: D.C.'s Shift from Providing Services to Subsidizing Individuals and Its Continuing Challenges in Promoting Health, 1999–2009, Brookings Institution, Washington, DC.
Porter, Eduardo, 2013, “Health Care and Profits, a Poor Mix,” Economic Scene, New York Times, January 8, 2013. Porter, Michael, “America's Green Strategy,” 1991, Scientific American, 168.
Robbins, Catherine, Todd Rudsenske and James Vaughan, 2008, “Private Equity Investment in Health Care Services,” Health Affairs, 27, 1389-1398.
Schroeder, Steven, 1993, “The Clinton Health Care Plan: Fundamental or Incremental Reform?” Annuals of Internal Medicine, 119, 945-947.
Sloan, Frank and Robert Vraciu, 1983, “Investor-Owned And Not-For-Profit Hospitals: Addressing Some Issues,” Health Affairs, 2, 25–37.
Steinmo, Sven and Jon Watts, 1995, “It’s the Institutions, Stupid! Why Comprehensive National Health Insurance Always Fails in America,” Journal of Health Politics, Policy and Law, 20, 329-372.
Thornton, Daniel, 1998, “Tests of the Market’s Reaction to Federal Funds Rate Target Changes,” Federal Reserve Bank of St. Louis Review, 80, 25–36.
Thorpe, Kenneth, 1997, “The Health System in Transition: Care, Cost, and Coverage,” Journal of Health Politics, Policy and Law, 22, 339–361.
Turner, Grace-Marie, 2009, “Overview of the U.S. Health Sector,” Galen Institute.
Warren-Boulton, F. and S. Dalkir, 2001, “Staples and Office Depot: An Event-Probability Case Study,” Review of Industrial Organization, 19.
Refbacks
- There are currently no refbacks.
©Journal of Health Care Finance