Health insurers don't necessarily stand to benefit if the Obama Administration's health care reform legislation is invalidated by the Supreme Court Thursday, according to analysts who follow the industry.
"For the most part, insurers would be better off if the reform law stays in place at this point," says Morningstar analyst Matthew Coffina.
That's because many aspects of the law that are negative for insurers -- such as minimum medical loss ratios, state scrutiny of premium increases and cuts to Medicare reimbursements -- are likely to be put back in place by legislators after the law is thrown out, Coffina says.
On some of the law's other industry-friendly provisions, such as expansions of the Medicaid program and subsidies for people to buy insurance, "are very unlikely to be resurrected given the current political environment and the focus on budget deficits more than health care access," according to Coffina.
A range of outcomes is possible, including invalidating the law entirely, partially, or allowing it to stand without alteration. A June 21 report from Citigroup sees six potential outcomes.
"It isn't certain whether the court will choose to issue one big health care decision, or issue separate rulings on each of the issues at hand," the analysts wrote.
Whether some aspects of the law pass may be essentially moot since certain insurers have said they will adopt them voluntarily.
Those decisions reflect "really good public relations" since the costs are already passed along to employers and workers in the form of higher premiums and other charges, argues Jeff Jonas, portfolio manager at GAMCO Investors.
There are also certain expenditures companies may have made already to comply with the new law. WellPoint Inc. (WLP)
Nonetheless, the most likely outcome is the law will be upheld in its entirety, argue analysts at Wedbush, though they assign just a 30-40% probability of such a result. If that happens, they expect a "relief rally," of about 5% as the path to new regulations will at least be clearer. The analysts believe their call is against the consensus view, which is that seeing the law upheld would cause managed care stocks to trade lower.
Citigroup, on the other hand, sees a 70% chance that the "individual mandate" requiring everyone to buy insurance will be invalidated by the court. If that is the only part of the law that is struck down, they believe it could cause a 10-15% drop in for-profit health insurers. In such a case, which Citigroup assigns only a 10% probability, they would buy the insurers' stocks on the theory that the mandate was likely to be widely ignored anyway.
"The $95 penalty many people would have to pay in 2014 for not having insurance is far too modest to compel young and healthy individuals from purchasing coverage," Citigroup's analysts wrote.
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