1 00:00:04,760 --> 00:00:08,080 Speaker 1: Welcome to the Bloomberg P and L Podcast. I'm pim Fox. 2 00:00:08,119 --> 00:00:11,200 Speaker 1: Along with my co host Lisa Abramowitz. Each day we 3 00:00:11,280 --> 00:00:14,480 Speaker 1: bring you the most important, noteworthy, and useful interviews for 4 00:00:14,520 --> 00:00:16,880 Speaker 1: you and your money, whether at the grocery store or 5 00:00:16,920 --> 00:00:20,680 Speaker 1: the trading floor. Find the Bloomberg P L Podcast on iTunes, 6 00:00:20,840 --> 00:00:30,160 Speaker 1: SoundCloud and at Bloomberg dot com. Well in mid October, 7 00:00:30,600 --> 00:00:34,120 Speaker 1: David Coudla, the chief executive, the chief investment strategist for 8 00:00:34,280 --> 00:00:37,960 Speaker 1: Mainstay Capital Management, came on the program and said, pay 9 00:00:37,960 --> 00:00:40,400 Speaker 1: attention to regional banks. Let's find out. Was it a 10 00:00:40,440 --> 00:00:43,879 Speaker 1: profitable call? David Coudla, thanks very much for being with us. 11 00:00:45,120 --> 00:00:47,040 Speaker 1: All right, so go ahead tell us how that regional 12 00:00:47,040 --> 00:00:51,080 Speaker 1: bank call turned out. Well, depending on the index we use. 13 00:00:51,159 --> 00:00:53,960 Speaker 1: But if we look at kri E that index for 14 00:00:54,560 --> 00:00:57,680 Speaker 1: or that eat F for regional banks, we're actually up 15 00:00:57,720 --> 00:01:02,720 Speaker 1: about uh since that recommendation on your show a couple 16 00:01:02,760 --> 00:01:05,520 Speaker 1: of months ago. All right. So if you're up that much, 17 00:01:05,600 --> 00:01:09,600 Speaker 1: are you taking any profits? No? Uh? And actually we've 18 00:01:09,600 --> 00:01:13,680 Speaker 1: added to positions since then. You know, back in in 19 00:01:13,680 --> 00:01:17,160 Speaker 1: September October time frame, we liked regional banks on the 20 00:01:17,160 --> 00:01:20,959 Speaker 1: thesis that the FED was going to be raising rates, uh, 21 00:01:21,120 --> 00:01:25,440 Speaker 1: steepening the yield curve, improving nim that interest margin for 22 00:01:25,480 --> 00:01:28,920 Speaker 1: the banks. That benefits the regional banks even more than 23 00:01:28,959 --> 00:01:33,480 Speaker 1: money center banks, although all benefit. Since then with the election, 24 00:01:34,480 --> 00:01:39,200 Speaker 1: we now have the prospect of lower regulatory headwinds for 25 00:01:39,280 --> 00:01:43,600 Speaker 1: the banks. So that's actually been another catalyst to move 26 00:01:43,640 --> 00:01:46,800 Speaker 1: banks even higher. So you know, we we we like 27 00:01:46,920 --> 00:01:48,960 Speaker 1: the financials. We could get a pull back through here 28 00:01:49,200 --> 00:01:52,520 Speaker 1: obviously at any time, but like the financial specifically the 29 00:01:52,520 --> 00:01:56,440 Speaker 1: banks going into so good to go for banks in 30 00:01:57,480 --> 00:02:02,320 Speaker 1: How about we look at domestically oriented small cap stocks. Well, 31 00:02:02,520 --> 00:02:04,720 Speaker 1: you know, when we when we look at what's happened 32 00:02:04,720 --> 00:02:08,200 Speaker 1: since the election and what that means for the stock market, 33 00:02:08,240 --> 00:02:11,040 Speaker 1: and the election really was we believe a game changer 34 00:02:11,080 --> 00:02:16,359 Speaker 1: in terms of uh overall outlook and investment strategy. Uh. 35 00:02:16,480 --> 00:02:22,080 Speaker 1: You know, we're concerned about what tariffs, trade wars, immigration 36 00:02:22,160 --> 00:02:27,360 Speaker 1: policies those related. Uh you know, the rhetoric from President 37 00:02:27,360 --> 00:02:33,040 Speaker 1: elect Trump, what may become policy, how that impacts multinational conglomerates. Uh. 38 00:02:33,120 --> 00:02:35,640 Speaker 1: So that gives us an inward focused what we call 39 00:02:35,720 --> 00:02:40,000 Speaker 1: the America First trade small companies that that tend to 40 00:02:40,000 --> 00:02:44,160 Speaker 1: be more domestically oriented Uh, that will that look better 41 00:02:44,320 --> 00:02:47,200 Speaker 1: on a relative basis now to large caps. And certainly 42 00:02:47,200 --> 00:02:50,160 Speaker 1: saw that big pop in small caps after the election. 43 00:02:51,160 --> 00:02:53,600 Speaker 1: A little bit more muted returns over the past month, 44 00:02:54,080 --> 00:02:56,919 Speaker 1: up and down days like today, But we still think 45 00:02:57,200 --> 00:02:59,480 Speaker 1: we like small caps over We think small caps will 46 00:02:59,480 --> 00:03:01,440 Speaker 1: do well and like small caps over large caps. Going 47 00:03:01,440 --> 00:03:06,440 Speaker 1: in large caps, Uh, not so much. I Shares Russell 48 00:03:06,560 --> 00:03:09,959 Speaker 1: two thousand. ETF is that the best way to take 49 00:03:10,000 --> 00:03:13,160 Speaker 1: advantage of the strategy. Yeah, that's a that's a great 50 00:03:13,200 --> 00:03:16,760 Speaker 1: way to take advantage of the strategy for you know, 51 00:03:16,800 --> 00:03:20,240 Speaker 1: those investors that are et F buyers. I w M 52 00:03:21,080 --> 00:03:22,880 Speaker 1: is a good way to invest in small caps. For 53 00:03:22,960 --> 00:03:26,840 Speaker 1: mutual fund investors, UM, we like a mutual fund that 54 00:03:26,880 --> 00:03:29,560 Speaker 1: plays on two of our themes, which is financials and 55 00:03:29,600 --> 00:03:34,000 Speaker 1: small cap. Victory Integrity Discovery m M E a X. 56 00:03:34,480 --> 00:03:39,160 Speaker 1: It's a small cap fund with thirty of it allocated 57 00:03:39,200 --> 00:03:42,680 Speaker 1: to financials, so plays on both our themes. Fund we 58 00:03:42,720 --> 00:03:44,960 Speaker 1: get into right of the election. That's done well and 59 00:03:45,320 --> 00:03:49,000 Speaker 1: we think we'll continue to going into same question to 60 00:03:49,560 --> 00:03:54,240 Speaker 1: year to date, that Victory Integrity Discovery Fund is up 61 00:03:54,280 --> 00:03:58,320 Speaker 1: more than thirty per cent. No one ever went broke 62 00:03:58,360 --> 00:04:01,960 Speaker 1: taking a profit. No one ever went broke taken a profit, 63 00:04:02,160 --> 00:04:05,680 Speaker 1: and you could take profits here if you've only ended 64 00:04:05,760 --> 00:04:08,200 Speaker 1: for a couple of months or all year, and obviously 65 00:04:08,240 --> 00:04:11,040 Speaker 1: feel good about that. But you know, as we look 66 00:04:11,120 --> 00:04:14,680 Speaker 1: towards as tactical affid allocators, where do we think we 67 00:04:14,760 --> 00:04:18,520 Speaker 1: have opportunity? Where do we think we have risks? You know, 68 00:04:18,560 --> 00:04:22,000 Speaker 1: we've seen, uh, small caps trade more up and down 69 00:04:22,040 --> 00:04:25,839 Speaker 1: through here and again, you know, a lot of a 70 00:04:25,920 --> 00:04:29,479 Speaker 1: lot of the Trump themes depend on how much of 71 00:04:29,560 --> 00:04:34,760 Speaker 1: his campaign rhetoric or his campaign statements become policy. But 72 00:04:35,080 --> 00:04:37,800 Speaker 1: right now we think that you know that that hope 73 00:04:38,160 --> 00:04:41,440 Speaker 1: that investors have have played on, we think it's at 74 00:04:41,480 --> 00:04:44,800 Speaker 1: least six months before any of that can be disproved. 75 00:04:45,200 --> 00:04:47,760 Speaker 1: So you know, we we think that you know, if 76 00:04:47,800 --> 00:04:50,800 Speaker 1: we talk about financials, talk about the banks that have 77 00:04:50,960 --> 00:04:54,160 Speaker 1: been um had a lot of pressure because the regulatory 78 00:04:54,160 --> 00:04:56,920 Speaker 1: head wins last eight years. Uh, we we just believe 79 00:04:56,960 --> 00:04:59,000 Speaker 1: they have a long runway head. So even though we 80 00:04:59,040 --> 00:05:01,760 Speaker 1: may get some sell all, we think financials have a 81 00:05:01,760 --> 00:05:05,040 Speaker 1: long runway in small caps still have a favorable environment 82 00:05:05,040 --> 00:05:08,000 Speaker 1: here in a Trump presidency. Tell me about energy and 83 00:05:08,040 --> 00:05:11,119 Speaker 1: what you expect to happen with energy prices, oil trading 84 00:05:11,160 --> 00:05:15,200 Speaker 1: around fifty three dollars a barrel, and maybe just also 85 00:05:15,240 --> 00:05:20,400 Speaker 1: tell us about domestic versus the multinational integrated oil companies. 86 00:05:21,360 --> 00:05:24,400 Speaker 1: So when we look at at energy that that's had 87 00:05:24,440 --> 00:05:26,520 Speaker 1: a good run here in the fourth quarter and people 88 00:05:26,520 --> 00:05:31,080 Speaker 1: are looking for, um, you know, a better energy sector 89 00:05:31,240 --> 00:05:34,160 Speaker 1: going into twenty seventies. Certainly in the first quarter we 90 00:05:34,200 --> 00:05:37,440 Speaker 1: have great year year comparables because oil is now trading 91 00:05:37,440 --> 00:05:40,080 Speaker 1: in the fifties where we hit our low of twenty 92 00:05:40,120 --> 00:05:43,120 Speaker 1: six dollars and change back on February eleven. So we 93 00:05:43,240 --> 00:05:46,560 Speaker 1: have good year year comps for a couple of quarters here. 94 00:05:47,279 --> 00:05:50,720 Speaker 1: But we also believe that there's there may be too 95 00:05:50,839 --> 00:05:55,039 Speaker 1: much hope in the energy sector on this OPEC deal 96 00:05:55,200 --> 00:06:00,159 Speaker 1: of opaque countries and autopack countries for two reasons. Um, 97 00:06:00,200 --> 00:06:02,200 Speaker 1: every time there's been an OPEC deal, there have been 98 00:06:02,240 --> 00:06:04,479 Speaker 1: countries that have cheated. We don't think this will be 99 00:06:04,480 --> 00:06:10,120 Speaker 1: indifferent any different. There's even more countries involved here. Also, uh, 100 00:06:10,160 --> 00:06:14,080 Speaker 1: you know, we believe that US frackers control energy prices 101 00:06:14,080 --> 00:06:16,520 Speaker 1: at the margin now rather than OPEC. You think that's 102 00:06:16,520 --> 00:06:19,960 Speaker 1: a swing producer, that's right, And when oil gets into 103 00:06:19,960 --> 00:06:22,960 Speaker 1: the fifties and we may on this deal get oil 104 00:06:23,040 --> 00:06:25,640 Speaker 1: up into the sixties. That makes a lot more of 105 00:06:25,640 --> 00:06:30,200 Speaker 1: those uh, the shale oil producers hyde dolic fracturing just 106 00:06:30,279 --> 00:06:33,159 Speaker 1: more profitable. They'll turn on this picket. So we've seen 107 00:06:33,200 --> 00:06:36,240 Speaker 1: the well count in the US going up since May steadily. 108 00:06:36,760 --> 00:06:40,200 Speaker 1: So you know, we are now a large producer of oil. 109 00:06:40,760 --> 00:06:44,560 Speaker 1: And really we believe the US controls prices at the 110 00:06:44,600 --> 00:06:46,680 Speaker 1: margin is much or more than OPEC at this point. 111 00:06:47,440 --> 00:06:52,000 Speaker 1: Tell me about index ers and the passive versus active 112 00:06:52,040 --> 00:06:55,960 Speaker 1: debate when it comes to selecting stocks. Well, you know, 113 00:06:56,000 --> 00:06:59,880 Speaker 1: we've seen actually passive investing do very well over the 114 00:07:00,200 --> 00:07:03,400 Speaker 1: several years. We're coming up in three months on the 115 00:07:03,960 --> 00:07:06,520 Speaker 1: or about two and a half months on the eighth 116 00:07:06,839 --> 00:07:10,160 Speaker 1: year anniversary of a stock market that's gone up every year, 117 00:07:11,040 --> 00:07:14,120 Speaker 1: and the bonds and bonds have been in a secular 118 00:07:14,160 --> 00:07:17,920 Speaker 1: bowl market for thirty five years, which we think ended 119 00:07:18,000 --> 00:07:21,680 Speaker 1: in July with the lows and yields in July. So 120 00:07:21,880 --> 00:07:25,960 Speaker 1: through that period, passive investing in a stock index or 121 00:07:26,040 --> 00:07:29,960 Speaker 1: bond deck index has worked very well for the past five, six, 122 00:07:30,000 --> 00:07:33,520 Speaker 1: seven years. UM. But we think as as we get 123 00:07:33,560 --> 00:07:36,280 Speaker 1: into you know, look at what's happened with small caps. 124 00:07:36,280 --> 00:07:40,280 Speaker 1: Some of the different sectors here, uh specifically bonds. The 125 00:07:40,440 --> 00:07:44,040 Speaker 1: route we had in bonds in November and into December, 126 00:07:44,720 --> 00:07:47,560 Speaker 1: we've seen a pause, but look, monetary policy and fiscal 127 00:07:47,600 --> 00:07:51,000 Speaker 1: policy are pointing towards higher interest rates going forward. So 128 00:07:51,400 --> 00:07:55,119 Speaker 1: bond indexes will have a problem that are very straight 129 00:07:55,160 --> 00:07:59,840 Speaker 1: sensitive bonds in those sectors in that index and the 130 00:08:00,040 --> 00:08:03,120 Speaker 1: stock you know, trees don't grow to the sky, so 131 00:08:03,200 --> 00:08:05,240 Speaker 1: this stock market will have trouble. And when we get 132 00:08:05,280 --> 00:08:08,600 Speaker 1: into those more turbulent times or maybe a protracted downturn, 133 00:08:09,000 --> 00:08:12,640 Speaker 1: that's where an active manager can can cannad real value. 134 00:08:12,840 --> 00:08:14,960 Speaker 1: Thank you very much for adding value to us. David 135 00:08:15,040 --> 00:08:19,520 Speaker 1: Kudla is the chief executive, chief investment strategist Mainstay Capital Management. 136 00:08:19,760 --> 00:08:36,000 Speaker 1: This is Bloomberg public health exchange enrollment in the United States. 137 00:08:36,080 --> 00:08:39,280 Speaker 1: It's on track to meet the federal government's target through 138 00:08:39,480 --> 00:08:43,000 Speaker 1: week seven, yes open enrollment period. Open enrollment is now 139 00:08:43,120 --> 00:08:46,360 Speaker 1: up six percent versus the same period a year ago. 140 00:08:46,559 --> 00:08:49,480 Speaker 1: But what does that mean for the stocks the companies 141 00:08:49,760 --> 00:08:53,199 Speaker 1: associated with healthcare services. Well, we want to find out, 142 00:08:53,240 --> 00:08:56,560 Speaker 1: so we have Jason mcgorman. He is our Bloomberg intelligence 143 00:08:56,640 --> 00:09:01,680 Speaker 1: expert and analyst on medical devices and healthcare services. Jason, 144 00:09:01,679 --> 00:09:04,040 Speaker 1: thanks very much for being with us. Thank you for 145 00:09:04,120 --> 00:09:07,320 Speaker 1: having me so, Um, Jason, we want to see what 146 00:09:07,400 --> 00:09:12,760 Speaker 1: the future brings for public public health care companies, what 147 00:09:13,280 --> 00:09:14,960 Speaker 1: the what of the how do they form into the 148 00:09:14,960 --> 00:09:19,280 Speaker 1: different groups based on what you're reading is of potential 149 00:09:19,360 --> 00:09:23,480 Speaker 1: changes to the Affordable Care Act. Sure, So there there 150 00:09:23,480 --> 00:09:27,559 Speaker 1: are two major groups here, and the one is hospitals 151 00:09:27,600 --> 00:09:31,120 Speaker 1: have gotten the biggest boost to their earnings from the 152 00:09:31,160 --> 00:09:37,040 Speaker 1: Affordable Care Act because, uh, about twenty million people have 153 00:09:37,200 --> 00:09:41,840 Speaker 1: gained insurance coverage, either through Medicare or through the what 154 00:09:41,880 --> 00:09:46,000 Speaker 1: are called the exchanges, uh, through the web. Um, So 155 00:09:46,559 --> 00:09:50,680 Speaker 1: if there's some sort of repeal, then hospitals stand to 156 00:09:51,000 --> 00:09:53,800 Speaker 1: lose some of their earnings because people will no longer 157 00:09:53,840 --> 00:09:57,760 Speaker 1: have insurance. So that's one group to being the health insurance. 158 00:09:57,840 --> 00:10:01,000 Speaker 1: Let's just give it an example, right, Um, Tenant health 159 00:10:01,080 --> 00:10:03,200 Speaker 1: as well as community and life point right, those are 160 00:10:03,240 --> 00:10:06,480 Speaker 1: that's in that group? Yes, okay, yeah, So the biggest 161 00:10:07,559 --> 00:10:10,520 Speaker 1: exposure there is really tenant in community, as you mentioned, 162 00:10:10,559 --> 00:10:14,280 Speaker 1: about twelve percent of their earnings from the Affordable Care Act. 163 00:10:14,440 --> 00:10:17,160 Speaker 1: All right, got it? So that's group one, go ahead, Yes, 164 00:10:17,240 --> 00:10:19,640 Speaker 1: a group to the health insurers. As you've probably heard, 165 00:10:19,760 --> 00:10:24,000 Speaker 1: United Health et Non Humanita has been losing a fair 166 00:10:24,000 --> 00:10:27,320 Speaker 1: amount of money, up to eight hundred fifty million dollars 167 00:10:27,360 --> 00:10:31,240 Speaker 1: this year. And that's because even though the exchanges are 168 00:10:31,600 --> 00:10:34,800 Speaker 1: are running on track with the government's target, a lot 169 00:10:34,840 --> 00:10:38,199 Speaker 1: of the young, healthy individuals have not been signing up. 170 00:10:38,679 --> 00:10:41,720 Speaker 1: Um so, in the near term, they've actually been very 171 00:10:41,800 --> 00:10:45,839 Speaker 1: costly for insurers. Um So, in the near term it 172 00:10:45,880 --> 00:10:47,920 Speaker 1: could actually be a positive for a lot of the 173 00:10:47,960 --> 00:10:51,240 Speaker 1: insurers if there's some sort of repeal, but in the 174 00:10:51,320 --> 00:10:53,800 Speaker 1: longer term, you know, it could take away an earnings 175 00:10:53,800 --> 00:10:57,800 Speaker 1: opportunity for them. And the companies there include Anthem, Signa 176 00:10:57,920 --> 00:11:01,520 Speaker 1: centeen and Molina Healthcare. Yes, so those are the companies 177 00:11:01,600 --> 00:11:06,800 Speaker 1: that are staying in the exchanges for or even expanding. 178 00:11:06,960 --> 00:11:11,720 Speaker 1: So depending on how enrollment shakes out this year, and 179 00:11:11,920 --> 00:11:16,000 Speaker 1: let's say fewer people sign up because they're worried about repeals, 180 00:11:16,040 --> 00:11:20,160 Speaker 1: and you know, there's some concern that maybe they'll continue 181 00:11:20,160 --> 00:11:23,679 Speaker 1: to lose money in well, I noted that in your 182 00:11:23,679 --> 00:11:27,960 Speaker 1: report you said that about sign ups where new consumers 183 00:11:28,080 --> 00:11:31,359 Speaker 1: versus two last year. This is for the public exchanges, 184 00:11:31,840 --> 00:11:34,920 Speaker 1: and that means that the risk pool may actually deteriorate. 185 00:11:35,040 --> 00:11:38,520 Speaker 1: Can you explain why. Yeah, so insured there's priced their 186 00:11:38,520 --> 00:11:41,360 Speaker 1: premiums based on members that they've seen before, and they 187 00:11:41,480 --> 00:11:44,600 Speaker 1: know how often they're going to the hospital and what 188 00:11:44,679 --> 00:11:47,640 Speaker 1: kind of treatment they're getting. So if they get a 189 00:11:47,679 --> 00:11:50,840 Speaker 1: brand new pool of patients they've never seen, it's very 190 00:11:50,840 --> 00:11:53,160 Speaker 1: difficult for them to know how much they should be charging. 191 00:11:53,200 --> 00:11:56,800 Speaker 1: So the more new consumers coming in, especially the number 192 00:11:56,840 --> 00:11:59,560 Speaker 1: that change, the harder it is for them to price 193 00:11:59,559 --> 00:12:01,920 Speaker 1: it appropriate really and hire us that they, you know, 194 00:12:02,040 --> 00:12:05,400 Speaker 1: could be losing money again next year. Are there particular 195 00:12:05,480 --> 00:12:08,760 Speaker 1: health insurance companies that are dealing with the Affordable Care 196 00:12:08,840 --> 00:12:11,440 Speaker 1: Act better than others? I keep thinking, for example of 197 00:12:11,480 --> 00:12:17,439 Speaker 1: your note on Sentine and there are conservative outlook on exchanges. 198 00:12:17,920 --> 00:12:21,880 Speaker 1: That's right. So Sentina Molina Healthcare the two insurers really 199 00:12:21,920 --> 00:12:25,560 Speaker 1: that have earned a profit on the exchanges, and I 200 00:12:25,559 --> 00:12:30,079 Speaker 1: think that's because they focus on the lower income population 201 00:12:30,160 --> 00:12:35,440 Speaker 1: that largely gets tax credits. In that population, they don't 202 00:12:35,520 --> 00:12:39,880 Speaker 1: have h the income level to really be going to 203 00:12:40,920 --> 00:12:44,880 Speaker 1: the hospital that often other than for called emergency situations. 204 00:12:44,880 --> 00:12:47,680 Speaker 1: So I think that they're probably doing a little bit better. 205 00:12:47,920 --> 00:12:50,560 Speaker 1: Is there because of the patients that they're focusing on 206 00:12:50,920 --> 00:12:54,640 Speaker 1: whereas Anthem and United they focus really on everybody. So 207 00:12:54,760 --> 00:12:57,920 Speaker 1: that's probably why they're kind of hitting the sweet spot there. 208 00:12:58,280 --> 00:13:00,360 Speaker 1: And just and just a note right, United Health has 209 00:13:00,360 --> 00:13:02,880 Speaker 1: already announced that it will not be participating in the 210 00:13:02,920 --> 00:13:07,760 Speaker 1: exchanges in Yeah, so they will be there, but they're 211 00:13:07,760 --> 00:13:10,800 Speaker 1: scaling back so much that it's going to be call it, 212 00:13:10,960 --> 00:13:14,360 Speaker 1: you know, one percent of their revenue and even less 213 00:13:14,360 --> 00:13:17,720 Speaker 1: of earning. So you know, for them and for Etna 214 00:13:17,840 --> 00:13:21,400 Speaker 1: and Himana, all three of those companies have announced significant 215 00:13:21,520 --> 00:13:25,040 Speaker 1: scaling back um, So you're right, for those companies, it's 216 00:13:25,160 --> 00:13:30,520 Speaker 1: it's an actress. For investors, it's really Anthem signa UM 217 00:13:30,640 --> 00:13:34,240 Speaker 1: and to lesser degree cent teen where the focus is. 218 00:13:35,760 --> 00:13:37,480 Speaker 1: I just want to take you back to hospitals for 219 00:13:37,520 --> 00:13:39,679 Speaker 1: just a second and get your thoughts on h c 220 00:13:40,080 --> 00:13:45,440 Speaker 1: A and what they are strategy is based on what 221 00:13:45,559 --> 00:13:48,120 Speaker 1: the current environment is for the Affordable Care Act and 222 00:13:48,240 --> 00:13:52,199 Speaker 1: what is likely to affect their strategy. Sure, so they 223 00:13:52,280 --> 00:13:58,600 Speaker 1: have the most exposure to the states where public exchange 224 00:13:58,679 --> 00:14:02,720 Speaker 1: enrollment has grown significantly, and so for them, uh, that's 225 00:14:02,760 --> 00:14:06,320 Speaker 1: about five or six percent of their their earnings. And 226 00:14:06,360 --> 00:14:11,360 Speaker 1: so if the exchanges are scaled back by Republicans, which 227 00:14:11,559 --> 00:14:15,560 Speaker 1: they can do. There's actually a bill going to the 228 00:14:15,640 --> 00:14:19,320 Speaker 1: Senate floor um in the first part of January that's 229 00:14:19,320 --> 00:14:22,480 Speaker 1: going to be voted on to which could take away 230 00:14:22,520 --> 00:14:26,480 Speaker 1: tax credits for the exchanges. So that's something that could 231 00:14:26,480 --> 00:14:31,160 Speaker 1: impact them significantly. But from there, you know, it's a 232 00:14:31,200 --> 00:14:34,200 Speaker 1: matter of do they start to adjust their business model 233 00:14:34,480 --> 00:14:38,239 Speaker 1: for the shift from you know, these longer term inpatient 234 00:14:38,400 --> 00:14:41,600 Speaker 1: admissions to out patient which some of their peers like 235 00:14:41,640 --> 00:14:44,800 Speaker 1: Tenant Health have done, which may be wiser in the 236 00:14:44,840 --> 00:14:47,040 Speaker 1: long term. Well, you know, I'm just taking a look 237 00:14:47,080 --> 00:14:50,320 Speaker 1: at h c A holdings. The shares are higher by 238 00:14:50,360 --> 00:14:54,000 Speaker 1: eight and a half percent this year. They're based in Nashville. 239 00:14:54,480 --> 00:14:58,880 Speaker 1: Merges and acquisitions, Jason, the Department of Justice, they've got 240 00:14:58,880 --> 00:15:01,920 Speaker 1: their hands full. What is the outcome, do you believe 241 00:15:02,000 --> 00:15:05,680 Speaker 1: of the two major mergers or merger attempts? Sure, so, 242 00:15:05,880 --> 00:15:10,920 Speaker 1: the health insurance industry has tried to really scale up 243 00:15:11,040 --> 00:15:14,880 Speaker 1: between and Humana as well as Anthem and Insignia, and 244 00:15:14,920 --> 00:15:18,200 Speaker 1: so the risk to hospitals there is that you know, 245 00:15:18,560 --> 00:15:23,160 Speaker 1: much larger insurers can push back on on reimbursement. So 246 00:15:23,600 --> 00:15:25,480 Speaker 1: you're right, I think it's it's going to be tough 247 00:15:25,920 --> 00:15:29,200 Speaker 1: for those insurers to get those deals through. We're expecting 248 00:15:29,640 --> 00:15:34,600 Speaker 1: resolution here within about a month or so. UM unlikely 249 00:15:34,720 --> 00:15:38,720 Speaker 1: that that both deals go through UM even low probability 250 00:15:38,760 --> 00:15:41,640 Speaker 1: that either go through. But if one does go through, 251 00:15:42,360 --> 00:15:45,560 Speaker 1: then hospitals really have to decide if they can scale 252 00:15:45,640 --> 00:15:47,720 Speaker 1: up as well. I want to thank you very much 253 00:15:47,760 --> 00:15:52,040 Speaker 1: for spending time with me, Um Jason mcgorman. He is 254 00:15:52,400 --> 00:15:55,800 Speaker 1: our health care services analyst for Bloomberg Intelligence. Great stuff 255 00:15:55,800 --> 00:16:12,000 Speaker 1: on the world of healthcare. Two decades ago, nuclear energy 256 00:16:12,080 --> 00:16:16,320 Speaker 1: provided the power for nearly one fifth of the world's electricity. 257 00:16:16,560 --> 00:16:20,480 Speaker 1: Now it generates only about half that share. Of course, 258 00:16:20,560 --> 00:16:25,920 Speaker 1: we've lived through the Fukushima disaster in Japan. Japanese once 259 00:16:25,960 --> 00:16:30,680 Speaker 1: accounted for about eleven nuclear power plants, they've taken those offline. 260 00:16:30,800 --> 00:16:33,520 Speaker 1: What's the future of nuclear power in the context of 261 00:16:33,560 --> 00:16:37,320 Speaker 1: our huge write down on the part of Toshiba's Westinghouse unit. 262 00:16:37,640 --> 00:16:39,600 Speaker 1: Here to tell us all about nuclear power is Kit 263 00:16:39,720 --> 00:16:43,400 Speaker 1: knell It. She is our senior Industrials and Utilities analyst 264 00:16:43,440 --> 00:16:47,840 Speaker 1: for Bloomberg Intelligence. Kit always a pleasure. You start off 265 00:16:47,840 --> 00:16:50,080 Speaker 1: by telling us the sort of state of affairs when 266 00:16:50,120 --> 00:16:53,880 Speaker 1: it comes to nuclear power in the United States and 267 00:16:53,920 --> 00:16:56,080 Speaker 1: around the world, and that half of that fits in 268 00:16:56,120 --> 00:17:00,800 Speaker 1: to the Westinghouse unit of Toshiba. Very good PIM, as 269 00:17:00,840 --> 00:17:06,359 Speaker 1: you say, Uh, the share of nuclear power has declined worldwide. 270 00:17:07,200 --> 00:17:09,800 Speaker 1: That's mainly because in countries like China, there's a lot 271 00:17:09,880 --> 00:17:13,800 Speaker 1: of coal being built. Now in the US nuclear state 272 00:17:13,880 --> 00:17:18,840 Speaker 1: about the same at about of of power output compared 273 00:17:18,840 --> 00:17:21,679 Speaker 1: to about thirty some percent for gas and thirty some 274 00:17:21,800 --> 00:17:27,199 Speaker 1: percent for coal and renewables gaining share. So the issue 275 00:17:27,320 --> 00:17:31,880 Speaker 1: now going forward is gonna be which of those technologies 276 00:17:32,359 --> 00:17:37,640 Speaker 1: fuels is most cost effective and which is most desirable 277 00:17:38,240 --> 00:17:43,720 Speaker 1: primarily for environmental reasons. Toshiba and Westinghouse, what happened there? 278 00:17:44,600 --> 00:17:51,679 Speaker 1: It looks like when Toshiba bought UH Chicago Bridge and 279 00:17:51,760 --> 00:17:57,480 Speaker 1: Iron CB and I UH their Westinghouse unit specifically bought 280 00:17:57,480 --> 00:17:59,919 Speaker 1: them a year ago. Westinghouse, n c B and I 281 00:18:00,000 --> 00:18:04,200 Speaker 1: are both working on the nuclear projects for Southern Company 282 00:18:04,280 --> 00:18:07,160 Speaker 1: and scan Out, which are the only two nuclear construction 283 00:18:07,160 --> 00:18:10,240 Speaker 1: projects going on in the US. And it looks like 284 00:18:10,920 --> 00:18:14,560 Speaker 1: Tashiba has just finally gotten through a lot of the 285 00:18:14,680 --> 00:18:21,040 Speaker 1: numbers about what their builder exposure is here and under 286 00:18:21,080 --> 00:18:25,119 Speaker 1: their contracts. It looks like they've concluded that it's going 287 00:18:25,160 --> 00:18:28,080 Speaker 1: to cost them a lot more to to build this 288 00:18:28,200 --> 00:18:32,840 Speaker 1: thing than they're allowed to recover from Southern and Scanna. Well, 289 00:18:32,880 --> 00:18:37,440 Speaker 1: it seems as though this is a very uh constant 290 00:18:37,520 --> 00:18:42,000 Speaker 1: refrain in the nuclear power industry or in the building 291 00:18:42,040 --> 00:18:44,439 Speaker 1: of any big infrastructure project. I was looking at some 292 00:18:44,520 --> 00:18:47,080 Speaker 1: details about a nuclear power plant. I believe it's being 293 00:18:47,160 --> 00:18:50,600 Speaker 1: built by the French company Arriva, and it's being built 294 00:18:50,640 --> 00:18:57,080 Speaker 1: in Finland. And this thing is nine years over uh budget, 295 00:18:57,560 --> 00:19:00,000 Speaker 1: nine years over budget, and the original budget I believe 296 00:19:00,119 --> 00:19:02,879 Speaker 1: was four billion dollars and even that is now doubled. 297 00:19:02,880 --> 00:19:04,520 Speaker 1: I mean, you can't even figure out when it's going 298 00:19:04,560 --> 00:19:08,199 Speaker 1: to open. Well, the two in the US now are 299 00:19:08,240 --> 00:19:13,439 Speaker 1: are currently projected at sixteen billion and fourteen billion, which 300 00:19:13,560 --> 00:19:17,639 Speaker 1: is really an order of magnitude higher per kill a 301 00:19:17,640 --> 00:19:21,919 Speaker 1: lot of of construction compared to a gas plant. So 302 00:19:22,000 --> 00:19:25,240 Speaker 1: that gives you an idea right away why nuclear has 303 00:19:25,320 --> 00:19:28,919 Speaker 1: has a cost issue, certainly in the US, because you 304 00:19:28,960 --> 00:19:32,480 Speaker 1: can't make that up on the production side, given how 305 00:19:32,560 --> 00:19:36,119 Speaker 1: cheap gases. So that's the issue for nuclear going forward, 306 00:19:36,359 --> 00:19:40,240 Speaker 1: and why currently I would say no US utility is 307 00:19:40,320 --> 00:19:44,040 Speaker 1: real likely to start a nuclear construction project. If you 308 00:19:44,119 --> 00:19:47,600 Speaker 1: have the other fuels available for any kind of reasonable price, 309 00:19:48,040 --> 00:19:50,800 Speaker 1: it makes it hard to to want to do it. Now. 310 00:19:50,840 --> 00:19:54,560 Speaker 1: If you're in China or India and your labor costs 311 00:19:54,600 --> 00:19:58,280 Speaker 1: are lower, and maybe your fuel costs are higher, uh, 312 00:19:58,320 --> 00:20:01,160 Speaker 1: and maybe you want to cut down on the pollution 313 00:20:01,200 --> 00:20:03,879 Speaker 1: from all all of of the call plants, then you 314 00:20:03,960 --> 00:20:06,880 Speaker 1: might say, and you have a government that's more capable 315 00:20:06,880 --> 00:20:10,080 Speaker 1: of enforcing uh, you know, the pass through of these 316 00:20:10,119 --> 00:20:13,520 Speaker 1: costs than in the US. All of those factors may 317 00:20:13,560 --> 00:20:16,000 Speaker 1: make a very different in say Asia, to build a 318 00:20:16,080 --> 00:20:19,119 Speaker 1: nuclear plant than in the US going forward, and the 319 00:20:19,160 --> 00:20:21,880 Speaker 1: state in the UH. In the US is that we 320 00:20:21,960 --> 00:20:25,919 Speaker 1: have a new technology to extract natural gas from the 321 00:20:25,960 --> 00:20:30,560 Speaker 1: ground fracturing, which has led to the really boom in 322 00:20:30,640 --> 00:20:34,240 Speaker 1: generating electricity from natural gas. Yeah, gas, as a lot 323 00:20:34,280 --> 00:20:38,239 Speaker 1: of people are aware now, is extremely low cost. I 324 00:20:38,280 --> 00:20:42,679 Speaker 1: think they're The CEO of of Dyna Gy, a big 325 00:20:43,080 --> 00:20:46,800 Speaker 1: power producer, was on Bloomberg TV this morning and he 326 00:20:46,840 --> 00:20:49,320 Speaker 1: was talking about how uh you know, I think for 327 00:20:49,400 --> 00:20:53,520 Speaker 1: less than a dollar he was buying gas recently. So, uh, 328 00:20:53,560 --> 00:20:55,560 Speaker 1: you know, by the time you work through those numbers, 329 00:20:55,800 --> 00:20:59,600 Speaker 1: the production costs from a gas plant are just prohibitive 330 00:20:59,600 --> 00:21:04,080 Speaker 1: compared really any of the other technologies, so that that's 331 00:21:04,119 --> 00:21:05,960 Speaker 1: really the issue there. I want you to be an 332 00:21:06,040 --> 00:21:10,600 Speaker 1: environmentalist for just a moment and explain how the environmental 333 00:21:10,800 --> 00:21:15,679 Speaker 1: movement and the effort to reduce greenhouse gases and the 334 00:21:15,720 --> 00:21:19,400 Speaker 1: build up of other gases in the atmosphere may align 335 00:21:19,440 --> 00:21:24,439 Speaker 1: with nuclear power. Nuclear has no emissions. And so when 336 00:21:24,480 --> 00:21:29,600 Speaker 1: when you say, okay, over the next ten twenty forty years, 337 00:21:29,600 --> 00:21:33,680 Speaker 1: should we shut down nuclear plants because some people don't, 338 00:21:34,000 --> 00:21:38,440 Speaker 1: you know, might fear them, or should we keep these 339 00:21:38,680 --> 00:21:42,320 Speaker 1: zero emissions plants in place and maybe add other zero 340 00:21:42,320 --> 00:21:48,040 Speaker 1: emission technologies like wind and solar and gradually at least 341 00:21:48,040 --> 00:21:51,480 Speaker 1: phase out the coal plants and even gas plants produce 342 00:21:51,560 --> 00:21:53,440 Speaker 1: c O two. I mean, they don't produce a whole 343 00:21:53,480 --> 00:21:58,639 Speaker 1: lot of particulates that cause real severe health problems near term. Uh, 344 00:21:58,680 --> 00:22:00,800 Speaker 1: you know, I think you have to include that. Haven't 345 00:22:00,880 --> 00:22:05,000 Speaker 1: nuclear is if you have it built already, the marginal 346 00:22:05,080 --> 00:22:08,520 Speaker 1: production costs is competitive, And that's really you know, it's 347 00:22:08,800 --> 00:22:11,639 Speaker 1: scary to think about building a new plant financially, but 348 00:22:12,240 --> 00:22:16,200 Speaker 1: when it's already in place and you're generating the power, 349 00:22:16,760 --> 00:22:20,199 Speaker 1: it's it can be very very competitive power and it 350 00:22:20,400 --> 00:22:24,480 Speaker 1: has no emissions. Thanks very much, Kit Connolledge, our senior 351 00:22:24,560 --> 00:22:35,000 Speaker 1: utilities analysts for Bloomberg Intelligence. Thanks for listening to the 352 00:22:35,000 --> 00:22:38,399 Speaker 1: Bloomberg pen L podcast. You can subscribe and listen to 353 00:22:38,440 --> 00:22:43,679 Speaker 1: interviews at iTunes, SoundCloud, or whatever podcast platform you prefer. 354 00:22:43,960 --> 00:22:47,240 Speaker 1: I'm pim Fox. I'm out there on Twitter at pim Fox. 355 00:22:47,560 --> 00:22:50,240 Speaker 1: I'm out there on Twitter at Lisa Abramo. It's one 356 00:22:50,520 --> 00:22:53,240 Speaker 1: before the podcast. You can always catch us worldwide on 357 00:22:53,320 --> 00:23:00,119 Speaker 1: Bloomberg Radio on