Lazard Releases 2021 Global Healthcare Leaders Study
Lazard Ltd (NYSE: LAZ) released its annual study on challenges and opportunities in the global healthcare sector, surveying 200 executives and investors. The report indicates that the majority expect the COVID-19 pandemic to persist through 2022 and beyond, raising concerns about vaccine hesitancy and new variants. Key findings include a permanent shift to digital healthcare, ongoing strategic M&A activity, and pricing challenges. The study reflects healthcare leaders' views on innovation and the implications of the pandemic, with expectations for increased virtual healthcare delivery and a focus on scientific advancement.
- 90% expect baseline case loads to persist in 2022.
- 70% predict hybrid working arrangements will become permanent.
- 64% believe the pandemic will accelerate digital technology and automation.
- 68% cite pricing and reimbursement as a top three challenge.
- 82% find price levels and value expectations as major hurdles for strategic transactions.
- Most healthcare industry leaders expect the pandemic to continue through 2022 and beyond -
In last year’s study, there was a high correlation between healthcare industry leaders’ responses and the subsequent course of events. This year’s study finds that most healthcare leaders expect a protracted battle with the global health crisis, with the majority of respondents expecting the pandemic to continue through 2022 and beyond. They also have significant concerns about scenarios that could create risk for resurgence, such as vaccine hesitancy, distribution shortfalls in developing countries, and new variants. In addition, the majority of respondents expect the pandemic to have lasting impacts, both positive and negative, on their industry, the business world and socioeconomic trends globally.
“Most healthcare industry leaders expect the pandemic to permanently accelerate the digital revolution, technology and automation, but a significant number also expect worsening national and global inequity, worsening political divides and protectionist trends,” said
“The need for growth and innovation continues to drive companies toward strategic transactions, including M&A, alliances and licensing activity,” said
The study offers a variety of insights, including the following selected highlights:
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Healthcare leaders expect the pandemic to continue through 2022 and beyond.
90% of respondents expect baseline case loads to persist at more than minimal levels in 2022, and58% expect this to continue in 2023 and beyond. More than90% expect the same for peak case loads in 2022, and two thirds expect this trend for peak case loads to continue in 2023 and beyond.
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70% of healthcare leaders expect that the flexible, hybrid working arrangements widely adopted by office workers during the pandemic will be a permanent shift. Almost half of respondents also expect a permanent shift in economic activity to virtual channels, with less in-person interactions, movement and travel.
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64% of healthcare leaders expect the pandemic to permanently accelerate the digital revolution, technology and automation. Almost half expect a permanent shift toward a greater focus on secure supply chains with domestic supply for key elements.U.S. -based healthcare services leaders are the most concerned about the possibility of materially higher taxes following the pandemic, with48% expecting a permanent shift in this direction, compared to28% of all study respondents.
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Almost all healthcare leaders expect significantly greater use of virtual healthcare delivery, with
61% expecting a permanent shift. A similar number expect a permanent shift toward increased usage of remote patient monitoring. In addition, most healthcare leaders expect increased delivery of healthcare in the home and other alternate sites, as well as greater use of non-physician professionals to deliver care. Despite alarming episodes of overburdened intensive care facilities around theU.S. during the past 18 months, the majority of respondents do not expect greater hospital capacities as a result of the pandemic.
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When healthcare leaders focus on the greatest strategic challenges facing the healthcare industry, pricing and reimbursement remains at the top of their list by a significant margin. In this year’s study,
68% cite this as a top three strategic challenge, compared to61% in 2019 and57% in 2017. Quality, cost of healthcare, and the political and regulatory environment remain in the top three challenges, as they did in 2019 and 2017.
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The top challenges to executing strategic transactions in the current environment are price level and value expectations, according to
82% of healthcare leaders. Scarcity of attractive candidates, and pricing and reimbursement uncertainty are also mentioned by49% and38% of respondents, respectively. One third of study respondents cite the ready availability of capital for smaller companies as a top challenge.
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Most healthcare leaders expect private financings, IPOs and equity follow-ons to stay at the same level or increase for the balance of 2021 and into 2022. However, the distribution of responses suggests somewhat more uncertainty about the direction of IPOs. Private company executives, however, are especially bullish that IPOs will increase over the remainder of 2021 and into 2022, with approximately half expecting IPO activity to rise. However, the majority of healthcare leaders expect SPAC financings to decrease over this period. Investors in particular have a strong view that SPAC financings will decrease, with approximately
80% expecting a decline, compared to approximately60% of all study respondents.
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Many biopharmaceutical leaders expect the pandemic to have a meaningful impact on their sector. The largest number expect greater use of innovative clinical trial designs, clinical trial management and use of real-world evidence, with
51% expecting a moderate impact and33% expecting a permanent shift in this area. Very similar numbers expect permanent shifts in other areas, with greater focus on scientific innovation, increased focus on data analytics in R&D, and a rise in digital-enabled and virtual approaches to commercialize products.
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Almost two-thirds of biopharmaceutical leaders say that oncology is a top therapeutic area priority for the next year, followed by
53% who cite rare diseases and48% who cite autoimmune/inflammation – similar percentages to last year’s study. Notably, the central nervous system (CNS) has moved up as a priority therapeutic area, with42% naming it as their top priority, compared to30% last year.
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Immuno -oncology, precision medicine and gene therapy are still viewed among the top innovative, disruptive technological priorities for the next 12 months, according to biopharmaceutical leaders, followed by RNA-based therapeutics, cell therapy and next-generation antibodies.
The Global Healthcare Leaders Study surveyed 171 C-level executives and 29 investors across three sectors: Biopharmaceuticals; Medical Devices and Diagnostics; and Healthcare Services. These 200 healthcare leaders represent many of the largest healthcare entities globally, smaller public and private companies, and prominent investment firms.
The Global Healthcare Leaders Study reflects Lazard’s approach to long-term thought leadership, commitment to the sectors in which it participates, and focus on intellectual differentiation. An executive summary of the Study is posted at www.lazard.com/perspective.
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