Here's what people talked about at JP Morgan's health-care conference

  • At the J.P. Morgan Health Care Conference there was a lot of chatter about how tech will affect the industry.
  • Another big question was the impact of a windfall from lower corporate taxes.
  • The shift toward outcomes-based pricing of drugs.
Alex Gorsky, chairman and chief executive officer at Johnson & Johnson.
Christopher Goodney | Bloomberg | Getty Images
Alex Gorsky, chairman and chief executive officer at Johnson & Johnson.

The biggest health-care investing conference of the year has come to an end, but the ideas discussed will continue to play out this year.

Here are some themes from the J.P. Morgan Healthcare Conference:

The digital revolution

How tech will affect the health industry remains a question mark.

Digital upstarts are developing new technologies to measure and treat patients. Giants like Amazon are considering getting into the mix.

Johnson & Johnson CEO Alex Gorsky said companies across the medical spectrum need to act like Amazon's going to disrupt them.

"Because frankly, we have to create a crisis," he told CNBC on Tuesday. "We have to make sure we're always competitive, we're always thinking about how can we be more effective, how can we be more efficient. And so we're thinking that way across all of our different businesses."

He and Merck CEO Ken Frazier both said they would welcome Amazon into the pharmacy supply chain business. Gorsky said he would support Amazon's entry if it meant more transparency around costs.

"If that's a more efficient way of getting drugs to patients, we would be in favor of it," Frazier told CNBC on Monday.

Taxes, taxes, taxes

Analysts have predicted the new tax law would spur a buying spree, but discipline was a theme echoed throughout the rooms of the Westin St. Francis in San Francisco.

The new law will make it cheaper for multinational corporations to bring back their overseas cash, though they will still have to pay a one-time tax on the money. Some companies divulged what that cost would be.

Many praised the changes but said just because they can access cash doesn't mean they'll change their capital allocation strategy, which includes mergers and acquisitions when appropriate.

Still, some observers see opportunity for a few major deals this year, especially in wake of CVS' plans to purchase Aetna.

Medical device makers braced themselves for the return of a 2.3 percent sales tax. They had received a reprieve for the past few years, but that ended at the turn of the new year.

The first payment is due at the end of the month unless Congress acts beforehand. If legislation isn't passed before then, a retroactive measure could come later.

Pricing the future

Some companies expressed support for getting paid based on whether their treatments work, a system known as outcomes-based pricing.

Spark Therapeutics brought the concept into the spotlight earlier this month when it announced its Luxturna gene therapy would cost $850,000. It proposed tying payments to how effective the drug was and using a sort of payment plan.

Medtronic CEO Omar Ishrak said there's no doubt in his mind getting paid for a drug's effectiveness is the right thing to do and the industry will eventually get there.

Even though some executives philosophically believe in the system, there are still hurdles to overcome, such as how to establish and measure effectiveness.

Health and Science

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