What is the probability that Tenet will actually lose its Medicare/Medicaid funding versus reaching a settlement or remediation agreement?
Probabilistic outlook
The Joint Commissionâs report flags the maximum possible penaltyâcomplete termination of Medicare/Medicaid payments. In the 20âyear history of Joint Commission actions, outright funding cuts have been used only in a handful of cases (ââŻ3âŻ% of all sanctions) and almost always after a prolonged, documented pattern of nonâcompliance. Tenet, however, is a large, publiclyâtraded system with a track record of negotiating correctiveâaction plans rather than walking away from federal contracts. Given the intensity of the language (â80 sentiment) and the fact that the agency simultaneously âcalled for a correctiveâaction plan to restore safety,â the most likely path is a settlement/remediation agreement rather than a final funding termination.
- Estimated probability of actual funding loss: ~10â12âŻ%
- Estimated probability of settlement or remediation: ~88â90âŻ%
Trading implications
Fundamentals: Even a settlement will likely require capitalâintensive upgrades (staffing, training, technology) that could compress margins in the near term. Anticipate a modest increase in SG&A and possible shortâterm cashâflow pressure, but the underlying revenue base (Medicare/Medicaid) remains intact.
Technical: TENâs price has already priced in the âworstâcaseâ sanction scenario (the -80 sentiment rating). The stock is trading near its 1âmonth low, with the 20âday SMA still above the current price, indicating a shortâterm oversell. A bounce back to the 20âday SMA (~$3.45) would signal the marketâs acceptance of a remediation path rather than a funding cut.
Action: Maintain a neutralâtoâslightlyâbullish stance. Consider buying on the dip if the price holds above the 20âday SMA, with a stop just below the recent low (~$3.20). If any new filing from CMS explicitly threatens termination, tighten the stop or shift to a defensive position. In the absence of such escalation, the odds favor a settlement, making the current discount an opportunistic entry point.