Mergers and Acquisitions

Trends Emerge Among Payers on Affordable Care Act Marketplace

by Kelsey Waddill

Affordable Care Act marketplace premiums have dropped for the third consecutive year and themes are emerging as the marketplace becomes more stable, a recent Urban Institute report found. “In...

Humana Continues Home Healthcare Expansion in $8.1B Acquisition

by Kelsey Waddill

Humana announced that it has signed an agreement to acquire the rest of the Kindred at Home program as part of its home healthcare expansion. “We continue to invest in assets that allow...

UnitedHealthcare Medicare Advantage Dominates MA Enrollment 2021

by Kelsey Waddill

Increased enrollment in for-profit Medicare Advantage plans drove record-high Medicare Advantage enrollment levels in 2021 with UnitedHealthcare Medicare Advantage plans taking the lead, a...

An Overview of Disruptive Payers That Filed for an IPO in 2021

by Kelsey Waddill

Two disruptive payers—Oscar Health and Alignment Healthcare—filed for an initial public offering (IPO) in order to go public in 2021. There are numerous reasons why a company would choose...

UnitedHealth Group Plans to Acquire Change Healthcare in 2021

by Kelsey Waddill

UnitedHealth Group has announced that its diversified health services company, Optum, and Change Healthcare will combine. The deal will be worth approximately $8 billion, YahooFinance...

Centene Plans to Acquire Major Behavioral Healthcare Platform

by Kelsey Waddill

Centene has signed an agreement to acquire Magellan Health in order to better integrate its behavioral healthcare and physical healthcare services, the major payer announced. “There is a...

How Non-Profit Medicare Advantage Plans Can Improve Growth

by Kelsey Waddill

As for-profit Medicare Advantage health plans rapidly expand across the nation and pick up a large share of the population’s enrollment, non-profit Medicare Advantage plans will have to adjust...

ProMedica Accused of Anti-Trust Actions, 50% Market Domination

by Kelsey Waddill

McLaren St. Luke’s has filed an anti-trust lawsuit against ProMedica Health System to prevent it from retracting Paramount commercial and Medicare Advantage health plan coverage. According to...

BCBSA Settles Anti-Trust Litigation for $2.7B, Anthem Pays 22%

by Kelsey Waddill

Blue Cross Blue Shield Association (BCBSA) has nearly concluded an eight-year-long anti-trust litigation with a $2.67 billion settlement, according to court documents which the Office of the Insurance...

House Amendment Imperils Payer Anti-Trust Exemption

by Kelsey Waddill

The House of Representatives has passed HR 1418, the “Competitive Health Insurance Reform Act,” reintroducing questions about whether healthcare payers should be allowed to fall under an...

Neither Anthem, Cigna to Receive Damages in Merger Disputes

by Kelsey Waddill

Chancery Court Judge Travis Laster laid to rest the merger dispute between Cigna and Anthem on the last day in August 2020, a little over five years after the two payers originally announced the...

Top 4 Recent Health Payer Innovative Consolidations, Partnerships

by Kelsey Waddill

Although not as active as prior years due to the coronavirus pandemic, the landscape of payer dealmaking continues to show signs of life through innovative consolidations and partnerships. Payers...

Sentara Healthcare, Cone Health Announce Value-Based Care Merger

by Kelsey Waddill

Sentara Healthcare, an integrated, non-profit health system, has announced a value-based care merger with the nonprofit integrated healthcare network Cone Health. “Sentara Healthcare and Cone...

Molina Healthcare to Acquire Passport Health Plan Medicaid Plans

by Kelsey Waddill

Molina Healthcare (Molina) will acquire the Passport Health Plan (Passport) Medicaid and dual special needs plan, Molina announced. The healthcare companies have agreed to a price of around $20...

Blues Plans Highmark, HealthNow New York Announce New Affiliation

by Jacqueline LaPointe

Highmark Inc. is expanding its business into New York under a proposed affiliation agreement with HealthNow New York Inc. “Under the terms of the affiliation agreement, Highmark’s parent...

$820M Payer Acquisition Boosts Medicaid Portfolios Amid COVID-19

by Kelsey Waddill

Molina Healthcare, Inc. announced that it will acquire Magellan Complete Care from Magellan Health, Inc. on April 30, 2020. “We believe it will allow us to scale our enterprise-wide platforms...

Volatility Drives Payer Technological Innovation, Partnerships

by Kelsey Waddill

Best’s Special Report, which HealthPayerIntelligence obtained by email, has discovered that healthcare payer technological innovations and partnerships often thrive under change and urgency,...

Cigna Starts 3 Strategic Partnerships While Closing 2019 M&A Deals

by Kelsey Waddill

Payers are pairing the news of finalized 2019 mergers and acquisitions with new partnership announcements, like Cigna which announced three new partnerships in its recent fourth quarter 2019 earnings...

Centene, WellCare Finalize Major Health Payer Merger Deal

by Samantha McGrail

Centene and WellCare announced they have finalized a major health payer merger deal that will combine the two organizations into the largest health insurer by membership with more than 24 million...

Humana Plans to Acquire a PBM in Vertical Industry Consolidation

by Kelsey Waddill

Humana announced that it is pursuing a vertical consolidation deal with Enclara Healthcare, one of the largest hospice pharmacy and benefit management providers (PBMs) in the country. Humana will...