Health Insurance Mergers

How Healthcare Leaders Can Weigh Pros, Cons of Payer Megamergers

December 12, 2023 - When rumors circulate about major payers planning to merge, it always stokes the question: are payer megamergers ultimately good for the healthcare system? When the news broke that Cigna and Humana may be in talks about a merger, Richard Ricciardi, professor in the School of Nursing and the executive director for the Center for Health Policy and...


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Top 5 Largest Health Insurance Payers in the United States

by Editorial Staff

The Affordable Care Act (ACA) and Medicare Advantage plans continue to bolster enrollment for major payers. Enhanced premium subsidies on the ACA market along with greater federal investments in...

Slow but Steady: Experts Report on 2023 Mergers and Acquisitions Trends

by Kelsey Waddill

What will happen to the volume and value of mergers and acquisitions in 2023? This is a question at the forefront of payers’ minds as the healthcare industry emerges from the uncertainties of the coronavirus pandemic. The twelve...

SCAN Group, CareOregon Plan to Combine, Form HealthRight Group

by Kelsey Waddill

SCAN Group and CareOregon have announced that they will combine under the name HealthRight Group (HealthRight). “For far too long, America’s not-for-profit managed care organizations have...

Judge Finalizes Blue Cross Blue Shield Antitrust Settlement

by Kelsey Waddill

Blue Cross Blue Shield (BCBS) has settled its antitrust litigation related to its practice of allegedly reducing competition between BCBS plans. “Blue Cross Blue Shield Association and Blue...

Humana Plans to Acquire Medicaid Managed Care Organization

by Sarai Rodriguez

Humana has announced its plan to acquire all of the assets of Inclusa; a Wisconsin-based Medicaid managed care organization. Inclusa provides long-term care coverage to over 16,000 older adults and...

Top 5 Insurers With The Highest Market Shares In The Most States

by Kelsey Waddill

Payers that hold the highest market shares nationwide may not have the greatest predominance in a single state, a HealthCareInsider analysis found. UnitedHealth Group is considered the company with...

Health Insurance Industry Consolidation Grew from 2014 to 2020

by Kelsey Waddill

Health insurance industry consolidation continued to increase, restricting consumers’ options for coverage, an American Medical Association report argued. “As merger...

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...

Centene-WellCare Merger Alters GA Medicaid Managed Care Landscape

by Kelsey Waddill

The Centene-WellCare merger has changed Georgia’s Medicaid managed care landscape, giving Centene-WellCare the majority of the state’s Medicaid business. The merger placed Centene-WellCare...

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...

FTC Approves UHG-DaVita Merger Settlement in Nevada

by Kelsey Waddill

The Federal Trade Commission (FTC) announced that it approves of the limitations set on the $4.3 billion UnitedHealth Group (UHG)-DaVita merger in Nevada. “The proposed acquisition would likely...

Tufts Health Plan and Harvard Pilgrim Announce Merger

by Kelsey Waddill

Tufts Health Plan and Harvard Pilgrim Health Care will be merging, the two companies have announced. The new company, whose name is still pending, will serve around 2.4 million New Englanders in...

Centene-WellCare Merger Earns Stockholder Approval

by Kelsey Waddill

Stockholders overwhelmingly approved the Centene-WellCare merger, the managed care company announced today. “With the addition of WellCare, we are creating a combined company that is better able...

CO Challenges, Settles UnitedHealth, DaVita Vertical Merger

by Kelsey Waddill

In an unprecedented move, Colorado’s Attorney General Phil Weiser pursued an antitrust challenge against the FTC-approved vertical merger of UnitedHealth Group and DaVita Medical Group. Weiser,...

AHIP Warns Congress of High Costs Tied to Provider Consolidation

by Kyle Murphy, PhD

Mergers and acquisitions are commonplace in healthcare, but leading payers in the United States claim provider consolidation is costing consumers. In testimony submitted to the Senate Subcommittee on...

Recent CVS-Aetna Merger Hearings Signal Challenges Ahead

by Kyle Murphy, PhD

The $69-billion merger of CVS Health and Aetna isn’t a done deal despite having received the blessing of federal officials and the two companies moving to integrate their businesses. Senior...

Healthcare Payer Blue Cross Blue Shield CEO Serota to Retire

by Sara Heath

Blue Cross Blue Shield Association president and CEO Scott Serota will be retiring at the end of 2020, the major healthcare payer has announced. Serota leaves behind a 23-year history at BCBSA,...

Humana Squashes Proposed Merger with Centene, WellCare

by Kyle Murphy, PhD

In a rare move for the health payer, Humana has brought an end to the rumors of a merger with competitor Centene. Humana broke with company policy to not comment on potential merger and acquisition...

Centene to Purchase WellCare in $17.3B Payer Consolidation Deal

by Jennifer Bresnick

Managed care giant Centene Corporation has announced that it will acquire rival payer WellCare Health Plans, Inc. for $17.3 billion in cash and stock. The latest mega-deal among key players in the...