Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Health Insurance Mergers

CVS Health to Begin Important Work of Integrating Aetna

January 2, 2019 - On the eve of Christmas, Judge Richard Leon of the United States District Court for the District of Columbia decided against halting the integration of the two companies in a merger valued at $69 billion. “Based on CVS’s constructive and appropriate representations, I am satisfied that, so long as these measures remain in place, the assets involved in the challenged...


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Cigna Announces Closing of $67B Purchase of Express Scripts

by Jennifer Bresnick

Cigna is officially the new owner of Express Scripts after announcing on December 20 that the $67 billion acquisition has closed. Cigna calls the acquisition a “blueprint to transform the healthcare system,” indicating that...

Cigna-Express Scripts Deal Secures Approval from CA, NY Officials

by Kyle Murphy, PhD

Cigna secured approvals from New York and California to acquire Express Scripts, according to multiple reports. Zachary Vasile of the Journal Inquirer reports that New Jersey is the remaining state whose approval will enable the...

AMA Study Finds Lack of Health Payer Competition Across US

by Kyle Murphy, PhD

Decreased competition in health insurance is likely to do more harm than good, new AMA study concludes. The America Medical Association released its most recent study of health payer competition, and the results fail to indicate the...

Health Payers Contend for Share of SMB Health Insurance Market

by Chuck Green

Changing government regulations and demands for benefits in the small to medium business market is likely to lead to consolidation and place a growing emphasis on creating innovative health plans, according to a recent Edifecs...

CVS Closes $69B Acquisition of Aetna, Altering Consumer Landscape

by Jennifer Bresnick

CVS Health has announced that its $69 billion takeover of Aetna has been completed.  The acquisition promises to radically transform the healthcare industry by creating new care delivery options for consumers. “Today marks...

CVS-Aetna Merger Gets DOJ Nod as Aetna Sheds Medicare Part D

by Thomas Beaton

The Department of Justice (DOJ) has announced that it will approve the proposed merger between CVS and Aetna as soon as Aetna completes the divestiture of its Medicare Part D business line.   Two weeks ago, Aetna initiated the sale...

Aetna Sells Portion of Medicare Business to Fast-Track CVS-Aetna

by Thomas Beaton

Aetna has sold its Medicare Part D prescription plan business of 2.2 million beneficiaries to WellCare in an attempt to increase the likelihood of the CVS-Aetna merger closing before year’s end. In SEC filings, Aetna explained that...

Centene, Ascension Partner for Medicare Advantage Offering

by Thomas Beaton

Centene and Ascension have partnered to offer a Medicare Advantage plan across multiple geographic markets in 2020.   Centene Chairman and CEO Michael F. Neidorff believes that the partnership will showcase effective strategies to...

Cigna Files with SEC to Begin $67B Express Scripts Acquisition

by Thomas Beaton

Cigna has submitted a filing to the Securities and Exchange Commission (SEC) to complete a $67 billion acquisition of the pharmacy benefit manager (PBM) Express Scripts. The payer filed the merger agreement under a temporary parent...

Harvard Pilgrim, Partners HealthCare Discuss Possible Merger

by Thomas Beaton

Harvard Pilgrim and Partners HealthCare are engaging in discussion of a possible merger.  A deal would combine Massachusetts’s largest payer organization with the state’s largest provider group and may create a dominant...

Rumors Swirl of Possible Walmart Acquisition of Humana

by Jennifer Bresnick

Walmart may be making a move to acquire Humana, one of the nation’s biggest health payers, according to The Wall Street Journal. Citing sources familiar with the matter – but without comment from Humana or Walmart – the...

CVS, Aetna Merger May Face Antitrust, Consumer Protection Issues

by Thomas Beaton

The American Antitrust Institute (AAI) has warned the Department of Justice (DoJ) that the proposed CVS and Aetna merger would violate consumer protections and damage competition in the healthcare industry. AAI believes that the merger of...

Cigna to Acquire Express Scripts for $67B to Expand Consumer Value

by Thomas Beaton

Update 8/24/2018: Cigna shareholders have overwhelmingly voted to approve the acquisition of Express Scripts.  Approximately 90 percent of shareholders voted in favor of the deal, which is anticipated to close before the end of...

Merger Impacts, Medicaid Growth Drove 2017 Earnings for Payers

by Thomas Beaton

Aetna experienced a 4 percent drop in year-to-year earnings because of fallout from its proposed Humana merger, while other payers increased revenues by taking advantage of growing Medicaid, Medicare, and ACA-compliant business...

Humana Becomes Latest Payer to End AHIP Membership

by Thomas Beaton

Humana is the latest commercial payer to end its membership in AHIP, the nation’s largest health insurance trade organization. “Humana has not actively participated in AHIP since early 2017,” a Humana spokesperson told...

CVS Health to Buy Aetna for $69B, Altering Payer Landscape

by Jennifer Bresnick

CVS Health is continuing its quest to become a major force in the growing world of consumer-centric healthcare by announcing that it will buy Aetna for $69 billion.  "This combination brings together the expertise of two great...

AMA: Payers Operate in Extremely High Concentrated Markets

by Thomas Beaton

Payers have significant control of their respective healthcare markets as 69 percent of payers offering HMO, PPO, POS, and public health exchanges operate in very high concentrated markets, AMA found in a study of national insurance...

Anthem Terminates Cigna Merger, but Refuses to Pay Out $1.8B

by Jesse Migneault

After a court ruling in Delaware, Anthem has notified Cigna that their proposed $54 billion merger is off, but that doesn’t mean the two insurance companies are amicably parting ways. Anthem has stated that it will not pay Cigna a...

Anthem Pursues Cigna Merger Up to the Supreme Court

by Jesse Migneault

Just seven days after a court upheld the initial ruling which blocked Anthem’s acquisition of Cigna, the nation’s second largest insurer is not giving up.   Anthem has confirmed that it is filing a writ of...

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