Mergers and Acquisitions

Mergers and Acquisitions Will Strengthen Payer Identity in 2020

by Kelsey Waddill

Payers will seek to strengthen their identities in 2020 and they will use mergers and acquisitions as the tools for transformation, according to a recent HRI’s PricewaterhouseCoopers (PwC)...

Centene-WellCare Merger Prompts Sale of IL Medicaid and MA Plans

by Kelsey Waddill

Centene announced that it will be selling IlliniCare Health Plan, Inc. and Centene’s Illinois Medicaid and Medicare Advantage plans to CVS Health in order to prepare for Centene’s merger...

WellCare Divests to Anthem, Medicaid MCO Impact Still a Question

by Kelsey Waddill

WellCare Health Plans will divest its Medicaid programs in Missouri and Nebraska to Anthem, Inc. as part of its merger with Centene Corporation, Centene announced. "This agreement represents an...

Payer Industry Consolidation Threatens Independent Providers, Premiums

by Kelsey Waddill

Seventy-five percent of the payer industry is made up of highly concentrated markets, a number that has been rising since 2014, an American Medical Association (AMA) study found. And in turn, public...

CVS Health-Aetna Merger Sealed, WellCare Takes Aetna’s Part D PDP

by Kelsey Waddill

Judge Richard Leon granted the settlement between the federal government and CVS Health, which divests Aetna’s Medicare Part D prescription drug plan (PDP) to WellCare. The judge stated that the...

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...

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...

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...

CVS-Aetna Merger Now Expected to Close After Thanksgiving

by Kyle Murphy, PhD

Close to a year has passed since CVS Health announced its plan to acquire Aetna in a $69-billion acquisition. Now only the approval of two state departments of insurance stands in its way. In a recent...

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...

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...

MedPAC to Explore if Hospital Consolidation Impacts Medicare Costs

by Thomas Beaton

The House Committee on Energy and Commerce has asked the Medicare Payment Advisory Commission (MedPAC) to investigate whether or not hospital consolidation increases Medicare spending. In a letter to...

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...

Partners HealthCare to Self-Insure 100K Employees

by Thomas Beaton

Partners HealthCare has announced it will self-insure 100,000 of its employees, transitioning coverage from BlueCross BlueShield of Massachusetts to its own Neighborhood Health Plan, according to The...