The health sector saw its share of fireworks this year even before the Fourth of July. The springtime was characterized by contention, with the antitrust fight to determine the future of the CVS-Aetna merger dragging on in federal court, the Trump administration backing a Texas lawsuit to declare the Affordable Care Act unconstitutional, nationwide debate over ‘Medicare for all’ and powerful payer and provider lobbies jockeying to influence surprise billing legislation. The first half of 2019 saw a slew of mergers and acquisitions. Though the pace of consolidation has slowed somewhat, Centene made a $17 billion grab for WellCare and Sanford and UnityPoint plan to merge into an $11 billion integrated health system, showing big deals are still in play. Amazon continued to dominate the conversation as its prescription delivery arm PillPack netted more state licenses, teasing a national rollout. The Amazon-Berkshire Hathaway-J.P. Morgan troika to lower costs gained a name, Haven, and a new website gave just a hint at what the secretive venture might be planning. Government wasn’t idle either. CMS was active in the spring, introducing new primary care payment models in a bid to inject more risk into a risk-averse system, adding flexibility into Medicare Advantage plan offerings and opening its arms… Read full this story
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