High­lights from the Jus­tice Depart­ment com­plaints

Modern Healthcare - - NEWS -


“This merger is un­prece­dented in the Medi­care Ad­van­tage in­dus­try and af­fects hun­dreds of mar­kets across the coun­try.”

They com­pete in more than 600 coun­ties—Aetna of­fers Medi­care Ad­van­tage in nearly 90% of them.

Loss of com­pe­ti­tion would be par­tic­u­larly acute in 364 coun­ties, where Ad­van­tage serves 1.6 mil­lion seniors.

In 70 of th­ese coun­ties, the com­bined com­pany would have an Ad­van­tage mo­nop­oly.


“If al­lowed to pro­ceed, this merger would en­hance An­them’s power to profit at the ex­pense of both con­sumers and the doc­tors and hos­pi­tals pro­vid­ing their med­i­cal care.”

Just four in­sur­ers of­fer a na­tion­wide com­mer­cial net­work that can serve the largest U.S. em­ploy­ers. An­them, work­ing with its fel­low Blues, is one; Cigna is an­other.

An­them and Cigna are of­ten two of few re­main­ing op­tions for large-group em­ploy­ers in at least 35 met­ro­pol­i­tan ar­eas, in­clud­ing New York and Los An­ge­les.

An­them works closely with other Blues plans to win na­tional ac­counts from Cigna and other in­sur­ers. The com­bined com­pany would com­pete against fel­low Blues.

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