Highlights from the Justice Department complaints
“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.