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Healthcare delivery transformation

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IDNs’ Continued Displacement of Traditional Insurers

Partners, Harvard Pilgrim Negotiations Underscore Growing Trend Amid continued merger mania in the U.S. healthcare industry, the news that integrated delivery titan Partners HealthCare is exploring a merger with innovative New England insurer Harvard Pilgrim Health Care stands out. The deal would...

9 Ways Payers May be Impacted by Vertical Integration

The transformation of the healthcare delivery model and the reinvention of the PBMs will have implications for payers - what are the threats and opportunities? The below post is an excerpt from our white paper Beyond the PBM: A New Order for Healthcare Delivery.  Vertical integration giving...

What Walmart-Humana Would Mean for Healthcare

In December 2017, CVS Health announced plans to purchase Aetna for $69 billion, followed by speculation that a Walmart-Humana deal would be next. Both mergers would create unprecedented opportunity for retail healthcare to gain favor with new consumers, especially among older individuals who...

The evolving PBM market – trends to watch

Amidst mergers, alliances and increased scrutiny, PBMs face a season of change With 2017 receding into the rearview mirror, the road ahead for PBMs will have more than its share of twists and turns as the industry segment comes to terms with shifting alliances, potential mergers and the potential...

With Cigna–Express Scripts, last PBM domino falls

The last pharmacy benefit management giant waiting for a potential suitor is off the board now that Cigna and Express Scripts plan a $67 billion merger. For Express Scripts, the last of the large independent PBMs, a merger with Cigna makes sense. Express Scripts was in a bind. After an ugly...

Albertsons Scoops up Rite Aid

On Feb. 20, food giant Albertsons announced plans to acquire the remaining Rite Aid stores not included in the watered-down Walgreens-Rite Aid deal of last year. Under Amazon’s threat to rule the consumer goods and healthcare kingdom, the Albertsons-Rite Aid deal is nothing short of a strategic...

How Disney is Disrupting Orlando Healthcare

American employers experimenting with direct provider contracts usually do it on a small scale, but Walt Disney World Resorts in Orlando is fully committing with provider HMOs that insure most of the company’s Orlando workforce. With a possible 70,000 Orlandoans receiving care solely from the...

Titans of Business Unite to Take on Healthcare

Amazon, Berkshire Hathaway, and JPMorgan Chase Collaboration Points to Disruption in Healthcare Industry   It’s the business equivalent of a superhero movie when Warren Buffett (The Oracle of Omaha), Jeff Bezos (Amazon), and Jamie Dimon (JPMorgan Chase) unite to form a new healthcare...

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