The prospect of Amazon’s entry is a spur to a massive deal in health care

The Economist

7 December 2017 - CVS Health’s $69bn purchase of Aetna is partly about the e-commerce giant’s rumoured plans to transform the prescription-drugs business.

“We're bringing health care to where people live and work.” So declared Larry Merlo, chief executive officer of CVS Health, an American retail-pharmacy giant, on December 3rd, announcing a $69bn deal to buy Aetna, a health insurer. The deal is worth some $77bn after CVS’s assumption of Aetna’s debt, and is due to close in the second half of next year.

Shares in both firms fell on the news, perhaps because the deal is likely to yield results only over the long term. Most tie-ups in America’s health industry in recent years have been “horizontal”, with firms attempting to acquire direct competitors; instead, the CVS-Aetna deal represents vertical integration. As a result, there are fewer obvious overlaps and less fat to cut.

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Michael Wonder

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Michael Wonder