D‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍iscussion: The federal Department of Justice filed suit to block the Cigna-Anthem merger

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D‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍iscussion Question 1 The federal Department of Justice filed suit to block the Cigna-Anthem merger. In May 2018, Cigna announced its intention to merge with Express Scripts (https://www.modernhealthcare.com/article/20180517/NEWS/180519919/how-cigna-and-express-scripts-decided-to-merge-amid-anthem-drama). How are these two actions similar? Different? How does this differ from the proposed Walmart-Humana merger? Discussion Question 2 Scan this series of journal articles and opinion pieces (found is the Course Content folder). Gaynor, M., & Haas-Wilson, D. (1999). https://pubs.aeaweb.org/doi/pdfplus/10.1257/jep.13.1.141 Cuellar A.E., & Gertler, P.J. (2003). https://pdfs.semanticscholar.org/ed81/a8825f597c187263ce524f0ef2acfc0342c9.pdf Cuellar A.E., & Gertler, P.J. (2005). https://www.researchgate.net/profile/Paul_Gertler/publication/8084670_How_The_Expansion_Of_Hospital_Systems_Has_Affected_Consumers/links/0fcfd50e614deaf9f3000000.pdf Vogt, W.B.‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍, & Town, R. (2006). https://folio.iupui.edu/bitstream/handle/10244/520/no9researchreport.pdf?sequ Deloitte (2014). https://www2.deloitte.com/content/dam/Deloitte/us/Documents/life-sciences-health-care/us-lshc-great-consolidation-111214.pdf Gooch, K. (2016). https://www.beckershospitalreview.com/hospital-transactions-and-valuation/what-does-consolidation-mean-for-the-future-of-healthcare-6-things-to-know.html Barker, E., (2017). https://www.hfma.org/Leadership/E-Bulletins/2017/April/How_Consolidation_Is_Reshaping_Health_Care/ Kandrach, M. (2018). https://thehill.com/opinion/healthcare/379878-continuing-problem-of-health-care-consolidation-is-leading-to-higher-costs Nickels, T. (2018). https://www.aha.org/news/blog/2018-02-14-understanding-hospital-and-health-system-consolidation What has caused this over two decade trend of consolidation? Is it likely to continue? Why? Is this a good thing or not? What has been the impact on patients, providers, payors‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍?

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