In June, the American Medical Association's (AMA) president Barbara L. McAneny, MD, outlined the group’s concerns during a hearing held by the California Department of Insurance stating that “The AMA has come to the conclusion that this merger would likely substantially lessen competition in many healthcare markets, to the detriment of patients,” and therefore should be blocked.
Earlier this week the Department of Justice (DOJ) cleared the $69 billion merger between CVS and Aetna, with some conditions.
In order to approve the merger, the DOJ required Aetna to sell off its Medicare Part D business, worth $2.2 million, as CVS already has its own Part D business under its “SilverScript” brand. Antitrust regulators stated that this would “fully resolve the departments anticompetitive concerns,” and, in agreement, Aetna will sell off its Part D business to WellCare.
“The divestitures required here allow for the creation of an integrated pharmacy and health benefits company that has the potential to generate benefits by improving the quality and lowering the costs of the healthcare services that American consumers can obtain,” said assistant attorney general Makan Delrahim of the Justice Department’s AntiTrust Division in a statement.
Without the divestiture, DOJ attorneys argued that the combined company would have anticompetitive effects, increased prices, and inferior customer service, specifically in the states where Aetna previously sold Part D plans.
“DOJ clearance is an important step toward bringing together the strengths and capabilities of our two companies to improve the consumer healthcare experience. We are pleased to have reached an agreement with the DOJ that maintains the strategic benefits and value creation potential of our combination with Aetna,” said CVS Health president and CEO, Larry J. Merlo in a statement.
However, notable industry members such as the American Medical Association (AMA) and the American Antitrust Institute (AAI) have spoken out against the merger and called for the DOJ to block the transaction prior to its announcement this week.
In June, AMA president Barbara L. McAneny, MD, outlined the group’s concerns during a hearing held by the California Department of Insurance stating that “The AMA has come to the conclusion that this merger would likely substantially lessen competition in many healthcare markets, to the detriment of patients,” and therefore should be blocked.
While part of the AMA’s concern was resolved with the DOJ requirement that Aetna sell off its Part D business, other factors remain such as the anticompetitive effects the merger would have on pharmacy benefit manager (PBM) services, health insurance, retail pharmacy, and specialty pharmacy. AAI echoed these concerns citing its belief that 3 integrated PBM-insurer systems would dominate the marketplace and effectively lock out competition.
Going forward, CVS and Aetna are working to complete the remaining state reviews, and CVS believes the merger is on track to be completed in the early part of this quarter.
Julie Reed: Why 2024 Is Important for Biosimilars
April 17th 2024Julie Reed, executive director of the Biosimilars Forum, showcases how the biosimilar industry is expected to develop throughout 2024, including major policy changes and hope for continued improvement in market share for adalimumab biosimilars.
Exploring the Biosimilar Horizon: Julie Reed's Predictions for 2024
February 18th 2024On this episode of Not So Different, Julie Reed, executive director of the Biosimilars Forum, returns to discuss her predictions for the biosimilar industry for 2024 and beyond as well as the impact that the Forum's 4 new members will have on the organization's mission.
Alvotech’s Stelara Biosimilar, Selarsdi, Receives FDA Approval
April 16th 2024Alvotech’s Selarsdi (ustekinumab-aekn), a biosimilar referencing Stelara (ustekinumab), gained FDA approval, making it the second ustekinumab biosimilar and second for the company to be given the green light for the American market.
A New Chapter: How 2023 Will Shape the US Biosimilar Space for 2024 and Beyond
December 31st 2023On this episode of Not So Different, Cencora's Brian Biehn and Corey Ford take a look back at major policy and regulatory advancements in 2023 and how these changes will alter the space going forward.
Global Biosimilar Market Projected to Reach $1.3 Trillion by 2032
April 11th 2024The global biosimilar market is projected to surge from $25.1 billion in 2022 to approximately $1.3 trillion by 2032, with a compound annual growth rate of 17.6%, driven mainly by the increasing prevalence of cancer and the cost-effectiveness of biosimilars, as outlined in a report by Towards Healthcare.