AHLA Managed Care Mega Mergers, Part I: Antitrust Analysis

30 October 2015

2 p.m. – 3:30 p.m. EDT

Webinar

We are pleased to participate in the AHLA's "Managed Care Mega Mergers, Part I: Antitrust Analysis" webinar.

After years of consolidation among healthcare providers, the industry is buzzing about two announced mega mergers among four of the five largest healthcare insurers: Aetna has announced plans to acquire Humana, and Anthem has announced plans to acquire Cigna. Together, these proposed mergers total more than $90 billion and affect more than 80 million members. Stakeholders have raised a variety of policy and business rationales for and against the mergers, but antitrust clearance is a critical hurdle.

Mark Botti will be a part of the webinar that will focus on the antitrust analysis of health insurance mergers, including:

An overview of antitrust merger law basics
US Department of Justice merger enforcement in the health insurance industry
Implications of new regulatory changes on the competitive analysis for health insurance mergers, including the Affordable Care Act, health insurance exchanges and potential competition analysis
How to analyze which products compete for what business (e.g., Medicare Advantage, individuals and small group, large fully insured employers, self-insured)
In what geographic areas do competing products overlap? (e.g., national market, local markets)
Potential anticompetitive effects from payer consolidation, including higher premium prices, reduced innovation and effects on entry
“Power buyers" and the potential for merged healthcare insurers to negotiate lower provider reimbursements
Other potential efficiencies resulting from payer mergers
What remedies are available if a payer merger poses anticompetitive concerns?

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