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Friday, Jun 17 2016

Full Issue

California Regulator Slams Anthem-Cigna Deal, Calls On U.S. To Block Merger

California Insurance Commissioner Dave Jones says the deal would likely result in higher costs for consumers and businesses, fewer choices for coverage and lower quality of care. His recommendation cannot derail the deal, but it could influence the U.S. Department of Justice's decision.

Anthem criticized Jones鈥 decision and expressed confidence it would obtain the necessary government approval for the merger. 鈥淲e do not believe that the California Department of Insurance鈥檚 opinion is based on the true merits of this transaction,鈥 Anthem said in a statement. 鈥淲e are confident that the highly complementary nature and limited overlap of our organizations that will benefit the complex and competitive health insurance markets will be reviewed on the facts by the Department of Justice and appropriate state authorities.鈥 (Terhune, 6/16)

鈥淲hen it comes to the Anthem and Cigna merger, bigger is not better for California鈥檚 consumers,鈥 said Insurance Commissioner Dave Jones. Jones does not have the authority to block the merger. But he said he had reviewed evidence presented at a March 29 hearing, as well as studies of past mergers, and concluded that the deal was 鈥渁nti-competitive.鈥 Anthem is now the nation鈥檚 second-largest insurer, while Cigna is No. 4. If combined, Jones said, the resulting company would control more than half the insurance market in 28 California counties. (Petersen, 6/16)

In a 22-page letter to top Justice Department leaders, Jones said the 鈥渕ost extreme鈥 example of where Anthem's deal would lessen competition is the self-insured employer market. Anthem and Cigna control a combined 61% of that market. Many large, self-insured companies have expressed similar concerns over Anthem's acquisition. (Herman, 6/16)

California's insurance commissioner on Thursday urged the U.S. Department of Justice to block health insurer Anthem Inc's acquisition of Cigna Corp, saying he is concerned it will raise premiums in the state. Dave Jones, who as insurance commissioner in California does not have authority to approve the deal, said he believes his recommendation will hold weight with U.S. antitrust regulators examining the acquisition. (Humer and Bartz, 6/16)

The takeover would give the combined Anthem-Cigna a greater than 50 percent market share in 28 counties in California, and a market share exceeding 40 percent in 38 counties, Jones said. (Tracer, 6/16)

And from Connecticut聽鈥

Insurance Commissioner Katharine L. Wade's first contact with state ethics officials was to inform them in September why she intended to act on the merger of Anthem and Cigna, not to seek a ruling on whether they saw a potential conflict because of her family's long association with Cigna. (Pazniokas, 6/16)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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