Latest / Bloomberg Intelligence / Bloomberg's McGorman on Doubts Cast on Anthem-Cigna Deal(Audio)
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- 1:43Speaker 1: A pending fifty four billion dollar merger of the health
- 1:47Speaker 1: insurers Anthem and Signa couldn't mean more squabbling with either
- 1:53Speaker 1: regulators or indeed between the management of Anthem and Signa.
- 1:57Speaker 1: Here to learn more is to help us learn more.
- 1:59Speaker 1: As Jason Gorman, he is an analyst on medical devices
- 2:02Speaker 1: and healthcare services for Bloomberg Intelligence. Jason, thanks very much
- 2:07Speaker 1: for being with us. Explain what is going on right
- 2:09Speaker 1: now at Anthem and Signa and this potential combination. Yeah,
- 2:14Speaker 1: and thank you for having me. So they the upshot
- 2:18Speaker 1: is that they're disagreeing about some of the timing of
- 2:22Speaker 1: the filing requirements for this deal to go through. Insignia
- 2:27Speaker 1: has had some uh some issues with Anthem uh suing
- 2:32Speaker 1: express scripts over some of its disputes and basically uh
- 2:37Speaker 1: distracting away from from the ongoing deal. So they've had
- 2:40Speaker 1: uh some tensions both now as well as when they
- 2:44Speaker 1: frankly first agreed to a deal back last summer. I've
- 2:49Speaker 1: had health insurance with both companies over the years. But
- 2:52Speaker 1: to me, a health insurance company is a health insurance company.
- 2:55Speaker 1: Explained to us, what what place in this industry each
- 2:59Speaker 1: of the companies occupies, How they're similar, how they're different. Sure,
- 3:05Speaker 1: so both Anthem Insignia are very large health and shares
- 3:09Speaker 1: in the commercial market. And what's in focus here is
- 3:13Speaker 1: plans for employer groups, which is the potential concern with
- 3:18Speaker 1: the Justice Department. So the difference being that if you
- 3:22Speaker 1: work for a large employer like Walmart uh and you
- 3:26Speaker 1: want to get your insurance UM. Now, what companies like
- 3:30Speaker 1: Anthem Insigna do is they really just manage the claims,
- 3:34Speaker 1: so it's more of a back end process. And they
- 3:37Speaker 1: charge a fee for doing that. So it's a little
- 3:39Speaker 1: bit different than the traditional insurance which we've heard a
- 3:42Speaker 1: little bit more about, which has gone to like the
- 3:45Speaker 1: the Obamacare exchanges that we've talked about, So a little
- 3:49Speaker 1: bit different of a model. And because there's so few
- 3:51Speaker 1: that can compete on such a large scale, UH, it's
- 3:55Speaker 1: it's really gotten down to UH a very small compet
- 4:00Speaker 1: of environments, and you do have to compete with the
- 4:02Speaker 1: number of members that you have. What kind of breakup
- 4:05Speaker 1: fee are we talking about here? If they decide or
- 4:07Speaker 1: for whatever reason, they cannot go through with this combination. Yeah,
- 4:11Speaker 1: So for the Anthem would have to pay Signa about
- 4:15Speaker 1: one point nine billion dollars pretexts um for thing that
- 4:20Speaker 1: if the deal were to fall through, and UH would
- 4:23Speaker 1: have to pay Humana about a billion dollars. So um.
- 4:28Speaker 1: That's actually slightly below what some of the comfortable UH
- 4:33Speaker 1: fees have been another other deals, but still pretty sizeable
- 4:36Speaker 1: for the companies if they don't end up going through.
- 4:40Speaker 1: So if I'm the Justice Department, if I'm a consumer,
- 4:42Speaker 1: if I'm a big company who buys health insurance for
- 4:45Speaker 1: my employees through one of these big insurance companies. I'm saying,
- 4:49Speaker 1: why let them merge. That means they'll be fewer choices
- 4:52Speaker 1: and they can just turn the screws to me all
- 4:53Speaker 1: the more. Yeah, so they they're there are two separate
- 4:58Speaker 1: deals that are going on, the and then Humana focusing
- 5:01Speaker 1: more on medicare is a little less concerning because Medicare
- 5:05Speaker 1: prices are are relatively um kept in line, whereas from
- 5:10Speaker 1: a anthem perspective, they would argue that they can actually
- 5:15Speaker 1: use their sizable membership to negotiate more favorable rates. The
- 5:20Speaker 1: problem with that is then if a hospital has to
- 5:23Speaker 1: take that hit, well, then you could argue that the
- 5:26Speaker 1: quality of our health care would go down because of that.
- 5:28Speaker 1: Um So, I don't think that their argument holds as
- 5:31Speaker 1: much water as they're saying it does. What about the
- 5:35Speaker 1: Department of Justice and the antitrust clearance? Is this is
- 5:39Speaker 1: a sure thing for the anthem signa deal. Ever since
- 5:44Speaker 1: these deals were announced, the market has viewed them with
- 5:48Speaker 1: a large grain of salt. They've the actual value of
- 5:52Speaker 1: the deals has been at a between twenty two spread
- 5:59Speaker 1: versus where the boxer training today. Um So, there's a
- 6:03Speaker 1: big discount for what investors are looking at because of
- 6:06Speaker 1: that uh possibility that these deals get blocked one or both.
- 6:11Speaker 1: Uh And from what our work has shown, especially with
- 6:14Speaker 1: our anti trust attorney, it's it's there is the concern
- 6:20Speaker 1: that you have, as we've seen with other markets in telecom,
- 6:23Speaker 1: that if the Justice Spartman looks at it for a
- 6:25Speaker 1: national basis, well, then the risk goes up that the
- 6:29Speaker 1: Anthem signal deal gets blocked. And that's why the spread
- 6:31Speaker 1: on that deal um and investors minds is a little
- 6:34Speaker 1: bit higher. So in a nutshell, I just want to
- 6:38Speaker 1: quickly touch on the express Scripts lawsuit. What it is?
- 6:41Speaker 1: Is it something that maybe Anthem wishes it hadn't gotten
- 6:43Speaker 1: into now that wants to team up a SIGNA Yeah,
- 6:47Speaker 1: so they would argue that it's it's sizeable savings. They've
- 6:50Speaker 1: talked about up to fifteen billion dollars, but even you
- 6:53Speaker 1: know it's come down now to a couple of billion dollars.
- 6:57Speaker 1: It does seem to be a bit of a distraction.
- 7:00Speaker 1: Ultimately being in this space and being a large competitior
- 7:04Speaker 1: and commercial health insurances what's most important for them. But
- 7:07Speaker 1: I don't know what that means for for express Scripts. UH.
- 7:10Speaker 1: They're going to try and get something done, and maybe
- 7:12Speaker 1: that means that they settle on something um versus fighting
- 7:16Speaker 1: it out longer term. All right, Jason mcgorman, thank you
- 7:20Speaker 1: so much for joining us, saying in his latest b
- 7:24Speaker 1: I Bloomberg Intelligence piece that Anthony has few options if
- 7:27Speaker 1: this signet deal falls through Living Intelligence. Senior industry analyst
- 7:32Speaker 1: for managed Care, I'm Kathleen Hayes, along with pim Fox
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