Here is what you need to know.
1. The U.S. Justice Department is pursuing an antitrust because it feels the merger would “substantially lessen competition” in 35 metropolitan areas where more than 65 million people live.
2. Anthem responded saying it would “remain receptive to efforts to reach a settlement,” which could mean breaking off pieces of its business.
3. If Anthem could “divest product lines, business divisions or geographical divisions,” it could lessen the monopolistic elements of the merger, but antitrust experts said even that “won’t be a slam dunk for Anthem.”
4. If Anthem and Cigna merge, it decreases the major national insurer market from four companies to three. Additionally if Anthem decides to sell accounts it would leave customers in some markets with only two remaining choices.
5. A proposal Anthem made to divest from the national market, and sell off shares to smaller insurers was met with resistance from the Justice Department.
6. The future of the merger will be decided in a November trial or in a settlement.
More coding, billing and collections news:
Senator pulls drug price transparency bill, blames amendments: 5 things to know
Can the ACA make a comeback? 4 key takeaways
OIG finds CMS centers are at risk for cyberattacks: 6 things to know
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.