Judge: Aetna ditched exchanges to 'avoid antitrust scrutiny': 5 things to know
00:45, Jan 26, 2017
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The decision drew mixed reactions. But under questioning, Mayhew admitted that "he had been told to keep strategy discussions ... verbal so there wouldn't be written communication that could be shared with the Justice Department during discovery for the litigation". However, the court ruled their "proffered efficiencies do not offset the anticompetitive effects of the merger".
On Monday morning, Bates's 156-page opinion questioned the companies' arguments that their marriage would cut their costs, which in turn would fuel innovation and lower costs for consumers. The decision enjoined the mega-merger on grounds that it would be likely to "substantially lessen competition" in markets for individual Medicare Advantage plans as well as for health insurance coverage sold on public exchanges.
The merger agreement, which was announced in July 2015, is due to expire on February 15. Providers - hospitals, pharmacies and doctors groups - and insurers have felt compelled to grow bigger to gain leverage in an increasingly complex, cutthroat heath care industry.
Wells Fargo analyst Peter Costa said that each company independently was an attractive investment and that it seemed unlikely that the Department of Justice would change its stance on the merger under the Trump administration, according to Seeking Alpha.
"In that (Medicare Advantage) market, which is the primary focus of this case, the merger is presumptively unlawful - a conclusion that is strongly supported by direct evidence of head-to-head competition as well". Humana has more than 3.1 million members, while Aetna has more than 1 million. (Humana) (headquartered in Louisville, KY) [NYSE:HUM] and its subsidiaries remain unchanged. "(Molina) therefore will need to build its non-dual Medicare Advantage provider network essentially from scratch" in 364 counties, including the 13 in Ohio. "But while that evidence tends to show that Aetna had good business reasons for reducing its exchange footprint across the country, it does not show that Aetna withdrew from these specific counties for business reasons".
Jonathan Mayhew runs Aetna's exchange business and that the company should pull out of the exchanges altogether because it "has continued to deteriorate as the year has progressed". "He added that it would be hard, though not impossible, for Aetna to wait for Trump's new antitrust enforcers to be named and then strike a settlement to save the merger, perhaps by offering to divest more assets", Bartz writes.
In August, the month after the Justice Department's decision was made, Aetna officially left numerous Affordable Care Act exchanges. The court also faulted Aetna for its efforts to pull out of Obamacare marketplaces in Florida, Georgia and Missouri, saying the insurer intentionally left the public exchanges in order to avoid antitrust scrutiny. A study released in September 2015 by the American Medical Association found OH could be heavily affected by the deal.
The suit alleged that the merger would hurt competition in the health care market, leading to higher prices for consumers and fewer services for Medicare patients.
E! News said the former couple finally reached a settlement since divorce papers were filed back in May of previous year . In mid-January, after an extremely long and drawn-out process, Johnny Depp and Amber Heard finalized their divorce.
Students and nurses of Thanjavur Medical College Hospital staged a dharna in front of the local railway junction. Therefore, we must know how much money our films are making in Tamil Nadu to come to an informed opinion.
It's good news for Tesla Autopilot, which has come under scrutiny in the past few months following the fatal accident in May. NHTSA's report on the analysis also highlighted some strengths of the technology.
She won a Tony for her performance in Whose Life is it Anyway? in 1980 and received an Oscar nod for Ordinary People. She was married three times and welcomed one child, a son Richard, who died from an accidental gunshot in 1980.
Meanwhile, the milestone only further solidifies the three-time Academy Award winner's hold on most Oscar nominations. In the movie, Streep plays an aging socialite with dreams of being a singer, and obviously, she nails it.
Representatives for the Weinstein Co . and for the Obama family are yet to formally comment on the exciting news. Page Six alsoreports Malia interned at Halle Berry's CBS show " Extant ", and at an unnamed fashion house.
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The double-figure turnover total was the sixth of Westbrook's career and the third during a triple-double performance. Pachulia was called for a Flagrant 1 Foul, which leads to two free throws and ball possession for the Thunder.
Iranian Deputy Foreign Minister Hossein Jaberi Ansari is also participating. "Things remain unclear", the FSA commander said. The rebels' loss of their former urban stronghold, Aleppo, has shifted the momentum of the fighting in favour of Assad.
Autosteer is intended for use on highways with clear lane markings and maintains position within the lane in slow-moving traffic. This update includes the new Forward Collision Warning feature, Traffic-Aware Cruise Control (TACC), and Low-Speed Autosteer.
Whatever snow we do get is expected to be the heavy, wet variety, which may make the Tuesday morning commute hard in some areas. Between 4 to 9 inches of heavy wet snow and sleet is possible, with the heaviest accumulations occurring over higher terrain.
'Teen Mom 2' Star Chelsea Houska Welcomes a Baby Boy
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Champion Kerber is outclassed by Coco
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El Chapo Being Extradited to US
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New North Korea ICBMs captured by intelligence, report says
The devices "are estimated to not exceed 15 meters (50 feet) in length, making them shorter than the North's existing ICBMs". North Korea is understood to be able to process plutonium at the Yongbyon site for use in potential nuclear warheads.