After antitrust concerns scuttled healthcare mergers in 2017–including Cigna’s $54 billion deal with Anthem–America’s fourth largest health insurer faced an uncertain future. While some of its rivals pulled out of the public Obamacare marketplaces due to profitability pressures, Cigna has largely stayed the course. And in March, the company finally scored the deal it was waiting for, agreeing to buy Express Scripts for $52 billion. Although the merger still must pass muster with regulators, the addition of Express Scripts (No. 25 on the Fortune 500), could more than triple Cigna’s revenue.
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The court decision is expected to be appealed and won't affect 2019 health care plans.
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