• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia

Trendingnow

1

AI CEOs from OpenAI, Anthropic, and Microsoft set aside their rivalry to warn Congress AI is making it too easy to design and create bioweapons

2

Social Security faces a 24% cut in 2032—that's a $345 billion hit to retirees nationwide, watchdog says

3

MacKenzie Scott's approach to her $26 billion giving spree was inspired by a book she read in college about writing

1

AI CEOs from OpenAI, Anthropic, and Microsoft set aside their rivalry to warn Congress AI is making it too easy to design and create bioweapons

2

Social Security faces a 24% cut in 2032—that's a $345 billion hit to retirees nationwide, watchdog says

3

MacKenzie Scott's approach to her $26 billion giving spree was inspired by a book she read in college about writing
HealthBrainstorm Health

Brainstorm Health: The Walmart Humana Deal, Apple Health Records, Pfizer Rare Heart Drug

By
Clifton Leaf
Clifton Leaf
Down Arrow Button Icon
By
Clifton Leaf
Clifton Leaf
Down Arrow Button Icon
March 30, 2018, 4:26 PM ET

The prospect and fear of disruption in healthcare is clearly good for marriage—at least the corporate kind. Walmart, the world’s biggest retailer, is in “early-stage acquisition talks” with Humana, a health insurance company with some 14 million members in its medical benefit plans and $54 billion in 2017 revenue, reports the Wall Street Journal—which notably also broke news of the CVS–Aetna deal last year.

Sy has a smart take on this development below—and you should also read my colleague Polina Marinova’s breaking analysis in FORTUNE’s Term Sheet this morning. But one thing worth highlighting is how central one key demographic is to this seemingly out-of-the-box M&A move—and that’s the prodigiously sized generation of Medicare recipients.

A whopping 79% of Humana’s total premiums and services revenue comes from Uncle Sam—through individual and group Medicare Advantage plans and other stand-alone prescription drug plans, according to the company’s latest 10-K filing with the SEC (see page 5). Humana offers at least one type of Medicare plan in each of the 50 states.

That same silver-domed demo, of course, is core to Walmart: Millions of seniors not only shop at its stores but also pick up their scrips there, too. The world’s largest employer (after the U.S. Department of Defense and the People’s Liberation Army) also just happens to be the 4th largest operator of pharmacies in the U.S., with $20.6 billion in 2016 prescription drug sales, according to Pembroke Consulting (and my all-knowing colleague Phil Wahba). That makes Walmart-the-drug-chain bigger than Rite Aid.

And like CVS, Walmart has been energetically incorporating primary care clinics in many of its stores too. (That’s a direction Humana had been heading as well: It has nearly 200 clinics that it operates on its own or in joint ventures, according to Modern Healthcare.) The idea of combining these resources—and encouraging Humana plan members to get their primary care through Walmart clinics, get their meds through Walmart pharmacies, and shop in the healthy fruit and veggie aisles at Walmart groceries—makes good, simple sense.

Which is why the race is on. Kroger’s going to buy (or be bought by) somebody in this space. Mark my word.

Clifton Leaf, Editor in Chief, FORTUNE
@CliftonLeaf
clifton.leaf@fortune.com

DIGITAL HEALTH

Apple Health records launches with 39 health systems. Months after rumors of a new personalized health records system compatible with the iPhone emerged, Apple has begun rolling out the medical records initiative for users at more than 100 hospitals across 39 health systems (including names like Stanford and Johns Hopkins). Users will be able to access a swath of (ultimately limited) information, such vaccinations, lab results, and allergy data. (The Verge)

INDICATIONS

Pfizer surprises with rare heart disease drug success. Drug giant Pfizer celebrated the 20th anniversary of its blockbuster Viagra earlier this week; it followed up with some promising data on the opposite side of the drug development chain in a bit of a surprise. Tafamidis, an experimental treatment for a rare, genetic, and progressive heart failure, "showed a statistically significant reduction in deaths and frequency of cardiovascular-related hospitalizations compared with a placebo" two and a half years out, according to CNBC. (CNBC)

THE BIG PICTURE

Hawaii on track to be 7th state to approve medical aid-in-dying legislation. The Hawaiian legislature is sending an aid-in-dying bill to the governor's desk. It's more or less expected to be signed; if it is, Hawaii would become the 7th state behind California, Colorado, Montana, Oregon, Vermont, and Washington (plus the District of Columbia). (Reuters)

Walmart Humana cometh. The specter of a deal between Walmart and Humana tossed a bit of extra drama into the ongoing saga of health care M&A (not to mention the weekend). Cliff offered his insightful thoughts above on how such a potential arrangement is driven by America's seniors, who occupy a special space in the U.S. medical ecosystem (and are among Humana's and Walmart's major customer bases, with the former specializing in Medicare Advantage plans). I spoke with PricewaterhouseCoopers partner (and U.S. health services sector leader) Gurpreet Singh about some of the other trends influencing the deal, as well as other ambitious corporate marriages like CVS-Aetna, Cigna-Express Scripts, and others across the medical spectrum. Two words that sum it all up? "Vertical integration," says Singh. "There will be more deals that are like this, and there will also be more that are aligned towards new entrants in the space." With the failure of high-profile attempts to integrate horizontally (for instance, scuttled deals like Anthem-Cigna and Aetna-Humana) within industries, companies are increasingly looking to go up and down the supply chain to boost margins, scale, data collection, and (optimistically) improve the patient experience by offering easier-to-access medical homes. We'll have much more on this in the coming days. (Fortune)

REQUIRED READING

Why Drug Overdoses Are on the Rise and Getting Worse in America, by Sy Mukherjee

Here's How to Keep Track of China's Space Station As It Plunges Into Earth, by Chris Morris

Smugglers Used Drones to Drop $80 Million of iPhones into China, by Don Reisinger

Former Obama Administration Official Heads to Netflix Board, by Jonathan Vanian

Produced by Sy Mukherjee
@the_sy_guy
sayak.mukherjee@fortune.com

Find past coverage. Sign up for other Fortune newsletters.
About the Author
By Clifton Leaf
See full bioRight Arrow Button Icon

Latest in Health

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in Health

As the World Cup draws millions to 11 U.S. cities, measles—not Ebola—may be the biggest concern
HealthHealth
As the World Cup draws millions to 11 U.S. cities, measles—not Ebola—may be the biggest concern
By Marco Quiroz-GutierrezJune 5, 2026
22 hours ago
Melinda French Gates is done waiting for health care to take menopause seriously
MPWMost Powerful Women
Melinda French Gates is done waiting for health care to take menopause seriously
By Emma HinchliffeJune 5, 2026
1 day ago
Cronometer Review (2026): Calorie Tracking and More
HealthDietary Supplements
Cronometer Review (2026): Calorie Tracking and More
By Emily PharesJune 5, 2026
1 day ago
Nitrosurge Pre-Workout Review (2026): Expert Tested
HealthDietary Supplements
Nitrosurge Pre-Workout Review (2026): Expert Tested
By Christina SnyderJune 5, 2026
1 day ago
AI CEOs from OpenAI, Anthropic, and Microsoft set aside their rivalry to warn Congress AI is making it too easy to design and create bioweapons
AITech
AI CEOs from OpenAI, Anthropic, and Microsoft set aside their rivalry to warn Congress AI is making it too easy to design and create bioweapons
By Marco Quiroz-GutierrezJune 5, 2026
1 day ago
The label from a box of peptides next to 10 vials of an orange substance.
CryptoCryptocurrency
I bought peptides with crypto. How my purchase helped fuel a $100 million gray-market, ‘looksmaxxing’ economy
By Ben WeissJune 4, 2026
2 days ago

Most Popular

AI CEOs from OpenAI, Anthropic, and Microsoft set aside their rivalry to warn Congress AI is making it too easy to design and create bioweapons
AI
AI CEOs from OpenAI, Anthropic, and Microsoft set aside their rivalry to warn Congress AI is making it too easy to design and create bioweapons
By Marco Quiroz-GutierrezJune 5, 2026
1 day ago
Social Security faces a 24% cut in 2032—that's a $345 billion hit to retirees nationwide, watchdog says
Economy
Social Security faces a 24% cut in 2032—that's a $345 billion hit to retirees nationwide, watchdog says
By Nick LichtenbergJune 5, 2026
1 day ago
MacKenzie Scott's approach to her $26 billion giving spree was inspired by a book she read in college about writing
Success
MacKenzie Scott's approach to her $26 billion giving spree was inspired by a book she read in college about writing
By Sydney LakeJune 5, 2026
1 day ago
Current price of oil as of June 5, 2026
Personal Finance
Current price of oil as of June 5, 2026
By Joseph HostetlerJune 5, 2026
1 day ago
Ohio city workers are covering automated license plate readers with trash bags as officials sound the alarm on 'egregious violations' of privacy
Cybersecurity
Ohio city workers are covering automated license plate readers with trash bags as officials sound the alarm on 'egregious violations' of privacy
By Sasha RogelbergJune 3, 2026
3 days ago
Billionaires Elon Musk and Mark Zuckerberg used mortgages to buy multimillion-dollar mansions. Here’s why that’s a savvy financial decision
Real Estate
Billionaires Elon Musk and Mark Zuckerberg used mortgages to buy multimillion-dollar mansions. Here’s why that’s a savvy financial decision
By Sydney LakeJune 6, 2026
7 hours ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.