CVS Health

DOJ Sues Aetna, Humana, Elevance for Paying Illegal Medicare Advantage Kickbacks and Discriminating Against Disabled Beneficiaries

| Importance: 9/10

On May 1, 2025, the Department of Justice filed a False Claims Act lawsuit against three of the nation’s largest health insurance companies—Aetna (CVS Health), Humana, and Elevance Health (formerly Anthem)—along with three major insurance brokers—eHealth, GoHealth, and SelectQuote. The …

Department of Justice Aetna CVS Health Humana Elevance Health +4 more healthcare medicare-advantage insurance-fraud systematic-corruption whistleblower +1 more
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FTC Sues Big Three PBMs for Artificially Inflating Insulin Prices Through Rebate Schemes

| Importance: 9/10

The Federal Trade Commission filed an administrative antitrust complaint against the three largest pharmacy benefit managers—CVS Caremark, Express Scripts (Cigna), and OptumRx (UnitedHealth)—and their affiliated group purchasing organizations, charging them with anticompetitive and unfair practices …

Federal Trade Commission Lina Khan CVS Caremark Express Scripts OptumRx +3 more healthcare pbm pharmacy antitrust ftc +3 more
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CVS-Aetna $69 Billion Merger Announced: Vertical Integration Wave Consolidates PBM Power

| Importance: 9/10

CVS Health announced its $69 billion acquisition of health insurer Aetna (with debt, $77 billion total), marking the largest healthcare merger in U.S. history and accelerating vertical integration in pharmacy benefit management. Under the deal, Aetna shareholders would receive $145 in cash plus …

CVS Health Aetna Larry Merlo Mark Bertolini Department of Justice healthcare pbm pharmacy antitrust regulatory-capture +2 more
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