Vertical-Integration

DOJ Launches Antitrust Investigation of UnitedHealth's Vertical Integration Strategy and Optum Physician Acquisitions

| Importance: 9/10

On February 27, 2024, the Wall Street Journal reported that the Department of Justice launched a major antitrust investigation into UnitedHealth Group, focusing on whether the company’s vertical integration strategy—particularly Optum’s acquisition of physician practices—creates …

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Cigna-Express Scripts $52 Billion Merger Approved: DOJ Greenlights PBM Oligopoly

| Importance: 9/10

The Department of Justice approved Cigna’s $52 billion acquisition of Express Scripts, one of the three largest pharmacy benefit managers, completing the deal announced in March 2018. Assistant Attorney General Makan Delrahim stated that after a six-month investigation reviewing over two …

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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 …

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Google Ad Tech Systematically Takes 30-50% Cut From Publishers

| Importance: 9/10

By 2013, the systematic exploitation of publishers through Google’s advertising technology monopoly had become evident. Publishers and advertisers discovered that Google was extracting 30-50% of advertising spending that flowed through its platforms—two to three times the take-rate of …

Google Online publishers Advertisers News organizations google ad-tech publisher-exploitation monopolization vertical-integration +2 more
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Google Acquires DoubleClick for $3.1B, Creating Advertising Monopoly

| Importance: 10/10

On April 13, 2008, Google completed its $3.1 billion acquisition of DoubleClick, the dominant online advertising server and ad exchange operator. The merger, approved by the Federal Trade Commission in December 2007, combined Google’s search advertising dominance with DoubleClick’s …

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Carnegie Sells to J.P. Morgan: U.S. Steel Becomes First Billion-Dollar Corporation

| Importance: 8/10

In early 1901, J.P. Morgan, the country’s most powerful banker, purchased Andrew Carnegie’s Carnegie Steel Corporation for $500 million and merged it with nine other steel companies to form the United States Steel Corporation—the world’s largest corporation and first billion-dollar …

Andrew Carnegie J.P. Morgan U.S. Steel Corporation Carnegie Steel Corporation monopoly-power corporate-consolidation vertical-integration market-dominance financial-empire
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Carnegie Steel Company Formed Through Massive Vertical Integration Consolidation

| Importance: 9/10

On July 1, 1892, Andrew Carnegie consolidated his various steel operations into the Carnegie Steel Company, creating the largest and most profitable steel company in the world through complete vertical integration of the entire steel production chain. The company headquarters were located in the …

Andrew Carnegie Henry Clay Frick Carnegie Steel Company corporate-power steel-industry vertical-integration gilded-age monopoly
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Carnegie Opens Edgar Thomson Steel Works - Introduces Bessemer Process at Scale

| Importance: 8/10

Andrew Carnegie opened the Edgar Thomson Steel Works in Braddock, Pennsylvania, in 1875, effectively introducing the Bessemer steelmaking process to the United States at industrial scale and launching his steel empire. Construction had begun in 1872, with the mill beginning rail production in 1874. …

Andrew Carnegie Edgar Thomson Steel Works corporate-power steel-industry vertical-integration gilded-age industrial-consolidation
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