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Commentary

Health Plan Mergers: Clash of the Lobbying Titans



One month ago, I noted that the market was pricing a very high risk premium into two of three take-overs among health insurers. In a volatile stock market, the merger-arbitrage spreads for the three deals currently in play are remarkably stable. Anthem’s take-over of Cigna and Aetna’s take-over of Humana continue to be viewed as highly risky, while Centene’s take-over of HealthNet is viewed as almost certain to take place as announced.

Chart I shows the expected rates of return for investors shorting the spread of these three mergers, as they have evolved from the shares’ closing prices on June 24 (the date Anthem’s bid for Cigna turned from hostile to friendly) to yesterday. Each rate of return assumes it will take until the third quarter of 2016 for each deal to close.

Investors buying shares in HealthNet to deliver in exchange for cash and Centene shares appear confident that this deal will close, demanding a return of only 3 percent. This is understandable because HealthNet is geographically concentrated in California, Arizona, and the Pacific Northwest, operating in all market segments. Centene, on the other hand, is exclusively a Medicaid and Children’s Health Insurance Program carrier that operates in about half the country. There are unlikely to be antitrust concerns.

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John R. Graham is a former Senior Fellow at the Independent Institute.






  • MyGovCost.org
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  • OnPower.org
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