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How can dealmaking power the value equation?

Beyond life sciences, 2018 was an active year for dealmaking as health organizations made critical moves outside their traditional business areas to consolidate larger segments of the health valuechain. Examples of the trend include the just-finalized merger between CVS Health and the insurer Aetna, and Cigna’s purchaseof the pharmacy benefits manager Express Scripts.

Much of this activity is taking place in the US, where payers and providers are beginning to respond to Amazon’s entry into health care with defensive moves of their own. Although the immediate revenue implications of Amazon’s partnership with JPMorgan Chase and Berkshire Hathaway are not obvious, the partnershiprepresents a significant commitment to reimagining health care delivery in the US market. Indeed, when Amazon announced it would spend US$1 billion to acquire PillPack in June 2018, US- based pharmacies and drug distributors lost tens of billions of dollars in market value based on the threat of disruption.

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