Express Scripts, CVS Health, and UnitedHealth Group lost a combined $5 billion in market cap Thursday after it was revealed the Trump administration is proposing a rule that will alter how drug rebates can legally work in federal health care programs.
Flashback: These pharmacy benefit managers took a similar beating in May when the rebate chatter began.
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Cigna finally pulled the trigger on selling its life and disability insurance business, netting $5.3 billion after taxes from New York Life.
The big picture: Health insurers have been divesting products that have less to do with actual medical care and instead combining with companies that sell drug benefits
Illustration: Aïda Amer/Axios
America's mental health care system is in dire need of an overhaul, but the any real specifics are largely missing from the 2020 debate about health care.
Why it matters: Suicide and drug overdose rates continue to rise, and the U.S. faces a shortage of mental health providers and a lack of access to treatment.
Photo Illustration: Sarah Grillo/Axios. Photos: Scott Eisen/Getty Images and Erik McGregor/LightRocket via Getty Images
Americans worry a lot about how to get and pay for good health care, but the 2020 presidential candidates are barely talking about what's at the root of these problems: Almost every incentive in the U.S. health care system is broken.
Why it matters: President Trump and most of the Democratic field are minimizing the hard conversations with voters about why health care eats up so much of each paycheck and what it would really take to change things.