FTC headquarters in Washington. Photo: Jeffrey Greenberg/Universal Images Group via Getty Images

The Federal Trade Commission approved the $4.34 billion sale of DaVita's physician unit to Optum on Wednesday, a growing division of UnitedHealth Group; but Optum will be required to divest DaVita's large physician operations in Nevada to clear antitrust concerns.

The big picture: The deal, which has been under FTC review for 19 months, allows UnitedHealth to continue its conquest of all aspects of the health-care system — in this case, as a health insurer and care provider.

Details: The agreement stipulates Optum will have to sell DaVita's primary care group in the Las Vegas area to Intermountain Healthcare, a hospital system based in Utah. Those terms were not disclosed.

  • Optum already owns the other large physician group in the Las Vegas area, so if it acquired DaVita's operations, it would control 80% of the physician market, which "would allow UnitedHealth Group to exercise market power" and raise prices at will to other insurers, the FTC said in its complaint.
  • Because UnitedHealth is also the largest Medicare Advantage insurer in the area, controlling the 2 largest physician groups would allow UnitedHealth to charge rival plans more or exclude its doctors outright from competitors' networks.

That's not all: Colorado's attorney general negotiated a separate settlement to address anticompetitive concerns.

The bottom line: DaVita will now focus on its core dialysis business, while UnitedHealth maintains its position as one of the largest employers of doctors and biggest insurer for seniors.

Go deeper

Trump tightens screws on ByteDance to sell Tiktok

Illustration: Aïda Amer/Axios

President Trump added more pressure Friday night on China-based TikTok parent ByteDance to exit the U.S., ordering it to divest all assets related to the U.S. operation of TikTok within 90 days.

Between the lines: The order means ByteDance must be wholly disentangled from TikTok in the U.S. by November. Trump had previously ordered TikTok banned if ByteDance hadn't struck a deal within 45 days. The new order likely means ByteDance has just another 45 days after that to fully close the deal, one White House source told Axios.

Updated 5 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Global: Total confirmed cases as of 9:30 p.m. ET: 21,056,850 — Total deaths: 762,293— Total recoveries: 13,100,902Map.
  2. U.S.: Total confirmed cases as of 9:30 p.m ET: 5,306,215 — Total deaths: 168,334 — Total recoveries: 1,796,309 — Total tests: 65,676,624Map.
  3. Health: CDC: Survivors of COVID-19 have up to three months of immunity Fauci believes normalcy will return by "the end of 2021" with vaccine — The pandemic's toll on mental health — FDA releases first-ever list of medical supplies in shortage.
  4. States: California passes 600,000 confirmed coronavirus cases.
  5. Cities: Coronavirus pandemic dims NYC's annual 9/11 Tribute in Light.
  6. Business: How small businesses got stiffed — Unemployment starts moving in the right direction.
  7. Politics: Biden signals fall strategy with new ads.

Harris: "Women are going to be a priority" in Biden administration

Sen. Kamala Harris at an event in Wilmington, Del. Photo: Drew Angerer/Getty Images

In her first sit-down interview since being named Joe Biden's running mate, Sen. Kamala Harris talked about what she'll do to fight for women if elected VP, and how the Democrats are thinking about voter turnout strategies ahead of November.

What they're saying: "In a Biden-Harris administration women are going to be a priority, understanding that women have many priorities and all of them must be acknowledged," Harris told The 19th*'s Errin Haines-Whack.