Proxy guide Institutional Shareholder Services and products recommends shareholders approve Cigna’s acquisition of Categorical Scripts, days after famed activist investor Carl Icahn known as the deal a “folly.”
ISS stated attainable regulatory and aggressive dangers to Categorical Scripts, however mentioned the prospective advantages of the $54 billion deal outweigh them. The proxy guide known as the combo financially compelling, and one that will give the blended corporate fast scale with sturdy money glide technology.
Number one, ISS mentioned, Cigna’s “credible control workforce” has laid out “sound strategic rationale.”
Stocks of Cigna slid about 1 % Friday. The inventory has now shed just about 10 % this yr. In the meantime, stocks of Categorical Scripts rose greater than 2 %, and are up greater than 12 % since January.
Cigna says it and Categorical Scripts are complementary companies that once blended can reinforce take care of sufferers and decrease health-care prices. The deal has come underneath assault from Icahn, who printed a searing letter titled “Cigna’s $60 billion folly,” by which Icahn mentioned purchasing the corporate “might smartly turn into one of the crucial worst blunders in company historical past.”
ISS disputed Icahn’s considerations that Cigna is overpaying for Categorical Scripts. It mentioned the associated fee tag “turns out to replicate an affordable top class to the corporate’s ancient multiples and a cut price relative to earlier transactions within the sector, which seems to be in keeping with the upper perceived dangers confronted by way of PBMs within the present marketplace atmosphere.”
Pharmacy receive advantages managers, or PBMs, have come underneath scrutiny for his or her function in top drug costs. Those companies keep watch over which medication are coated and negotiate reductions, referred to as rebates, on branded medication with producers. Drugmakers say those middlemen need upper drug costs so they are able to squeeze upper earnings from rebates.
The Trump management has vowed to reassess the program. President Donald Trump spent a big bite of his speech pronouncing his blueprint to decrease drug costs attacking middlemen, who he mentioned “may not be so wealthy anymore.” Pfizer CEO Ian Learn ultimate week advised Wall Boulevard analysts he believes the Trump management might get rid of rebates altogether.
In its research, ISS mentioned Well being and Human Services and products is “obviously fixated on rebates” and stated buyers’ “incapability to sufficiently assess the resilience of the black field” has weighed on Cigna stocks. Categorical Scripts attempted to quell considerations this week, revealing rebates are appropriate to not up to 10 % of its claims and the corporate plans to retain about $400 million in rebates this yr.
Icahn argues looming regulatory chance blended with the potential for Amazon disrupting the trade pose “existential threats to the PBM trade style.”
Icahn known as the looming danger of Amazon “an existential danger to PBMs like Categorical Scripts, perhaps difficult their very life.” Amazon does no longer recently perform within the prescription drug receive advantages area, despite the fact that previous this yr it mentioned it would achieve on-line pharmacy start-up PillPack.
ISS known as Amazon’s danger “moderately amorphous.” It cited the obstacles to access within the trade, together with the power to ship managed components.
“Whilst it’s inconceivable to thoroughly push aside the disruptive attainable of the web behemoth, it is a chance that looks restricted at the moment,” the proxy guide mentioned.
In the meantime, Cigna’s rival fitness insurer Aetna is within the technique of being received by way of CVS Well being. The more or less $69 billion deal would create a health-care powerhouse, combining insurance coverage, prescription drug advantages and drugstores. Shareholders from each firms have already authorized the deal, and CVS mentioned Wednesday it expects it to near within the overdue 3rd quarter or early fourth quarter.
Glenview Capital’s Larry Robbins got here out in protection of the deal Thursday.
A majority of shareholders on each side of the deal will have to approve it. Votes are scheduled for Aug. 24.