In a healthcare industry fighting off rising costs, insurance giant Cigna has announced a plan to acquire Express Scripts for $67 billion. On the heels of the CVS-Aetna merger in 2017, this news points to even further consolidation in an industry rife with uncertainty. The potential for regulatory intervention of the deal is significant, with a Cigna-Anthem merger canceled just a few years ago. As disruptors from Silicon Valley join the fray, healthcare mainstays are shoring up their defenses as fast as possible. Will it work?

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