The health insurance "Big 5" may become a "Big 3." Why is this happening? What are the implications for patients and physical therapy?

While mergers and acquisitions long have been part of the health care landscape, in recent months the industry has experienced an unprecedented buying spree in the large insurer market. Simultaneously, there have been numerous purchases and mergers in the pharmaceutical segment. To better ensure provider viability in the face of payment cuts and declining negotiating power, provider consolidation also is on the rise.