Cigna to Buy Express Scripts in $52 Billion Health Care Deal

The health insurance giant Cigna said on Thursday that it had agreed to buy Express Scripts, the nation’s largest pharmacy benefit manager, in a $52 billion deal that could further reshape the roiling health care landscape.

The deal is the latest in a wave of consolidations that is sweeping through the health care industry. Companies are reacting to concerns over rising health care costs and the possibility of powerful new rivals entering the fray. In particular, Amazon’s move into the health care business has forced established companies to rethink how they can compete.

Cigna and Express Scripts said the acquisition would benefit consumers by allowing the two companies to bring together patients’ medical and pharmacy histories to improve treatments and lower costs.

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