Health care access, quality and affordability will be among the top concerns for the state’s Department of Managed Health Care as it vets the proposed $54 billion merger of insurance giant Anthem Inc. and rival Cigna Corp., the department’s director, Shelley Rouillard, said during a public hearing in Sacramento Friday. Anthem’s acquisition of Cigna would create the largest health insurer, by enrollment, in the state and the nation. It, along with a planned $37 billion combination of Aetna Inc. and Humana Inc. — which the department is also evaluating — would consolidate the nation’s top five insurers into three companies.
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