CVS conducting strategic review, considering breakup

The company could separate its Aetna insurance business from the retail pharmacy business.

The sign of a CVS drug store in Baltimore. Photo: Diego M. Radzinschi/ALM

CVS Health is conducting a strategic review of options including a possible breakup, according to a person familiar with the matter, as the company faces headwinds from its drugstore chain and Aetna health insurance arm.

The diversified health care company retained bankers to facilitate the ongoing review, the person said. While CVS isn’t yet close to making a decision, the person added, options under consideration include the various forms a potential breakup could take, including a separation of the company’s retail and insurance businesses.

CVS is continually exploring ways to create shareholder value, a spokesperson said in a statement, declining to answer further questions about the company’s future direction.

The shares rose as much as 2.4% in premarket trading Tuesday, having fallen more than 20% so far this year.

CVS has been grappling with falling profit margins at its retail pharmacies and rising costs of patient care from Aetna, which generates about a third of its revenue. In August, the company cut its 2024 earnings forecast for a third straight quarter.

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Surging medical costs have been affecting companies throughout the insurance industry, including Humana. and UnitedHealth Group. CVS also recently took a hit when Medicare, a health program for the elderly, lowered quality ratings for one of its national health plans, reducing reimbursement levels.

Brian Kane, who had headed the insurance unit, departed in August after less than a year in the role. Kane was replaced by Chief Executive Officer Karen Lynch and Chief Financial Officer Tom Cowhey while CVS searches for a successor.

The Wall Street Journal previously reported that CVS executives would meet Monday with Glenview Capital Management on how to improve operations amid a drop in share value. The investor’s founder, Larry Robbins, has a large position in CVS — which represents about $700 million of his $2.5 billion fund — the paper wrote.

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