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The a16z Show

a16z Podcast: On Recent Consolidation in the Healthcare Industry

The a16z Show

a16z

Culture, Innovation, Entrepreneurship, Software Eating The World, Disruption, Business, Technology, Science

4.21.2K Ratings

🗓️ 16 April 2018

⏱️ 8 minutes

🧾️ Download transcript

Summary

Many of the healthcare headlines lately have been about consolidation in the industry: Walmart and Humana; Aetna and CVS; Amazon, JP Morgan, and Berkshire Hathaway. But what does it all mean for patients, and startups -- Will it decrease costs? What ...

Transcript

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0:00.0

Welcome to the A16Z podcast. Today we're having another of our hallway style conversations.

0:05.8

These episodes are based on videos that are also available on our YouTube channel,

0:09.2

YouTube.com slash C slash A16Z videos. Given all the headlines lately around consolidation

0:15.1

in the industry, Walmart and Humana, Etna and CBS, Amazon JPMorgan and Berkshire Hathaway, our biofund team, including

0:23.1

Jorge Condi and Vijay Pondi, and Jeffrey Lowe, discusses what these moves signal, as well as their

0:28.4

implications for customers, costs, and any new opportunities that may arise.

0:32.8

So, hi, you have the A16Z Bio team here, and I think we wanted to spend a few minutes talking about a lot of

0:39.6

the headlines that are hitting in healthcare in the very recent weeks. So going back to late

0:45.8

last week, there was news that Walmart's in the early stages of potentially acquiring Humana.

0:53.2

So this is large retail chain buying a large insurer.

0:58.0

And to me, what's remarkable about that, a couple of things, really.

1:02.1

One, the first one is that Walmart in its own right is a major pharmaceutical,

1:06.8

sorry, pharmacy chain.

1:07.9

Yes.

1:08.1

So that's incredible in and of itself.

1:10.4

And the second is that you're going to see this sort of vertical integration or increased

1:14.7

vertical integration between, you know, the entire value chain.

1:18.1

So just to like tick through it in a very simplistic form, right, you have, you know,

1:22.7

your, your pharmaceutical companies that make drugs.

1:26.0

You have your drug wholesalers that go out and buy bulk drugs, usually generics.

1:30.3

You have your pharmacies that essentially act as the channel to access medicines.

1:35.3

You have your specialty pharmacies that are responsible for ensuring that really high-cost,

...

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