There is lots of consolidation happening in the health and human service space—mergers, acquisitions, affiliations, partnerships, collaborations, and other arrangements focused on scale. There was a 14.4% growth from 2017 to 2018 in health care mergers and acquisitions (M&A) activity, and in 2018, behavioral care mergers had the most growth among all health care sectors—a 52% volume increase (see Healthcare Merger and Acquisition Activity Up 14.4% in 2018). Just in the past few weeks, the acquisition of DaVita Medical Group by Optum was complete (see FTC Approves UnitedHealth-DaVita Deal With Conditions) and Anthem . . .

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