Behind CVS CEO’s ouster, a question: Do a pharmacy and a health insurer make sense together?

Does it make sense for a chain of drug stores to own a major health insurance company?

That has been the existential question for CVS Health for six years, since its $70 billion acquisition of the massive insurer Aetna. The biggest pharmacy chain in the U.S. had already been moving beyond retail since its 2007 deal for pharmacy benefit manager Caremark.

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These days, investors seem convinced a drug store chain isn’t adding much to the health insurance business, or vice versa. CVS shares have fallen 25% this year as the company has repeatedly missed investor earnings expectations and withdrawn guidance as its health insurance business faltered. On Friday, matters came to a head when the board ousted the company’s telegenic and charismatic CEO, Karen Lynch, a longtime health insurance executive, and replaced her with David Joyner, who is associated with the pharmacy benefit business. 

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