well its started - CVS Is starting to install its leadership in the Medicaid business by appointing a NEW CEO for the MEDICAID business - they are also shifting all of the Duels business to the MEDICARE division from the Medicaid division & created a new COO position - - I would expect major changes downline to happen soon now - up to and including layoffs.
Aetna needs big overhaul
Problem is Cvs will cut it to the bone
You’ll be doing work of 4 people next year
And work of 6-8 in next 5 years