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CVS Health plans to split itself up. Here's why a breakup could make sense now

By · Published by Everything Blog

In short

Under CEO David Joyner, the enterprise stabilized retail pharmacy earnings through store closures, leadership shifts, and $2 billion in cost reductions. Meanwhile, rival shutdowns from operators like Rite Aid and Walgreens helped the retail footprint expand market share as Aetna's insurance performance rebounded. The separation untangles roughly 9,000 retail locations from the pharmacy benefit manager Caremark and insurance units, enabling Wall Street to evaluate the divisions independently. Financially, the company is preparing for the split by projecting operating cash flow to reach at least $15.5 billion in 2026.

Key points

  • CVS plans to separate into two distinct publicly traded companies by the first half of 20…: CVS plans to separate into two distinct publicly traded companies by the first half of 2028.
  • Cost cuts totaling $2 billion and the CostVantage reimbursement model helped position the…: Cost cuts totaling $2 billion and the CostVantage reimbursement model helped position the company for the planned split.
  • CVS expects operating cash flow to rise from $9.1 billion in 2024 to at least $15.5 billi…: CVS expects operating cash flow to rise from $9.1 billion in 2024 to at least $15.5 billion in 2026.

Sources checked by our analysis pipeline: 1

CVS Health plans to break itself up — and this time, the bet looks a lot more viable.

The healthcare conglomerate on Wednesday announced plans to split into two publicly traded companies by the first half of 2028. CVS would separate its pharmacy business – including roughly 9,000 retail locations – from its major insurance business and pharmacy benefit manager, Caremark.

The move comes more than two years after CVS considered a breakup but ultimately walked away from the idea. At the time, analysts questioned whether the retail pharmacy business could survive on its own.

“Back then, the idea of retail standing alone was unthinkable,” Brian Tanquilut, senior equity research analyst at Jefferies, told CNBC.

But the economics of the businesses have changed: CVS's retail pharmacy business has become more consistently profitable, while its insurer, Aetna, has improved its performance despite persistently high medical costs in Medicare Advantage plans. That could make it easier for the company to separate the units — and for investors to recognize the value of each on its own, rather than valuing them together as…

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