The Department of Justice issued a preliminary approval for CVS Pharmacy to acquire health care insurance company Aetna, possibly paving the way for transformative changes in the industry as cries for more affordable care emanating from consumers and regulators get louder.

The Health Care Select Sector SPDR ETF (NYSEArca: XLV) slid 0.42% as of 11:45 a.m. ET, Vanguard Health Care ETF (NYSEArca: VHT) fell 0.54%, iShares US Medical Devices ETF (NYSEArca: IHI) was down 1.21%, and iShares US Healthcare ETF (NYSEArca: IYH) slid 0.55%.

As part of the approval process, the DOJ set forth the condition that Aetna had to divest itself from its Medicare Part D drug plan, which it eventually sold to WellCare Health Plans for an undisclosed amount late last month. The Justice Department also just recently approved a merger of heath insurer Cigna and pharmacy benefits manager Express Scripts.

“The divestitures required here allow for the creation of an integrated pharmacy and health benefits company that has the potential to generate benefits by improving the quality and lowering the costs of the healthcare services that American consumers can obtain,” Assistant Attorney General Makan Delrahim said in a statement.

The latest merger and acquisitions activity in health care come as online retailers like Amazon are clamoring for market share in the health and pharmaceutical business with its acquisition of PillPack during the summer. In addition, Amazon CEO Jeff Bezos, JP Morgan CEO Jamie Dimon and Berkshire Hathaway CEO Warren Buffett are working on a joint venture to revamp health care to make it more accessible.

Related: Jamie Dimon: Health Care Venture is Long-Term Plan

Health Care Sector a Value Option?

As investors pivot from a growth-oriented mindset into one that is more value-oriented, many might be wondering which sector to allocate their capital to as the markets delve deeper into this late cycle. One sector that could see continued strength once this bull run begins to lose its momentum is health care.

According to an article in Reuters, health care has been in the forefront in the major sectors of the S&P 500 for the third quarter, rising as much as 13%. Before then, tech and consumer discretionary have been in pole position, but as investors begin to cycle out of growth, they could be looking to more value-oriented sectors like health care to lead them out of the bull market and beyond.

“In sector reallocation, momentum certainly plays a role, and we are still very early in the momentum of the healthcare sector,” said David Lafferty, chief market strategist at Natixis Investment Managers.



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