It was a truly big deal: on December 3, 2017, CVS Health and Aetna, Inc. announced their intention to merge. If approved by the Department of Justice and other federal and state regulators, the $70 billion transaction would be the biggest health-care-sector merger in US history, and it would propel CVS into the number five spot in the Fortune 500.
Final approvals from Washington came in the fall of 2019. Then, early in 2020, the Covid-19 pandemic erupted on a worldwide scale. Karen Lynch, an Aetna veteran who was named CVS’s new CEO just before the pandemic took hold, recalls those turbulent months in early 2020:
So we had just embarked on the formal postmerger journey. And as with any integration, you try to bring the teams together in a very deliberate and disciplined way, and you take care to do it over a period of time. And certainly, in terms of culture, bringing two companies together takes a while.
But then, only a few months into that process, the pandemic hit. That really accelerated everything, including the cultural change. We had to move fast.1
Imagine the challenges inherent in bringing together more than three hundred thousand people, most of whom know little to nothing about one another, in one of the most complex sectors of the economy. Then throw in the worst global pandemic in more than a century, which would almost certainly require major, unprecedented initiatives on the part of your newly merged company.
In this chapter, we focus on how companies integrate newly arrived, experienced talent—whether those people join en masse as part of a merger or come aboard as single hires or in small groups. In all of these instances, the speed and depth of talent integration is a major determinant of success, and it has to happen quickly! As we outlined in Chapter 2, newly hired people have about six months to engage in reciprocal collaboration with their new colleagues. Doing so determines whether they will thrive in their new roles and produce a return on investment for their company—and ultimately, whether they will stick around or leave. Figure 5-1 shows the essence of reciprocal collaboration, which determines whether new hires get on the successful or unsuccessful path.
With the growth of remote working and the continued rise of geographically dispersed organizations, we now see a significant portion of experienced hires entering a company without having met a single colleague face-to-face. And many may never meet their peers in person. Without traditional ways to get on board, how can these newcomers build trust with colleagues, learn about the culture, or even know about what work they could get plugged into? Lacking any serendipitous hallway encounters, how do they learn about new collaboration opportunities with different colleagues or on upcoming projects?
It’s probably fair to say that engendering collaboration for experienced hires has never been trickier, or more important. New hires who collaborate with colleagues on important, meaningful work build their own credibility and reputation; at the same time, they learn about their peers’ expertise and who’s best to work with. This two-way trust helps the organization capitalize on newcomers’ fresh ideas and expertise. Because their contributions make them increasingly valuable, they get drawn further into the collaborative networks, which heightens their engagement and likelihood of staying.
So how can organizations improve their chances of getting experienced hires sufficiently integrated into collaboration? We’ve conducted research across more than a hundred organizations worldwide, including technology giants and startups, utilities, educational institutions, financial institutions, professional services, and beyond. When we break the hiring process into three stages, we can analyze how the most successful organizations use collaboration to make it happen:
Let’s look more closely at the kinds of actions that companies should take at each stage to help experienced recruits get integrated into collaborative networks so that they can thrive and succeed.
Doing your homework before you start the recruitment process will help create the necessary foundation to hire collaborative people and get them integrated deeply and rapidly into your core work. If people push back because they lack the time or energy, point out the obvious: your organization is going to expend enormous resources—direct financial expense, time and effort, and cleanup efforts—whether this new hire flourishes or flames out. Spending the time up front to get this right is another investment you need to make to promote smarter collaboration.
You certainly already have well-established practices for recruiting new hires, but what you are likely missing is the focus on a candidate’s collaborative capacity.
Effective interviewing requires training and practice, which many will resist. If so, they should consider this: many of the same probing, listening, analyzing, and empathy skills that are essential for interviewing are the same ones that skilled executives use to uncover and understand complex business issues. Done right, this approach elicits valuable insights into the candidates’ aptitude and attitude toward collaboration.
Overall, make non-collaboration a deal-breaker. Don’t compromise “just this one time” to bring in a hotshot who you believe is likely to poison the culture with toxic, me-first behavior. If you want your people to collaborate, don’t hire people who don’t value that process and are hard to work with. To put it succinctly: don’t hire jerks!
Collaboration helps new joiners get integrated and become productive members of the community—and ultimately thrive and stick around. This is no sure thing: one study showed that after professionals in the banking sector switched employers, their average performance fell dramatically and hadn’t reached pre-move levels even five years later.3 Why? One answer is implied in the foregoing discussion: they lost the internal networks that had helped make them so productive in the first place.
The remedy: experienced hires need to get integrated into the organization’s core work, quickly, and this happens most successfully through a structured approach to collaboration. Numerous researchers have reached similar conclusions. Proactive, comprehensive integration increases job satisfaction, expedites individual productivity, and more easily promotes an inclusive culture.4 But this is a two-way street: the receiving department and other stakeholders must actively draw the new joiner into their projects, and that newcomer needs to actively seek ways to involve new colleagues in his or her work.
The reality, though, is that many companies are pretty mediocre at this. One large-scale study found that only 12 percent of employees in Fortune 1000 companies strongly agree that their organization does a great job of onboarding new employees.5 That’s discouraging, but it also means that fixing the integration process represents the proverbial “low-hanging fruit.” Here are seven specific steps you can take to increase the odds that an experienced hire will engage in smart collaboration soon after joining:
Again, there are no shortcuts, and the incoming hire has to do much of this heavy lifting for himself or herself.6 But building interpersonal trust is especially difficult for anyone who is working remotely themselves or has teammates who do. Leaders must help the people build more personal knowledge about one another (personalities, preferences) and the team (norms, expectations). For the leader, start with self-disclosure. Let the team see you as a person with aspirations, concerns, and a personal life. And encourage the team to voluntarily do the same.
To summarize, new joiners face an especially difficult task as they set out to collaborate in a new setting. But as we explained in Chapters 1 and 2, successful collaboration is great for the organization and also great for the individual. For all these reasons, companies need a well-designed plan for helping new colleagues land on their feet, build strong new networks, and collaborate successfully.
Now let’s run through the three stages of talent integration in the context of mergers and acquisitions (M&A): a special challenge and opportunity for collaboration. You need to set the stage for talent integration, bring aboard the truly collaborative talent, and then help make collaboration happen. Given the dramatic and sensitive nature of M&A—including, for example, regulatory constraints on how many people can know about a deal before it’s publicly announced—the first two stages might be less sequentially delineated than they are in the hiring process, but both imperatives remain. Then, once the deal is sealed, you have to move quickly and deliberately to generate the kinds of collaboration that will draw out the full value from the combined enterprise and create a culture where people want to stay and contribute. We’ll draw on the CVS-Aetna merger, introduced at the beginning of the chapter, to put these prescriptions in a real-world setting.
BOOMERANGS: OPTIMIZING A SPECIAL RESOURCE
If your company has been living by the rules we laid out in Chapter 2—that is, using collaboration to build strong ties of loyalty among employees and between employees and the company—you have created a pool of alumni who might be willing to return under the right circumstances.
Recruiting these potential “boomerangs” should be a high priority. Not only is recruiting them significantly less expensive than recruiting total newcomers, it should radically enhance how well and how fast they integrate because they know your culture and have pre-existing networks. That said, you can’t take it for granted that they’ll automatically be able to collaborate well. They’ve changed while they’re away, and so has the company culture and many of the folks they’ll work with. Here’s how to get them plugged deep and fast into collaborative projects:
Most companies spend enormous effort planning for a merger or acquisition. But the due diligence phase of M&A transactions still focuses primarily on financial, operational, and legal aspects of the deal. Where most companies fall down is focusing on how their talent will collaborate across legacy companies once combined. We have three prescriptions to help you determine your own organization’s readiness to absorb large numbers of new people and take steps to enhance that readiness:
Of McKinsey’s nine organizational dimensions that indicate a healthy culture, the one that best predicts successful M&A outcomes is talent management. Why? Because the moment the M&A process starts, you are going to need to select the best, most collaborative people, without bias, from both organizations (Stage 2, in our parlance). If you have a principled process for identifying and selecting the best talent for a role in your own company, then this capability will serve you well as you combine.
Again, do as much foundation-setting as possible up front. In the case of CVS and Aetna, it’s useful to remember that this was a story that played out over time. “It helped enormously that the management teams both on the CVS and Aetna sides knew each other very, very well,” explains chief strategy officer Thomas Moriarty. “Because Aetna had been one of CVS’s top customers—as a buyer of pharmacy services—for about seven years, we had an ongoing working relationship, and so we knew each other’s culture, we knew where the talent was, and we understood the state of play in terms of collaboration.”
They also took advantage of the extended regulatory delay to continue their Stage 1 work of deepening relationships between the organizations. In this preliminary period, regulators allowed only a small group of representatives from both companies to engage in certain kinds of discussions. As that integration team plowed through meeting after meeting with federal regulators and officials in some twenty-eight states, their relationships naturally broadened and deepened. They had to work across functional and company lines to analyze reams of data and answer tough questions. Beyond formal weekly meetings, team leaders at the two companies created open channels of communication—within legal bounds—that helped to forge a sense of joint enterprise.
Federal courts gave their blessing to the deal in September 2019: almost two years after the initial announcement. This was a relatively long interval, which helped the two companies build on pre-existing ties. If you don’t have an established relationship or extended courtship period during which to conduct all the Stage 1 activities, you will need to put a lot more emphasis on due diligence, to understand who you are tying up with, and then you will have to invest to quickly build trusting relationships.
A merger or acquisition nearly always includes significant shuffling of people and roles, so use this opportunity to elevate and advance those employees who excel at collaboration. After all, they are the ones who are most likely to promote the kind of cross-silo exploration and value capture that drove you to the combination in the first place.
If both companies have previously implemented the kind of comprehensive performance management system that we describe in Chapter 6 (unlikely!), then managers will have access to a rich set of data to help understand each employee’s collaborative history. Otherwise, some combination of line managers and human resources talent (perhaps including external consultants) will need to derive insights into your people’s problem-solving approaches and emotional intelligence. How do they react to challenges and opportunities? What experience do they have with successful collaboration? Are they open and curious about how the larger organization provides a platform for enhanced customer outcomes (or whatever your company aims to do)? This is also the time for leaders to identify potential gaps in the new organization’s collaborative capacity and start making plans to enhance the underlying capabilities.
Leaders at CVS Health/Aetna took the bold step of naming people to key positions in the combined company well before the merger took place. Although it risked losing the commitment of people who were not named, this courageous move reduced the politics of executives jockeying for positions, and the risk of the knock-on effect of “rival camps” springing up. Of course, this preemptive move didn’t guarantee collaboration, but it certainly set the stage for a more collaborative environment.
Formally setting out the future power structure also empowered a wider range of leaders at the two companies to start planning their own collaboration-enhancing steps, such as selecting their own teams and starting to build familiarity and trust between teams. These Stage 2 actions are especially important in a merger context, when leaders tend to be laser-focused on meeting the financial targets. The “harder stuff” is more or less guaranteed attention; the human side of the deal needs the same level of thought and care.
A final lesson to be drawn from the CVS-Aetna merger concerns the power of explicit statements in shaping expectations about how important collaboration will be in the merged company. The leaders declared, up front, that the business going forward would be different from its premerger incarnations. “Simply stated,” recalls chief strategist Moriarty, “we would move away from a directive management model to a collaborative one.” Leaders spotlighted that change explicitly and used it to describe their vision of the future company. Self-selection now came to bear: those who wanted to work more collaboratively stayed, and those who didn’t voted with their feet.
We should restate a key point from the beginning of the chapter: a major determinant of whether your merger is likely to be successful is whether you can get enough people collaborating deeply and broadly enough within the first year. Let’s face it: numerous studies report post-M&A failure rates at between 70 percent and 90 percent. Even in the most conservative of the published numbers that we could find, one study shows that after five years, 1,829 M&A deals had succeeded and 863 had failed, a failure rate of approximately one-third.9 If you don’t like any of those odds, especially given the size of the bet you’re making, you need to push hard on postmerger collaboration.
And this is where having thought about Stages 1, 2, and 3 as part of an inseparable whole will serve you well. By the time the deal is closed and integration has begun, you should already have a set of initiatives on the drawing board that are designed to advance your strategic goals through enhanced collaboration. Based on available resources, what will you address first? Where can you generate the near-term “wins” that will reassure your combined workforce—and not incidentally, your investors—that this merger was a brilliant move?
Stage 3 for CVS was mostly defined by the Covid-19 crisis. Barely six months after regulators approved the merger, the newly merged company had to send more than one hundred thousand employees home to work remotely. It was a major test of the combined company’s operating systems. By all accounts, those systems performed extremely well.
At the same time, the pandemic compelled the newly combined company to put early (and perhaps unexpected) weight on its collaboration model. Karen Lynch, named CVS Health’s new CEO just before the pandemic hit, recalls the challenges of integration in those early days:
We were still in the midst of integration, still learning about each other, still trying to figure out how the people in the combined company could work together—when the pandemic hit, and we had to bring the entire company together in a hurry.
So we radically accelerated the pace of integration. It probably could have taken five years for people to learn about the other parts of the business. But we just didn’t have that time. So we came up with four guiding principles—keeping our colleagues safe, making sure that our customers were front and center, ensuring business continuity, and consistently looking around the corners—and used that as a framework. And then we brought together all our functional leaders and those whose decisions would affect our customers on a daily basis and talked about what needed to be done. That level of collaboration was make-or-break for us.
Much of this was about what might be called “just-in-time collaboration.” For example, CVS Health decided that it could and should take the lead in Covid-19 testing across the United States, which meant leveraging operations, datasets, physical assets, and the already hardworking IT infrastructure to invent entirely new systems from scratch, at a massive scale.
How and where would tests be administered? How would the nearly two hundred thousand frontline workers running those testing sites in the retail contexts be protected? (Vaccine development had barely started at that point.) How would new vendor relationships be set up in an economy that had largely ground to a halt? Again, from Lynch:
We were very candid about the fact that we didn’t have all the answers, and that no one had all the answers, and that we needed to figure this out together. We stressed that we had to use this as an opportunity for the individuals in the company to learn from each other.
People at the center began learning more about how our field operations worked. The people on the insurance side began learning about supply-chain concepts for the first time, as we thought aloud about how we could get [personal protective equipment] to our colleagues and customers without disrupting our ongoing drug-supply chain.
We essentially had a full-scale effort, with the entire company focused on our four overarching goals, and jointly figuring out how to get there. So it was a big effort—a big collaboration.
And as Lynch implies, the collaboration moved quickly. The first Covid-19 testing site opened in the parking lot of a CVS Health store in Shrewsbury, Massachusetts, on March 21, 2020, with testing initially focused on first responders and health-care workers.10 “We had planned for everything but the pouring rain and the blowing wind,” she recalls. In less than a year and a half, that pilot program had been expanded to include 4,800 test sites in forty-five states, collectively conducting some twenty-nine million tests—which incidentally added up to a billion-dollar business.11
It’s a remarkable story, and it’s only one facet of CVS Health’s efforts to collaborate in the context of a crisis. We will return to that larger subject in Chapter 11.
Focusing on the complex realities of a company like the postmerger CVS Health brings us back to the question of culture. At the beginning of this chapter, Lynch stressed the importance of corporate culture and—even outside of the context of a global pandemic!—devoting enough time and energy to its development.
Most of us can bring to mind an example of a work group rejecting a newcomer who seemed not to respect the culture that the group embraced and depended on. We’ve advocated in this chapter for creating collaborative opportunities that will help defuse these kinds of cultural landmines, many of which arise and have to be dealt with early in the game. Collaborative activities help individuals join, and change, a culture.
Certainly mergers and acquisitions demand that special attention be paid to cultural issues. What aspect of the acquired company’s culture are you hoping to retain? How does that overlap with your larger plans to succeed through collaborative initiatives? If people have to learn about collaboration, who will be the student and who will be the teacher? How will existing business areas collaborate to create new opportunities for themselves—perhaps drawing on supportive cultural strands from both the acquired and acquiring organizations—even as resources are heading off in promising new directions?
All of which raises the question, How do we incentivize people to collaborate? In the next chapter, we look at a new collaboration-centric approach to performance management and development.