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It’s hard to recall a deal that scrambled the dynamics of the health tech industry more than Teladoc Health’s proposed $18.5 billion buyout of Livongo.

The agreement, announced on Wednesday, is expected to create a digital health behemoth that combines Teladoc’s telemedicine platform with Livongo’s chronic disease coaching programs — and brings in a huge number of patient users and insurer and employer customers in the process.

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