Missouri Minute: Aetna’s exchange exit leaves fewer options, Pharma startup raises $86M

Here are today’s top business headlines from across Missouri:

Aetna’s exit from exchange leaves St. Louis residents with fewer options

Aetna’s decision to gut its presence on the Affordable Care Act’s online insurance exchanges will mean fewer choices next year for residents of the St. Louis area — and there will be stark differences in those remaining options. Read more

St. Louis pharma startup changes name, raises $86M

Tioma Therapeutics, a St. Louis-based pharmaceutical discovery startup formerly known as Vasculox, has raised an $86 million round of funding led by Clayton-based RiverVest Venture Partners. Read more

Despite spot on ballot, proposed increase to tobacco tax still faces legal fight

Opponents to Raise Your Hands for Kids’ ballot measure have stepped up their legal battle against the proposal. Jim Boeving and Patty Arrowood each filed injunctions Tuesday against Secretary of State Jason Kander over the proposed amendment, which would raise tobacco and cigarette taxes and designate the revenue for early childhood education. Read more

Zipcar vehicle-sharing network coming to downtown Kansas City

Bus and streetcar riders who arrive in downtown Kansas City and then want a vehicle for quick trips elsewhere will soon have a car-sharing option. Read more

Report: Bayer could mount hostile takeover of Monsanto

Bayer AG reportedly is considering making an unsolicited bid for St. Louis-based Monsanto Co., which last month rejected the German firm’s improved $125-a-share offer. Read more

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