My understanding is that as long as IDs are roughly the same range of the index instead of literally random, it reduces the thrashing about needed for indexing these. It probably doesn't need to be perfectly exact. They're talking about B-trees, so these would all be modifying the same smaller branches of the tree instead of going in all over the place.
I really wish the government would do their goddamn jobs regarding monopolies. Instead they are just accepting bribes and facilitating the mergers.