About Centene

Quality Healthcare Delivered Locally

Centene is a leading multi-national healthcare enterprise committed to transforming the health of the community, one person at a time. We provide a full spectrum of managed healthcare products and services, primarily through Medicaid, Medicare, and commercial products. Our core philosophy is that quality healthcare is best delivered locally. We believe that our local approach enables us to provide accessible, quality, culturally sensitive healthcare coverage to our communities.

Centene Performance, Year Over Year

Total Revenue

In millions • As of Dec 31, 2020 • Source: 10-K filings with the SEC

Revenue Makeup

In millions • As of Dec 31, 2020 • Source: 10-K 2020

Medicare includes Medicare Advantage and Medicare Supplement

Net Earnings

In millions • As of Dec 31, 2020 • Source: 10-K filings with the SEC

Membership

As of Dec 31, 2020 • Source: 10-K filings with the SEC

Our Values

Focus on the Individual

Focus on the Individual

Empowering people to create healthy habits that last a lifetime

Whole Health

Whole Health

Delivering a full spectrum of care from physical health to emotional wellness

Active Local Involvement

Active Local Involvement

Helping our neighbors create a stronger, healthier community

Segments

Managed Care

Our Managed Care segment provides health plan coverage to individuals through government-subsidized and commercial programs. We ensure quality care while reducing and managing costs, representing significant cost savings and budget predictability over state-paid programs. Our data-driven approach allows for seamless communication between members, case managers, and providers.

Our commitment to quality improvement has earned us numerous health plan accreditations and program awards.

What’s Included

  • TANF (Temporary Assistance for Needy Families)
  • Medicaid Expansion
  • CHIP (Children’s Health Insurance Program)
  • ABD (Aged, Blind, and Disabled)
  • Long-Term Services and Supports
  • Dual Demonstrations
  • Intellectually/Developmentally Disabled
  • Foster Care
  • Medicare Advantage
  • Medicare Special Needs Plan
  • Medicare Prescription Drug Plan (PDP)
  • Health Insurance Marketplaces
  • Commercial Insurance

Business Lines

At Centene, we embrace a multi-business line approach to diversify revenues, control medical costs, improve the quality of care that our members receive, and improve outcomes. We strive to offer services that other Medicaid and Medicare managed care companies do not. Our broad portfolio of approximately 500 product solutions and services includes:

  • Behavioral health management
  • Care management software
  • Correctional healthcare
  • Dental benefits management
  • Commercial programs
  • Primary care
  • Life and health management
  • Vision benefits management
  • Pharmacy benefits management
  • Specialty pharmacy
  • Telehealth
  • Federal contracts with the Department of Defense (DoD)

Specialty Services

Our Specialty Services segment encompasses a broad portfolio of products and services designed to complement our core Managed Care business. With a focus on patient education and ensuring appropriate care, Specialty Services helps to diversify our revenue stream, manage costs, and improve medical outcomes.

What’s Included

  • Pharmacy Solutions
  • Health, Triage, Wellness, and Disease Management Services
  • Vision and Dental Services
  • Care Management Software
  • Correctional Healthcare Services
  • Home-based Primary Care
  • Management Services
  • Federal Services
  • Clinical Healthcare
  • Data Analytics
  • Third Party Administration

Companies

Envolve

The Envolve family of companies provides integrated, comprehensive healthcare for members and other organizations. Evolve’s innovative model unites care management and coordination, nurse advice and telehealth services, traditional and specialty pharmacy, vision and dental health, and analytics solutions to make healthcare more accessible, effective and sustainable. 

Health Care Enterprises

Our Health Care Enterprises companies focus on developing more efficient care models to reduce healthcare costs and improve patient outcomes. Services include third-party administration, home-based primary care for high acuity patients, primary and social care for at-risk individuals, and a cutting-edge health care analytics company. 

Other Specialty Companies

Our other specialty companies provide products and services that complement and expand our business lines, including correctional healthcare services, administrative services for the TRICARE West region, and case management software that is used by our health plans and available for sale to third parties.

Our Competitive Advantages

  • Expertise in government-sponsored programs
  • Quality and innovation
  • Innovative technology and scalable systems
  • Financial strength and scale
  • Diversified business lines
  • Localized approach with centralized support infrastructure

Our Strategy

Steady, organic growth and a series of strategic acquisitions have transformed us from a regional player to a national and multi-national powerhouse.

Two maps: A map of the United States showing that from 1984-2004, Centene grew from one state to three states providing Medicaid-only programs while also going public on both NASDAQ and NYSE. A map of The United States showing that from 2005-today, Centene expanded to 22 more states while diversifying into the Medicare and Marketplace programs as well.

FORTUNE magazine continuously ranks us as one of America’s fastest-growing companies. Between 2011 and 2020, Centene grew from 1.8M members in 12 states to 25.5M members nationwide. In Illinois alone, over the same period, Centene grew from approximately 16,300 members in the Chicago area to nearly 1 million members in every county in the state.

We have industry-leading expertise in government-subsidized healthcare, having realized steady growth through five presidential administrations. At Centene, we remain one of the few companies to have successfully navigated the Affordable Care Act. Today, we offer affordable and high-quality products to nearly 1 in 15 Americans in all 50 states through our participation in Medicaid, Medicare, the Medicare Prescription Drug plan, TRICARE, the correctional system, and our offerings in the Health Insurance Marketplace.

Accreditations and Awards

Corporate citizenship is a key component of our success. We regularly earn recognition for growth and innovation, as well as our commitment to equity, diversity, and inclusion.

URAC Accreditations

  • Case Management
  • Disease Management
  • Health Utilization Management
  • Health Network
  • Health Call Center
  • Pharmacy Benefits Management
  • Specialty Pharmacy
  • Telemedicine Accreditation - P2C

NCQA Accreditations

  • Credentials Verification Organization (CVO) Certification
  • Health Plan
  • LTSS Distinction
  • Multicultural Health Care Distinction
  • Utilization Management/Credentialing
  • Utilization Management
  • Provider Network
  • Population Health Program

FORTUNE® World’s Most Admired Companies (2021)

For the third consecutive year, we have been selected one of FORTUNE World’s Most Admired CompaniesTM, a recognition chosen by industry executives, directors, and analysts asked to rate enterprises in their own industry on nine criteria, from investment value and quality of management and products to social responsibility and ability to attract talent.

Ranked #24 on FORTUNE® 500 List (2021)

We rank No. 24 on the 2021 FORTUNE 500® list of largest U.S. corporations by revenue, up from No. 42 in 2020. Since first entering the list in 2010, we have climbed 462 spots.

We were recognized on the FORTUNE 2020 Change the WorldTM list of companies that have had a positive social impact through activities that are part of their core business strategy. The ranking recognizes our response to COVID-19 including our investment in infrastructure that helps Medicaid members access telehealth and removing barriers (like prior authorizations) to COVID-19 testing and care.

Gender-Equality Index

We are listed on the Bloomberg 2021 Gender-Equality Index for our strong dedication to gender equality and the advancement of women in the workplace.

Disability Equality

We were again recognized as a top employer by the American Association of People with Disabilities (AAPD).


From FORTUNE, ©2021 FORTUNE Media IP Limited. All rights reserved. Used under license.  

Environmental, Social and Governance

At Centene, we believe that good stewardship creates long-term value for our stakeholders. Our Environmental, Social, Health and Governance (ESHG) Strategic Framework expresses our commitments to protect our planet, serve our communities, live our values, and cultivate healthier lives.

Leadership as Individual as the People We Serve

We value diversity. Our seasoned leadership team offers a host of experience in government, healthcare, and other complex industries—along with a proven record of success in challenging business environments.

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