Sustainability at Centene is focused on delivering value through our commitment to the health and well-being of our communities, fostering a healthy environment and our culture of sound and ethical corporate governance. Growing up in a children’s home, our founder, Elizabeth “Betty” Brinn, saw an opportunity to make a difference in healthcare by focusing on the unique needs of the individual: ensuring access to food, transportation, education and job opportunities, and providing a healthy living environment. Four decades later, we are still committed to delivering long-term sustainable value through our products and services to our stakeholders as we aim to fulfill our company mission: to transform the health of the communities we serve, one person at a time. The value Centene delivers highlights our focus on shaping a better world of health care by adding health initiatives as part of our Sustainability framework.

Corporate Sustainability

Throughout Centene’s history of delivering high-quality health services to at-risk populations, we have been committed to ensuring that our members and providers have access to the care and support that they need, including those in rural communities. Our progress toward improving healthcare access, quality, and affordability continues in our support of pioneering programs that create innovative healthcare solutions for the most vulnerable populations.

Centene is investing in applying artificial intelligence and machine learning (AI/ML) technologies to improve the health outcomes of our members and contain rising healthcare costs. We recognize the need to use these powerful AI/ML models carefully and responsibly to turn data into knowledge, help address member needs and possibly even save lives. With our national footprint and large population of members receiving healthcare benefits under government-sponsored programs, we are in a unique position to responsibly leverage member data to develop models that predict a wide range of health outcomes. These models are employed across our enterprise in various areas of the organization. They aid in managing chronic disease, improving maternal and child health, addressing health equity, increasing quality of care and improving behavioral health.

Our Provider Accessibility Initiative (PAI) helps those living with disabilities access healthcare providers and services. Designed in collaboration with Centene's National Disability Advisory Council and the National Council on Independent Living, PAI ultimately aims to make the healthcare system fully accessible for people with disabilities by removing barriers to care and service in healthcare offices. The PAI has helped identify and provide solutions such as automatic door openers, accessible exam tables and body scales, and programmatic services. Since 2018, the PAI’s Barrier Removal Fund has contributed over $2.3 million in grants to 248 providers across 16 states. The program received the 2019 Health Equity Award from the Centers for Medicare & Medicaid Services.

Our Population Health and Care Management teams leverage real-time data and predictive models to offer care coordination, care management or health education services to members across all our product lines. We facilitate individual-directed coordination of services and support, and we strive to maintain positive and supportive interactions. Health education is delivered in various formats, including self-service portals, and print and digital materials provided to members to address their specific needs.

Care coordination takes a person-centered approach and varies in intensity depending upon the individual’s aspirations, needs, preferences and values. For instance, care coordination helps arrange services to address physical, behavioral and social needs, whereas complex care management provides intentional oversight and management of multiple comorbidities and rare conditions. Our care management policies include addressing Healthcare Effectiveness Data and Information Set (HEDIS) care gaps in our member interactions by providing education, coordinating primary care provider (PCP) visits or helping members with testing services.

Telehealth (virtual medicine) has transformed healthcare access, especially for vulnerable populations. Our members can now receive timely, convenient, quality care, regardless of their physical location, including specialist providers. In 2023, Centene partnered with various telehealth vendors to provide more than 13 million virtual visits to Centene’s members. We continue to expand our virtual care network with a focus on holistic delivery of care to include providers covering specialties such as pediatric therapy, dermatology and substance use treatment. We continue to develop and invest in technologies to expand access to care.

Our members are at the heart of everything we do. To stay true to our objective of providing the best possible care for individuals and communities, we continue to make improvements that simplify and enhance the member experience.

Digital Care Management (DCM) does not replace our standard Care Management process and practices; it enhances our ability to communicate with members. It offers simple and real-time chat interaction to increase member engagement, promote active involvement in the management of a member’s own health, and provide an alternative care management approach for members who prefer digital outreach.

Accessing quality care and benefits: We are making it easier for our Medicare members to access their digital health plan information, receive virtual care and compare drug costs. Our Wellcare Spendables^TM card provides members benefits on one, easy-to-use card to cover services and other costs. We continue to invest in numerous self-directed tools such as the Member Portal, Application Tracker, Find a Provider and Health To-Dos. These tools give members the ability to navigate their health plan.

We are dedicated to being a healthcare partner that is reliable, ensuring a positive and convenient experience for our stakeholders. Centene uses several metrics to measure customer experience such as HEDIS and CAHPS. Additionally, Ambetter Health uses metrics such as Customer Satisfaction Score and Net Promoter Score™ to continually assess customer satisfaction across self-service channels and human-supported transactions. We conduct anonymous and random monthly pulse surveys to gather feedback from Ambetter Health members and providers regarding their relational and transactional interactions.

Empowering Health

Since our founding in 1984, we have been a champion of individual and community health. We believe in local partnerships and value the innovative social programs and services that local groups provide for underserved and at-risk populations.

At Centene, we stand firm in our commitment to be a bold and active participant in creating a more just and equitable society. We advocate for systematic change that embodies social justice, public policy, equity, and inclusion to make our own employees feel valued and respected. We aspire to foster a workforce that reflects the true diversity of our communities and the people we serve. Our commitment extends to our Employee Inclusion Group chapters across various states that focus on engaging and supporting employees with disabilities and caregivers, veterans and military families, LGBTQIA+, women, intergenerational and multicultural groups.

2023 SUSTAINABILITY & DEI REPORT

Centene’s success at empowering health in our member communities is linked to the work and well-being of our dedicated team members and partners.

We actively cultivate an organizational culture that promotes open communication, inspiring everyone to share their unique perspectives. This ensures the integration of a diverse array of ideas, skills and experiences into our healthcare solutions.

• 76% of our workforce identify as women
• 51% of our workforce identify as people of color
• Women make up 65% of employees at the supervisor or above level

• Women and POC comprise 50% of our Board of Directors

Building Healthier Communities

_{* As of 12/31/2023.  Workforce data includes all full-time and part-time U.S. employees (excluding non-integrated companies). Our Full-Time Equivalent (FTE) count, (including international and U.S. non-integrated companies), is approximately 67,700. Circle Health, divested in January 2024, had approximately 8,300 employees at December 21, 2023}

Centene is committed to providing local solutions that improve our members’ resilience to the health impacts of environmental risks, which are often disproportionately experienced by the communities we serve. We are also focused on identifying how climate change could impact other aspects of our business, and seeking out strategies to prepare, respond and adapt. Other activities include a focus on the 4 Rs of waste management (“refuse, reduce, reuse, and recycle"), reducing our carbon footprint, improving air and water quality, and delivering health benefits for years to come.

At Centene, we recognize that the populations we serve may be vulnerable to environmental factors, and that those factors could worsen with a changing climate. By working together, Centene partnerships help remove barriers to health and address health-related social needs impacted by environmental factors like extreme temperature, shelter and food security.

Centene’s approach to real estate includes strategic site location which considers impacts from climate change such as the increased potential for flooding. Our offices are also constructed to the highest health and safety standards, with resilience to extreme weather and natural disasters in mind.

Our employees participate in cleanups of public spaces, neighborhood streets and waterways in their local communities. Through farmers markets, community gardens, and food pantries, Centene employees and community partners work to ensure that our members have access to healthy, locally grown foods from sustainable sources. Our employees have also mobilized to ensure continued access to food for communities impacted by severe weather events.

The campus of Centene’s global headquarters in St. Louis, Missouri, features one LEED Gold Certified building with a vegetated roof and over 22,000 square feet of native plantings. The rooftop green space reduces storm water runoff while decreasing energy consumption and reducing the heat island effect.

Fostering a Healthy Environment

We believe that good corporate governance is essential to the company's long-term value. We cultivate a culture of business accountability that is shaped and supported by Centene’s Board of Directors, our Code of Conduct, a strong ethics and compliance framework and proactive risk management.

Centene is deeply committed to integrity, ethical decision-making and regulatory compliance across all of our businesses. Our Ethics & Compliance Program is designed to ensure our company maintains appropriate training, monitoring, oversight and enforcement of compliance laws, regulations and administrative rules to continue meeting the expectations of our government partners, providers and members. Our Ethics and Compliance program stresses the tenet that "Compliance is Everyone's Responsibility." Each of our employees is integral to maintaining the company's reputation, and we expect every staff member to be accountable for choosing what is right.

Centene is dedicated to being a trusted partner to those we serve including our members, employees and business partners by responsibly managing and protecting their confidential information. As technology continues to advance and more information is digitized, security and privacy practices remain critical to protecting confidential information.

The Board of Directors has responsibility for the oversight of enterprise-wide risk management at Centene, while management is responsible for the day-to-day management of risks. We employ internal processes and robust controls to identify and manage risk.

We serve people who experience barriers in accessing healthcare, and we seek to ensure their unique perspectives and their specific challenges are represented and considered within the health policy conversation. We develop policy solutions informed by not only our experience and research, but also through collaboration with local partners and leading advocacy organizations.

Driving Business Accountability