With about 28.6 million members, including 12 million Medicaid lives, 4.4 million Marketplace members, and 4.8 million commercial enrollees, Centene beat its 2023 numbers; $2.7 billion in profit and $154 billion in revenue.
The insurer's biggest pocket of business is Medicaid; $84 billion in premium and service revenue in 2024....News
Centene's scores fell greater than the industry average, last week CMS changed its approval process for MA television ads from a file & use, 5-day turnaround process to a 45-day review timeframe to better catch deceptive sales pitches and the Mayo Clinic sent letters to Medicare-eligible patients and former patients in Arizona and...Arizona News
The lawsuit filed August 5 features an Arizona plaintiff and alleges the insurer has used a "churn-based strategy" that leveraged its role as a Medicaid insurer to boost enrollment in its Marketplace plans, which were allegedly in violation of network adequacy regulations, supplied beneficiaries with inaccurate provider directories, and...Arizona News
Spending per beneficiary is growing faster in Medicare Advantage (MA) and private plans than traditional Medicare and Part D prescription drug plans, according to the MedPAC analysis.
Modern Healthcare reports that the spending disparity has experts concerned, considering that Medicare Advantage enrollment is surging, currently...National News
The deal is schedule to close Thursday, Jan. 23 and requires WellCare to divest its Medicaid and MA plans in Missouri, a Medicaid plan in Nebraska and requires Centene to divest its Medicaid and MA plans in Illinois. Both Medicaid and MA markets in Arizona feature Centene and WellCare products.
The combined company will now be one...National News
The powerhouse lobby is putting pressure on the U.S. Justice Department to look into whether the merger will reduce competition in Medicaid managed care and Medicare Advantage markets.
In an eight-page letter, AHA cites the DOJ's injunction to block Aetna's acquisition of Humana and other recent forced divestures by UnitedHealth...
The Wall Street Journal pegs the sale at about $15.3 billion, but it's the giant footprint that the acquisition creates that's really impressive: Medicaid, Medicare, HIM products, coverage across all 50 states and 22 million members.
Centene, which is already the national market leader in managed Medicaid announced today (March 27)...
The transaction is expected to close by the end of 2018, subject to customary closing conditions, including regulatory approvals.
The family-owned Meridian is Michigan's largest Medicaid managed care organization and serves more than 500,000 members in the state and more than 1.1 million overall. The insurer also serves 27,000...
