Centene : 2025 Corporate Responsibility Report
CNC
Published on 04/23/2026 at 05:29 pm EDT
Centene Corporation
Centene Corporation, a Fortune 500 company, is a leading healthcare enterprise that is committed to helping people live healthier lives.
The Company takes a local approach - with local brands and local teams - to provide fully integrated, high-quality and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured individuals. Centene offers affordable and high-quality products to more than 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace.
Centene uses its investor relations website to publish important information about the Company, including information that may be deemed material to investors. Financial and other information about Centene is routinely posted and is accessible on Centene's investor relations website.
Table of Contents
INTRODUCTION 4
CEO and Chairman Letter 4
About this Report 5
OUR CENTENE STORY 7
Who We Are 8
Culture, Talent & Well-being 9
Inclusive Practices Across the Business 19
CARE WHERE IT COUNTS 24
Healthcare Quality 25
Healthcare Access and Drivers of Health 32
Environmental Impacts on Health 37
Community Impact 40
Public Policy 44
THE FUTURE OF HEALTHCARE 45
Healthcare Innovation and Thought Leadership 46
Customer Experience and Relationship Management 50
BUSINESS ACCOUNTABILITY AND INTEGRITY 54
Governance and Accountability 55
Environmental Sustainability 58
Ethics & Compliance 61
Data Privacy and Security 63
Risk Management 65
SUPPLEMENTAL INFORMATION 66
REPORTING BOUNDARIES AND DISCLOSURES: Unless otherwise noted, this report covers the 2025 calendar year and includes combined data for Centene Corporation and its subsidiaries. The terms "we," "us," "our," "the Company," "CenTeam" and "Centene" collectively refer to Centene Corporation and its subsidiaries. Refer to our most recent Form 10-K for more information about our operations, business segments, consolidated financial reporting and subsidiary listing. Qualitative and quantitative disclosures within this report were developed through an internal review process that included senior leadership and cross-functional business partners. The report was reviewed by the Enterprise Risk Committee and the Governance Committee of the Board of Directors prior to publication.
CEO and Chairman Letter
Sarah London
Chief Executive Officer
Frederick Eppinger Chairman of the Board of Directors
At Centene, our mission is clear: to transform the health of the communities we serve, one person at a time. Our 2025 Corporate Responsibility Report reflects how this commitment guides the decisions we make every day for our team, our partners and the communities that rely on us.
Across the country, the people we serve continue to face challenges that extend beyond clinical care, influencing access and impacting outcomes. These realities reinforce our responsibility to deliver meaningful impact for our members when they need it most and to create innovative programs that address barriers to care.
This purpose was put into action last year when delays in SNAP and WIC benefits placed families at risk of food insecurity; the Centene Foundation and our local health plans acted quickly, deploying $1.5 million in emergency food assistance. Through partnerships with food banks and community organizations across five states, this support reached more than 550,000 individuals and helped distribute over 2.16 million pounds of food.
We also continue to invest in long-term solutions to systemic issues. In May, we partnered with Heartland Forward to launch the Maternal and Child Health Center for Policy & Practice. We committed $1 million annually for three years to help expand midwifery programs, advance community health worker training and translate research into practical, state-level solutions.
This report reinforces how Centene's people, partnerships and values come together to advance responsibility, governance and trust. Guided by our One CenTeam culture and commitment to ethical business practices, we remain focused on building a healthier future for all.
INTRODUCTION
|
OUR CENTENESTORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
| BUSINESS ACCOUNTABILITY AND INTEGRITY
About this Report
The Centene Corporate Responsibility Report highlights how we advance our strategy in ways that proudly reflect our mission and values. Our Corporate Sustainability model and Inclusive Business Practices (IBP) are core to these efforts, guiding us to operate responsibly across economic, social and environmental dimensions while embedding inclusion and experiential intelligence throughout our business decisions, strategies and workforce development. This report shows how these principles shape operations, strengthen access and improve outcomes for the diverse populations we serve. It focuses on initiatives and performance updates that matter most to stakeholders while aligning with established reporting frameworks and expectations.
CORPORATE SUSTAINABILITY ASSESSMENT
Our approach to identifying and prioritizing corporate sustainability topics includes consideration of impacts on our business outcomes, the importance to our stakeholders and the impacts of our business activities on health outcomes, society and the environment. Informed by our most recent corporate sustainability assessment, the process included industry benchmarking, executive interviews and approval by executive leaders and the Board of Directors. We continue to monitor
emerging trends and stakeholder expectations to ensure our focus areas remain current and impactful.
We review our corporate sustainability efforts annually and conduct a formal assessment at least every three years. We also routinely update our corporate sustainability reporting on our corporate website and investor sustainability page to provide transparency and accountability on our ongoing progress.
INTRODUCTION
|
OUR CENTENESTORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
| BUSINESS ACCOUNTABILITY AND INTEGRITY
STAKEHOLDER ENGAGEMENT
Centene continues to proactively engage with our stakeholders to inform and execute our corporate sustainability strategy.
We value each stakeholder's unique perspective and use various forums, surveys and discussions to obtain feedback on our corporate sustainability priorities and to continuously improve how we operate. We used the following outreach approaches to engage with our stakeholders in 2025:
Stockholders
Annual meeting of stockholders
Quarterly financial updates and earnings reports
Investor meetings, conferences and events
Ongoing stockholder outreach and feedback meetings
Policymakers
Meeting and working with federal and state policymakers and their staffs
Collaboration with local partners and leading advocacy organizations
Participation in key trade associations
Employees
Employee surveys to understand employee engagement and work experience
Employee programming, including all-employee town halls
Employee networks to drive inclusion and belonging at all levels of the organization
Providers
Recurring meetings between provider engagement representatives and provider partners
Voice of the Provider program, which includes monthly pulse surveys
Provider forums and office hours on health plan topics
Members
Proactive outreach to engage members in their healthcare and understanding of their benefits for all major lines of business
Medicare member focus groups to obtain feedback with a focus on our most vulnerable members
Marketplace digital post-call and monthly pulse surveys to obtain feedback on satisfaction levels and areas of friction
Engagement surveys and advisory committees to measure experiences and understand improvement opportunities for Medicaid program initiatives, provider education and technical enhancements
Vendors
Annual corporate sustainability assessments for select suppliers
Partner with vendors that comply with relevant legal and regulatory
requirements and meet the expectations described in our Vendor Code of Conduct
Community Partners
Philanthropic giving and community outreach through Centene's local health plans
Strategic support for our community partners through the Centene Foundation
Employee service efforts and charitable giving
INTRODUCTION
|
OUR CENTENESTORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
| BUSINESS ACCOUNTABILITY AND INTEGRITY
Our Centene Story
For over 40 years, Centene has been dedicated
to transforming the health of communities we serve,
one person at a time. As a leader in government-sponsored healthcare focused on lower-income and medically complex populations, we deliver affordable, quality-focused care to over 27 million members.
Our state-based plans are built on community expertise and backed by the depth, breadth and experience of a leading national company. Our model is structured around partnership. By working hand-in-hand with providers, policymakers and communities, we connect people to what matters most - not just healthcare, but essentials like food, housing, utilities and transportation - to drive meaningful health outcomes.
Who We Are
Centene provides care to more than 1 in 15 Americans with a uniquely local approach. Our employees, CenTeamers, live in the communities we serve and often have personal experiences that reflect those of our members, which drives our ability to provide local, personalized care backed by the scale of Centene's enterprise, data and resources.
Centene's work is focused on our three core businesses:
Medicaid
We partner with state governments to provide health coverage to millions of eligible low-income adults, children, pregnant women and individuals
with disabilities.
Medicare
We offer Medicare Advantage, Medicare Supplement, Dual-Eligible Special Needs Plans and Medicare Prescription Drug Plans to provide people ages 65 and over access to personal, local care and promote health and independence.
Marketplace
We provide affordable, comprehensive plans through the Affordable Care Act marketplace for individuals and families who may not qualify for Medicaid or other government coverage.
We are also committed to making health more affordable, personal and portable through significant investment in Individual Coverage Health Reimbursement Arrangements (ICHRA).
Our One CenTeam culture underpins our ability to make an impact - and strengthening the values and behaviors that define it is an enterprise priority. We believe doing this makes us the best we can be for our members, providers and customers, and when we're united in these common values, we can make significant progress toward our mission and transform lives. This streamlined business model ensures Centene is set up for sustainable growth and greater impact on our members.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
OUR MISSION
Transforming the health
of the communities we serve, one person at a time.
our mission.
Accountability
Courage
Curiosity
Trust
Service
OUR VALUES
These values support our efforts to realize
Culture, Talent & Well-being
Centene's culture, talent and well-being efforts are grounded in the belief that our people are central to how we deliver quality-focused care. By creating an environment where people feel supported and connected, we help ensure our workforce is equipped to make a meaningful impact on the members and communities we serve.
CULTURE
Our One CenTeam culture shapes how we work in service of our mission and sets the standard for what our employees, members and partners can expect from us as an organization and as individuals. Anchored in shared values and behaviors, these
principles inform every interaction and unite us as one mission-driven team, empowering us to drive meaningful health outcomes.
Centene's Culture Journey
In 2023, we launched a companywide effort to clarify our defining values and behaviors. Since then, we have
activated a full-scale transformation that strengthens collaboration, reinforces accountability and improves the employee experience. We measure progress through companywide surveys and open dialogue, using insights to refine programs and strengthen alignment.
Culture Roadmaps - In 2025, our executives created customized Culture Roadmaps to turn our values into action. Supported by the Culture team and People Business Partners, these tailored plans outlined commitments to lead with and embed our values within our teams. Integrated into leadership routines and performance objectives, these roadmaps outline specific priorities, behavioral expectations and inclusive leadership practices. Followup sessions enabled leaders to review progress and refine activities to stay aligned with our cultural goals.
Annual Culture Survey - Centene assesses the strength of our culture through an annual survey that measures 23 organizational health factors, including job satisfaction, team cohesion
and inclusion. In 2025, results improved across all 23 elements compared to 2024.
Culture Ambassador Network - Centene's Culture Ambassador Network amplifies our ability to embed our values and behaviors across the enterprise.
The network includes more than 100 ambassadors who lead employee listening sessions, participate in leader onboarding and foster connections across teams.
Culture Ambassadors from the Member and Provider Services team developed a culture program for all front-line supervisors, helping them connect Centene's values directly to their day-to-day work. They also shared their experiences at company town halls,
highlighting how these values guide their roles and strengthen team relationships.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Our Values in Motion
This year, Centene introduced the Centene Excellence Awards to recognize
CenTeamers who demonstrate a meaningful impact on our members, our mission and team members by exemplifying our values. The peer-nominated program honors individuals and teams whose actions demonstrate our core values, strengthen collaboration and embody exceptional service. Nearly 1,900 nominations were submitted, and a panel of 88 employee judges evaluated each nomination. The
top 32 finalists were reviewed by Centene's Executive Leadership Team, which selected six award recipients, one for each of the five values and a One CenTeam Award for outstanding cross-functional collaboration.
Advancing Inclusion
Our culture lays the foundation for Centene's Inclusive Business Practices (IBP), a strategic framework that ensures data-driven, experiential intelligence informs decisions and guides operational strategy. Through IBP, we integrate insights from our members, CenTeamers and community partners into every aspect of our business.
By cultivating a workforce where everyone has access to merit-based opportunity and feels respected and empowered in service of productivity and our mission, we bring a spectrum of ideas and experiences into how we design and deliver our services. We embed fairness and cultural relevance into our business processes by listening to stakeholders, analyzing data from multiple perspectives and incorporating insights from focus groups and community organizations.
This strategy removes barriers, improves access and ensures care that meets the unique cultural, social and linguistic needs of every member.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
TALENT
At Centene, our People Team partners with leaders across the enterprise to build a workforce rooted in connection, opportunity and trust, while adapting to the evolving healthcare landscape
to keep our members at the center of everything we do. In 2025, we enhanced programs that prepare CenTeamers for the future of managed care, supporting
GENDER DISTRIBUTION OF THE WORKFORCE
GENERATIONS DISTRIBUTION OF OUR WORKFORCE
36%
MALE
9%
5%
FEMALE
RACE/ETHNICITY DISTRIBUTION OF OUR WORKFORCE
9%
16% 3%
1%
<1% <1%
WOMEN SUPERVISOR+
SELF ID
15%
INDIVIDUALS WITH DISABILITIES
Individuals with Disabilities
3% Veterans
2% LGBTQIA+
development from front-line supervisors to senior executives.
Our employees help us better understand local needs and provide personalized
Generations
50%
24%
Race/Ethnicity
46%
care by living in the communities we serve and often sharing similar
experiences to those of our members.
Baby Boomers (1946-1964)
Generation X (1965-1980)
Generation Y/Millennials (1981-1996)
Generation Z (1997-2012)
White Black
Hispanic/ Latino Asian
Two or More Races
American Indian or Alaskan Native
VETERANS
LGBTQIA+
Native Hawaiian or Other Pacific Islander
Undisclosed
Information as of Dec. 31, 2025. Workforce data includes all full-time and part-time U.S. employees of Centene's integrated companies. Our total Full-Time Equivalent (FTE) count (including U.S. nonintegrated companies) is approximately 61,100.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Our Talent Attraction and Hiring Practices
Centene is committed to fair, inclusive hiring practices that attract exceptional talent with unique skill sets, perspectives and experiences. We do not use quotas or set aside roles; instead, we promote balanced, unbiased hiring decisions by encouraging interview panels that include a range of backgrounds and viewpoints.
We invest in ongoing training for our Talent Attraction team, including Society for Human Resource Management (SHRM) Foundation certifications such as Veterans at Work and Employing Abilities at Work, to strengthen understanding of barriers faced by veterans and individuals with disabilities.
In 2025, we enhanced Centene's training and career pathways through partnerships that strengthen workforce development.
Our collaboration with CyberUp continued preparing veterans, women and people of color for cybersecurity apprenticeships, resulting in 29 veteran and military family members hired in association with the CyberUp program since 2021.
We also deepened our relationships across a spectrum of colleges, universities and other academic institutions, creating additional mentorship, professional development and real-world experience opportunities. This year, we offered IT scholarships and on-the-job training to students at Harris-Stowe State University in St. Louis, Missouri. Through early-engagement initiatives with the Gateway Equity Institute and Cardinal Ritter High School in St. Louis, we offered career-readiness training and mentorship to students.
We advanced hiring for individuals with disabilities and caregivers through our ongoing partnership with the Starkloff Disability Institute. As part of Starkloff's Employer Assistance & Resources Committee, we collaborated with corporate peers to deliver workshops on interview preparation and job-offer negotiation.
We continued to recruit and support military-affiliated talent through partnerships with the Wounded Warrior Project, Hiring Our Heroes, Onward to Opportunity and the Military Spouse Employment Partnership.
Centene hosted hiring events, resume workshops and networking sessions to help military candidates build meaningful careers with us.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Internship Program
Centene offers a competitive, paid, 12-week internship program that provides hands-on learning experience, executive networking opportunities, professional development and community service. In 2025, the program welcomed 166 participants across 31 states and 98 institutions, supported by strong university partnerships, including UC-Davis, Washington University and St.
Louis University.
Centene also hosted its second annual Intern Summit, a hybrid three-day experience that brought together interns from a wide range of schools for sessions with executive leaders, peer networking and skill-building workshops to prepare them to launch their careers. The summit convened 56 interns and more than 150 "friends of
the program," resulting in a strong 46% conversion and retention rate and matching the program's highest rate in history, which was first achieved in 2024. Centene was again recognized by RippleMatch with a 2025 Campus Forward Award for Excellence in Internship Programming, reflecting
our innovative early-talent approach and commitment to building an inclusive pipeline of future leaders.
10% reduction in voluntary turnover rates since 2023.
Career Development
Our career development strategy ensures that every employee has opportunities to grow alongside the organization. Through programs that align individual skills
with organizational goals, we empower employees to build capabilities, deepen leadership skills and deliver innovative solutions that support our mission.
Mentorship Program - Centene's enterprisewide mentorship program continued to support career mobility and skill development through a structured six-month cycle with guided milestones anchored in our values. As of October 2025, more than 600 mentors were active, with 55% participating in multiple mentorships. The program's mentorship tool is designed to build key skill sets, including inclusive leadership, change management, learning agility, curiosity, courage, service and accountability.
EZRA Coaching - Through our partnership with EZRA Coaching, 384 people leaders and 50 veterans completed more than 4,300 coaching sessions, achieving an average satisfaction score of 4.9 out of 5 and reporting measurable improvements in emotional intelligence, collaboration and overall leadership effectiveness.
Fall into Development - Centene expanded internal development opportunities through its fourth annual Fall into Development workshop series. The sessions provided leadership tools, resources and guidance on translating volunteer leadership roles into recognized career assets for 870 participants across multiple enterprisewide workshops.
Inclusive People Programs - In addition to our internal development programs, Centene partners with industry leaders, such as McKinsey's Connected Leaders Academy and The Fellows Experience, to help emerging and senior leaders build skills in inclusive leadership, strategic thinking and cultural agility. We support these partnerships with an internal alumni network that fosters ongoing learning and connection.
The McKinsey Connected Leaders Academy (CLA)
In 2025, nearly 400 team members participated across six McKinsey CLA cohorts, joining a growing network of more than 950 Centene participants since the partnership began in 2021. Participants reported improved business acumen, communication, resilience and leadership capabilities.
Fellows Experience programs
The Fellows Experience included Centene participants from 19 business units and 10 states, expanding our alumni network to 141 employees. The program earned an 86 Net Promoter Score and a 100% satisfaction rating, with participants reporting meaningful gains in leadership confidence, strategic decision-making, relationship-building and communication.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Centene University
In 2025, Centene University strengthened its enterprise learning strategy with programs focused on leadership readiness and emerging capabilities such as artificial intelligence (AI) literacy. Core offerings included the ongoing Executive and Director Onboarding programs, which help leaders familiarize themselves with Centene's mission, strategy and culture. This year also marked the launch of the four-month Frontline Leader Development Program, which reached nearly 2,500 supervisors and managers with training aligned with our One CenTeam values. Centene University also supported people leaders through monthly People Leader Exchange sessions and the People Leader Podcast, providing timely updates, practical guidance and opportunities for peer learning across the enterprise.
One CenTeam Leadership Summit
The 2025 One CenTeam Leadership Summit brought together leaders and advocates across Centene to strengthen psychological safety, foster human-centered leadership and bring One CenTeam values and behaviors to life in support of the company's mission. The event explored the relationship between culture and inclusive business practices, emphasizing their importance in delivering accessible, affordable, culturally appropriate healthcare.
The Summit also recognized the winners of the 2025 Inclusive Leadership Awards, which honors those who demonstrate a strong commitment to advancing the integration of inclusive business practices across all levels of the organization.
Ambetter Health was recognized for its broker multicultural training program. The initiative included
Spanish-language education to help brokers build trust, improve member satisfaction and strengthen retention within member populations.
MHS (Managed Health Services) Health Wisconsin was honored for its individualized, data-driven support to members. The plan's community health workers and housing specialists assisted more than 10% of its members, and targeted interventions in diabetes, asthma and perinatal care improved access, education and health outcomes across the state.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Performance Development Cycle
Centene's performance development process runs throughout the calendar year, beginning with collaborative goal setting and concluding with an annual self-assessment and performance review. In 2025, we introduced two Performance Checkpoints to encourage year-round dialogue on performance and professional development, grounded in our One CenTeam values and behaviors. These checkpoints are designed to create enhanced communication and trust between people leaders and team members, while encouraging growth aligned with Centene's culture and business priorities.
Centene remains focused on ensuring fair outcomes in all aspects of the performance evaluation process. Before beginning the process, all people leaders complete a required e-learning module that highlights the significance of cultivating an inclusive
culture and strategies to ensure fairness throughout the evaluation process.
Performance reviews now also assess how well CenTeamers demonstrate
Centene's values and behaviors, reinforcing our culture in everyday work. We also supplement the learning modules with additional training and resources to reinforce key takeaways and actionable next steps.
Centene's Employee Networks
Employee Networks
Employee Network Activity 2025
2
New Local Chapters Launched in 2025
Voluntary Participation
Rate
15.6K
EIG
Members
610
Programs
Delivered
Our Employee Networks, open to all employees, include Employee Inclusion Groups (EIG) and Centene Professional Networks (CPN), which foster connections through shared identities, experiences and professional interests to strengthen our inclusive culture.
In 2025, EIGs engaged more than 26,000 CenTeamers through more than 600 programs focused on skill building, cultural competency and business innovation. They also continued to
offer mentorship programs informed by participants' unique experiences
and perspectives. The inaugural Women in STEM CPN became a hub for mentorship and skill building, with a focus on the responsible use of technology and AI. Additional career-focused networks are also in development.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Employee Engagement and Workplace Recognition
Listening to our employees is essential to strengthening trust across Centene. In 2025, we launched Centene Voice, a listening platform that replaced our traditional employee engagement surveys with continuous monthly check-ins and quarterly insights. Leaders
CENTENE ALSO WAS RECOGNIZED AS AN AWARD-WINNING WORKPLACE:
Fortune Best Workplaces in Health Care (2025)
receive monthly dashboards, discussion guides and microlearning to turn feedback into
action, ensuring employee input drives meaningful improvement across the enterprise.
The platform has captured more than 46,000 responses and 316,000 comments; 86% of CenTeamers completed at least one Centene Voice survey, with an overall engagement score of 8.6 out of 10 in October 2025. The results surpassed our 2025 employee engagement goal of being among the top 10% of healthcare organizations for overall employee experience, with a score of 7.7. We also exceeded industry benchmarks across all measured areas. Teams were encouraged to use a "listen, discuss, activate" model when reviewing Centene Voice results to carefully consider survey results and take thoughtful, intentional action.
Ranked
Employee Agreement
Employee Engagement Insights (2025):
Centene Voice Index: 8.6
Overall engagement score of 8.6 in October, above the
healthcare industry benchmark across every area measured.
Ranked
Five-Star Rating
Top 175
Centene ranked 18th among large companies on Fortune's list of the Best Workplaces in Health Care.
Great Place to Work® Recertified (2025)
Centene was recertified as a Great Place to Work®, with 87% of employees affirming Centene is a great place to work, 30 points higher than the U.S. average.
Forbes® America's Best Employers for Company Culture™ (2025) Centene was named to the inaugural Forbes list, ranking 202 out of 600 employers and placing among the top 20 U.S. insurance companies.
Newsweek America's Greatest Workplaces for Gen Z (2025)
Centene earned a five-star rating for the second year in a row, recognized for a workplace culture aligned with what Gen Z values most.
TIME's America's Best Companies for Future Leaders (2026) Centene was named to this inaugural list as one of the top 175 companies where U.S. leaders were most likely to build their careers on the path to senior leadership.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
WELL-BEING
Centene offers a variety of programs to help employees thrive personally and professionally, including resources that support physical, mental and emotional wellness, financial security and work-life balance. We continue to enhance benefits to meet the needs of our workforce so that CenTeamers feel valued and cared for.
Compensation
Each year, our People Team conducts a comprehensive review of pay practices to assess both unadjusted and adjusted pay gaps across roles and geographies. In 2025, the review yielded highly satisfactory results among CenTeamers and continues to identify no systemic pay gaps. We will continue to review our pay practices and, as appropriate, adjust them to ensure fair compensation for all employees.
Benefits, Wellness and Employee Assistance
Centene's approach to employee well-being uses the same whole-health philosophy that guides how we care for our members. Our programs are designed to strengthen physical health, mental wellness and family stability, with many offerings available at no cost to CenTeamers. The Employee Assistance Program provides 24/7 access to free, confidential counseling, as well as legal and financial consultations and everyday work-life support. In 2025, we expanded several benefits and continued investing in preventive and educational resources to help CenTeamers plan for long-term success.
Healthy Pathways supports sustainable wellness habits through personalized digital tools and free one-on-one health coaching. The program also offers financial incentives, such as reductions in healthcare premiums, for completing annual preventive care visits and health screenings.
Hinge Health provides a digital physical therapy program and individualized coaching for a variety of needs, including joint and muscle pain, mobility challenges and post-surgery rehabilitation.
Rx Savings Solutions (RxSS) helps CenTeamers identify lower-cost prescription options through personalized digital
alerts and guidance on alternatives. Launched in March 2025, the program has already tracked substantial savings.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Benefits, Wellness and Employee Assistance (cont.)
Centene continues to offer family care and caregiver benefits to better support CenTeamers balancing work and home responsibilities, including parental leave (up to 14 weeks for parents who have given birth) and caregiver leave (up to six weeks). Additional resources help CenTeamers navigate important life moments with greater stability and confidence.
Family planning
BenefitBump provides a dedicated, no-cost care navigator to support CenTeamers and their partners through pregnancy, adoption and fertility treatment.
Family-Building Benefits bring financial support through the medical plan for fertility services. In addition, adoption assistance and surrogacy
assistance policies were expanded, helping CenTeamers grow their families with greater stability.
Child care and dependent care support
Bright Horizons Back-Up Child Care offers reliable care when regular arrangements are unavailable, helping working parents manage unpredictable care needs.
EAP Child and Elder Care Resources provide free referrals and guidance for child care, elder care and complex family responsibilities.
Subsidized Child Care provides on-site or partnered child care at reduced rates in certain locations to reduce logistical barriers for working parents.
Support for new and nursing parents
Lactation Support offers dedicated, private lactation spaces to support nursing parents returning to the workplace.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Inclusive Practices Across the Business
Centene's Inclusive Business Practices (IBP) team applies a human-centered focus to processes, policies and practices, ensuring we live our values while driving business performance. The team collaborates directly with business leaders, leveraging stakeholder data and insights to impact workforce development, market strategy and community engagement. This agile approach enables us to respond to evolving member needs while proactively preparing for the future.
Our Councils
Through inclusive business councils, we align enterprise and local teams to strengthen decision-making and embed cultural fluency into healthcare solutions and the member experience, leading to improved care and stronger community connections.
Centene's National Disability Advisory Council (CNDAC) - Centene worked with key leaders in the disability community to establish this council, developing a framework for disability inclusion with respect to our employees, members, providers and suppliers. The council includes leaders in disability advocacy who develop recommendations and propose initiatives to advance disability inclusion in Centene's workforce and product offerings in our healthcare solutions.
Executive Council - This council provides enterprisewide strategic direction and accountability for IBP. Composed of senior leaders from across the enterprise, the council ensures alignment between national and market-level priorities. It is supported by three committees, Strategy & Operations, Thought Leadership & Communications and Human-Centered & Inclusive Leadership, which help integrate inclusive practices into strategic planning and operational decisions.
Inclusive Business Practices Councils - These groups bring together cross-functional leaders within each division to advance inclusive business practices at the functional level. In 2025, councils strengthened their structure by implementing six standardized operating requirements, including a charter, strategic plan, meeting cadence, budget, defined roles and a communication plan. All councils met these standards by midyear. The Business Unit Advisory Committee supports this structure through onboarding, best-practice sharing and quarterly impact updates to ensure consistency and accountability.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
INCLUSIVE BUSINESS PRACTICES COUNCILS AND EMPLOYEE NETWORK CHAPTER LOCATIONS
HI AK
EMPLOYEE NETWORK CHAPTERS LOCATIONS
People with Disabilities
Business Unit Council Markets
TAMPA
MAGELLAN
Absolute Total Care - South Carolina Ambetter Health Enterprise
Arizona Complete Health
Arkansas Health and Wellness Buckeye Health Plan - Ohio
Coordinated Care - Washington Fidelis Care - New Jersey Fidelis Care - New York HealthNet - California
Home State Health - Missouri Iowa Total Care
Magellan
Magnolia Health - Mississippi Managed Health Services - Indiana Meridian - Illinois
Meridian - Michigan MHS Health Wisconsin
National Medical Affairs and Drivers of Health
Nebraska Total Care
PA Health & Wellness - Pennsylvania Peach State Health Plan - Georgia Pharmacy Services
SilverSummit HealthPlan - Nevada Sunflower Health Plan - Kansas
Sunshine Health - Florida
& Caregivers Network
Veterans & Military Families Network
cPRIDE
LGBTQIA+ & Allies Network
Women & Allies Network
MOSAIC
Multicultural Network
Intergenerational Network
Business Technology Services Carolina Complete Health - North Carolina
Superior HealthPlan - Texas
Trillium Community Health Plan - Oregon WellCare of North Carolina
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
INTRODUCTION | OUR CENTENE STORY | CARE WHERE IT COUNTS | THE FUTURE OF HEALTHCARE | BUSINESS ACCOUNTABILITY AND INTEGRITY
Supporting Quality & Accreditation
In 2025, the IBP team collaborated with Centene's Enterprise Quality &
Performance Improvement (eQPI) group to provide subject matter expertise in the development of standardized responses to National Committee for Quality Assurance (NCQA) Health Plan Accreditation surveys as well as support for the integration of Culturally and Linguistically Appropriate Services (CLAS) standards across the organization, including the creation of tailored summaries that explain how
each market addressed key needs in its CLAS Program Evaluations. These efforts
improved consistency, efficiency and quality efforts across markets.
In 2025, IBP partnered enterprisewide to advance consistency, quality
and health equity across key initiatives.
Additionally, IBP supported Centene's multiyear effort to enhance member data collection, ensuring our data strategy embraces all of Centene's member communities and enables tailored healthcare solutions for those populations. Ongoing partnerships with the Provider Accessibility Initiative (PAI)
(See Expanding Access Through Provider Partnerships) and CNDAC continue to improve accessibility for members with disabilities and their caregivers.
Supporting Business Development
The IBP, Business Development and Drivers of Health teams worked jointly to develop clear, consistent responses for request
for proposal (RFP) submissions that reinforce our commitment to providing quality, culturally appropriate care to all communities. The responses emphasize Centene's approach to inclusive hiring, community engagement, local vendor inclusion and workforce development.
Translation Guide Ensures Accuracy of Members' Experiences
Centene's Translation Guide ensures that translated member materials clearly and accurately communicate important information. The guide establishes standards for word choice, tone and local vernacular to improve communication with our members and support a more culturally informed and personalized member experience. When translations are based on our members' expectations, and we follow CLAS requirements, we honor commitments made in our RFPs.
THE SUPPLIER SUSTAINABILITY QUESTIONNAIRE
FOCUSES ON FIVE KEY AREAS
CORPORATE SUSTAINABILITY
SUSTAINABLE PROCUREMENT
FAIR BUSINESS PRACTICES
LABOR AND HUMAN RIGHTS
COMMUNITY ENGAGEMENT
SUSTAINABLE PROCUREMENT
Centene's sustainable procurement practices connect us to suppliers who share our values and consistently deliver quality-focused products and services. By engaging suppliers from local communities, we support their economic health and infrastructure. Our Vendor Code of Conduct outlines expectations for ethics, fair business practices, environmental stewardship and respect for human rights.
Evaluating Supplier Sustainability Performance
Each year, Centene's Enterprise Procurement team partners with the Corporate Sustainability team to assess the performance of strategic suppliers through an
annual Supplier Sustainability Questionnaire covering five areas: corporate sustainability, sustainable procurement, fair business practices, labor and human rights, and community engagement.
Strategic suppliers are identified based on annual spending and their operational significance to Centene, including small businesses, high-environmental impact suppliers and vendors handling sensitive personal or health information. In 2025, 183 suppliers completed Centene's annual Supplier Sustainability Questionnaire, a slight increase from 2024. Suppliers receive individualized results through the survey platform, including areas for improvement. Those with lower performance scores receive direct follow-up from Enterprise Procurement.
Based on their survey results, suppliers are segmented into high-, medium- and low-impact categories across environmental, social and governance dimensions, enabling more focused follow-up and improvement planning. To support long-term reporting and data quality, Centene is enhancing its data collection processes and developing dashboards to provide increased visibility into supplier initiatives.
INTRODUCTION
| OUR CENTENE STORY
|
CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
INTRODUCTION | OUR CENTENE STORY | CARE WHERE IT COUNTS | THE FUTURE OF HEALTHCARE | BUSINESS ACCOUNTABILITY AND INTEGRITY
Expanding Access to Opportunity in Local Communities
Through initiatives such as the Small Business Growth Initiative (SBGI),
our health plans continue to increase engagement with small, local and diverse suppliers, creating more pathways for these businesses to participate in competitive sourcing.
Because our health plans operate locally, our sourcing approach is tailored to meet state requirements
2025 SMALL BUSINESS GROWTH INITIATIVE SPEND
<1%
2% <1%
$830M
and local needs. SBGI supports our commitment to creating fair access to business opportunities for strong-performing, certified minority- and women-owned businesses, as well as veteran-, LGTBQIA+-, small- and disability-owned businesses.
50%
Minority-Owned Business
Women-
Owned Business
48%
Veteran-
Owned Business
LGBTQIA+-
Owned Business
Disability-Owned Business
$830 million spent with a broad spectrum of U.S. vendors in 2025.
Centene U.S.-only spend (does not include international vendors). Centene reviews its vendor base for new suppliers annually. Small business spend represents 9% of our total SBGI procurement spend.
Care Where It Counts
To advance our mission of transforming the health of the communities we serve, one person at a time, we work to ensure access to quality healthcare and address the social, economic and environmental factors that affect health beyond the doctor's office.
These challenges are bigger than any one organization, which is why we collaborate with providers, policymakers and partners across the industry to improve outcomes. Together, we're elevating quality, expanding access and addressing unmet health needs across the communities we serve.
Healthcare Quality
Providing our members with easy access to quality-focused care is foundational to advancing our mission.
COMMITMENTS TO QUALITY AND IMPROVED HEALTH OUTCOMES
Centene maintains rigorous standards to ensure members receive safe, effective and
equal access to care. These efforts are recognized through certifications and accreditations from top healthcare quality organizations, such as the NCQA, which covers both health plans and specialty healthcare organizations. We verify provider credentials and apply NCQA-supported standards to strengthen network quality and enhance the member and provider experience.
We have achieved NCQA Health Plan Accreditation in 32 states, with most accredited for both Medicaid and Marketplace products. In addition, health plans in 24 states have earned NCQA Health Outcomes Accreditation (formerly Health Equity Accreditation)
32 states with NCQA Health Plan Accreditation
24 states with NCQA Health Outcomes Accreditation
in 2025, more than tripling since 2022. This increase reflects sustained investment in data, member experience and access to care. Our quality infrastructure also includes several NCQA specialty accreditations, such as Utilization Management Accreditation for pharmacy, dental, vision and shared services.
STRENGTHENING QUALITY CARE DELIVERY
Centene's approach to quality care delivery centers on improving outcomes for every member we serve. In 2025, we advanced our multiyear quality strategy through stronger governance, more specific data and deeper provider collaboration.
In 2025, our quality improvement efforts were guided by three priorities:
Data-driven improvement - Enterprisewide dashboards and advanced analytics now give teams real-time visibility into care gaps, Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS) measures, and member experience trends. This supports faster, more targeted interventions.
Expanding member and provider engagement - We strengthened outreach, expanded member education on important health and screening resources, improved access-to-care processes, and deepened provider partnerships, including the launch of the Centene Provider Advisory Council (CenPRAC) to incorporate provider feedback into quality and operational improvements,
and continued implementation of the Provider Engagement Operating Model (PEOM) to deliver consistent, data-driven tools and field support.
Simplifying provider collaboration - Through unified quality governance, our PEOM and CenPRAC, we worked to reduce administrative barriers and strengthened support for providers so they can focus more time on patient care. Feedback from provider engagement forums helped us identify opportunities to improve efficiency, resulting in fewer calls and manual interventions, faster claims and authorization processes, and higher provider satisfaction scores.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
60%
of Medicare Advantage members in 3.5+ star plans
97%
of Medicaid plans rated 3+ stars
93%
of Marketplace plans rated 3+ stars
Quality Performance Across Lines of Business
Centene's quality performance is reflected in standardized quality scores across our health plans. These scores, reported on a 1-to-5-star scale, provide a standardized way to evaluate how effectively our health plans deliver care, measuring clinical outcomes,
preventive services and member experience. Our most recent performance results include:
Medicare Advantage - Centene continued to improve Medicare Advantage quality performance and Centers for Medicare & Medicaid Services (CMS)
Star Ratings, with 60% of members in 3.5-star or higher plans, up 5% year over year. Notably, within that 60%, nearly 20% of our members are now enrolled in
4-star plans. Over the last three years, the percentage of our members in plans with
3.5 stars or better has steadily increased, reflecting the notable improvements we have made in enterprise alignment, data tracking, operational performance and member engagement.
Medicaid - 97% of our Medicaid plans were rated 3 stars or higher by the NCQA, up from 89% in the prior year. MHS Health Wisconsin and PA Health & Wellness were recognized among the nation's highest-rated Medicaid plans, each earning 4.5 out of 5 stars for overall quality. Improvements
were supported by enhanced care coordination, behavioral health integration and expanded provider engagement.
Marketplace - Centene achieved a quality milestone in the Marketplace segment, with 93% of Ambetter Health plans rated 3 stars or higher, up from 81% in the prior year. This progress
reflects operational alignment, improved member experience and targeted efforts to increase preventive care, support medication adherence and close care gaps using real-time clinical data.
Quality performance improved across every line of business, reflecting sustained progress in care delivery, operational alignment and member experience.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
SUPPORTING OUR MEMBERS
Centene's Population Health and Care Management teams deliver personalized, whole-health support across the Medicaid, Medicare and Marketplace lines of business. Through coordinated clinical programs, digital tools and community-based partnerships, we help members manage their health and access the resources they need to live healthier lives. In 2025, we continued to enhance this approach with real-time data, predictive analytics and targeted outreach to close care gaps and support active engagement in care.
Person-Centered Care Coordination
In Centene's care coordination model, nurses, social workers, behavioral health specialists, community health workers and other providers collaborate across systems to holistically support members. This coordination helps ensure they receive the right care at the right time, even when living with coexisting conditions, chronic or rare diseases, obstacles to care, or limited access to nutritious foods or reliable transportation. Care teams address care gaps by coordinating primary care provider (PCP) visits, supporting members to achieve their care plan goals and providing education and other resources to keep members engaged. In 2025, we enhanced this model with integrated data tools and predictive analytics to identify members at higher risk or with complex needs earlier and deliver more proactive, targeted support.
Digital Care Management
Our Digital Care Management (DCM) platform gives members a simple way to connect with their care teams through secure messaging and real-time health education. In 2025, member satisfaction with the DCM platform remained a strong 9.0 out of 10, reflecting the continued value of digital-first access. Through our digital outreach campaign, members eligible for care management can easily enroll in the DCM program via QR code. Digital outreach accounted for 33% of DCM enrollments, up from 4% last year. DCM continues to drive strong engagement, with members increasingly interacting with self-service features such as reminders, articles and surveys, which provide the care teams with insights to monitor utilization, track adherence and tailor outreach.
Chronic Condition Management
In 2025, Centene supported more than 6 million members with chronic conditions through education, lifestyle coaching and preventive care for conditions such as diabetes, heart disease, chronic obstructive pulmonary disease and asthma. Using data-driven outreach, we identify at-risk members early and tailor interventions, including nutrition counseling, medication management and screenings to improve health outcomes.
9/10
Member satisfaction with the DCM platform remains strong at 9.0 out of 10
Over 450,000 members received complex care management services
in 2025
Our approach to chronic condition management also includes collaborating with local providers to facilitate continuity of care and community-based support, allowing members to manage their health more independently.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
KEY CLINICAL INITIATIVES
In 2025, we continued to advance multiyear clinical priorities, including maternal and child health, behavioral health, foster care and food is medicine, through a unified population health strategy focused on both medical needs and drivers of health. These initiatives reflect our commitment to delivering coordinated, whole-person care that improves outcomes for our members.
Maternal and Child Health (MCH)
Across our lines of business, Centene managed more than 290,000 births in 2025, reinforcing Centene's position as one of the nation's largest maternity care coordinators. Of those births, 84% were within our Medicaid population.
Medicaid plays a pivotal role in providing healthcare coverage for pregnant women and new mothers, covering nearly
41%* of all births in the U.S. Our unique position as the largest Medicaid managed care organization in the nation gives us the responsibility and opportunity to significantly improve birth outcomes and support our members before, during and after pregnancy.
To meet the growing and diverse needs of our members at this phase of life, our flagship maternal care program, Start Smart for Your Baby® (Start Smart), has
continued to evolve. This past year, we advanced this work through programs that engaged members early, addressed medical needs and drivers of health, and expanded access to culturally appropriate care. The program's trimester-based assessment approach encourages
regular conversations and thoughtful care coordination that expands into the fourth trimester. This ensures that families have the resources, guidance and encouragement they need through pregnancy and early parenthood. The
launch of the national Start Smart website delivers timely health education to help members navigate prenatal, postpartum and newborn care with confidence.
In 2025, our plans managed over 290,000 births.
* Sourced from the 2024 Medicaid and CHIP Beneficiaries at a Glance: Maternal Health.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Maternal and Child Health (MCH) (cont.)
In 2025, we strengthened continuity of care across the maternal and early childhood journey by advancing coordinated, community-informed
approaches that support families during critical periods of development. We expanded continuity of care through the First Years of Life initiative, offering coordinated guidance from birth to 24 months to support healthy development and prevent avoidable complications.
We also developed a Community-Based
Doula toolkit through enterprisewide collaboration to help health plans strengthen partnerships with local doulas and support members who face ongoing gaps in maternal healthcare.
Our Maternal Community Health Worker certification was created to equip the existing and future workforce with skills that promote timely access to care, maternal mental health support, breastfeeding guidance and navigation
of social and medical services. To further improve access in underserved areas, we supported the launch of new mobile MCH vans in Illinois, delivering
prenatal and postpartum services to rural communities with limited provider access. (See Expanding Access Through Provider Partnerships.)
Strong community partnerships help us bring meaningful care closer to home for our members and address drivers
of health. Our teams work closely with
members to identify individual drivers of health needs and seek out partnerships with community organizations dedicated to addressing those needs. Our Start Smart program finds community sources for essentials like new car seats or cribs, diapers, formula, medical supplies and much more. By working alongside our local community partners, we can more effectively meet the complex needs of our members, creating a network of support that uplifts communities.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Behavioral Health
Centene's behavioral health programs address the full spectrum of emotional and psychological needs for members across all lines of business. As of December 2025, more than 4.5 million members had a behavioral health diagnosis, with 13% of these members also identified as experiencing a substance use disorder. Through coordinated care and digital tools, we continue to evolve how we meet members' needs.
Integrated Behavioral Health Support
- Centene delivers integrated behavioral health support through programs
that combine clinical oversight with meaningful human connection. In 2025, Centene made significant progress in solving the industrywide challenge of safe and effective prescribing for children and adults with complex behavioral health
needs through our Behavioral Health Medication Monitoring program. Active in 11 Medicaid markets, clinicians completed over 15,000 medication reviews and addressed over 1,200 behavioral health HEDIS gaps, improving alignment with clinical guidelines.
Our partnership with Pyx Health, a digital and human-centered engagement platform, complements this work by
addressing social isolation and supporting emotional well-being. In 2025, members using Pyx reported feeling 64% less lonely, with 91% engaging in two or more conversations with care team members.
Substance Use Disorder (SUD) - Centene's HALO™ (Health Assistance, Linkage and Outreach) program provides integrated care management for members at risk for or experiencing substance
use disorders. In 2025, HALO™ operated
in 22 Medicaid and 28 Marketplace markets, expanded its Peer Recovery Specialist team and drove a preliminary 40% reduction in emergency room visits related to substance use for engaged members, building on a 35% decrease from 2024. In 2025, we introduced new predictive tiering logic to identify at-risk Marketplace members earlier and improve the effectiveness of interventions.
Members Empowered to Succeed (METS) - The METS program supports members with behavioral health and substance-related conditions or complex social needs who may not otherwise be engaged in traditional care management programs. METS focuses on improving care coordination and clinical health outcomes for vulnerable populations by helping members access services that align with their individual needs.
In 2025, METS served over 15,000 members across Medicaid and Ambetter markets, expanding with additional staff and membership in Kentucky, Arizona and Florida. The program generated substantial savings in behavioral healthcare costs for engaged members while METS clinicians and care coordinators addressed more than 16,000 care gaps with members and providers. METS also shares resources connecting members to housing, child care, education and community support, while adding new components focused
on early childhood behavioral health (ages 0-6) and collaboration with Applied Behavioral Analysis providers.
THE IMPACT OF METS
more than 16,000
care gaps addressed
15,000
members supported
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Foster Care
Centene partners with child welfare systems to support children and youth with complex medical, behavioral and social needs. Across 21 states, we serve approximately one in three children in foster care, including serving as the sole managed care partner in six of those states. This reflects our long-standing commitment to strengthening care for a population that faces significant disruption and trauma.
Our foster care model is designed to provide stability, continuity and whole-child support amid frequent transitions. Specialized care managers, including licensed behavioral health clinicians, nurses and social workers, coordinate integrated physical and behavioral health services, support timely entry-into-care appointments, and connect children and caregivers to community-based resources.
To deliver consistent, trauma-informed care, we established Foster Care Centers of Excellence (FCCOE). These primary care practices are designed specifically for youth in foster care and are trained in trauma-informed care, equipped to coordinate across systems and prepared to serve as a stable medical home as placements change. As of
We serve
~1 in 3 children in foster care across
21 states
2025, FCCOEs operate in Texas, Washington, Missouri and Oklahoma. Providers in Florida and Illinois are completing the certification process. These centers consistently outperform non-specialty clinics on key HEDIS measures, including adolescent well-child visits and immunizations.
Our approach is reinforced through
large-scale, trauma-informed training for clinicians, caregivers and child welfare stakeholders. These efforts help elevate care quality and strengthen the systems that support children and youth throughout their foster care journey.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Healthcare Access and Drivers of Health
Our access to care strategy prioritizes MCH, foster care and rural health, while addressing the social and environmental factors that influence well-being, such as food, housing and transportation.
EXPANDING ACCESS THROUGH PROVIDER PARTNERSHIPS
Centene works hand-in-hand with providers, policymakers and community organizations to expand access to care through initiatives that bring services closer to where members live, learn and work. This includes strengthening rural provider networks, advancing school-based care, improving disability access through our Provider Accessibility Initiative (PAI) and supporting community health centers through national partnerships such as the National Association of Community Health Centers (NACHC).
Virtual and Mobile Care
In 2025, Centene partnered with telehealth vendors to provide more than 16 million virtual visits across all 50 states, giving members convenient access to primary, behavioral and specialty care while reducing transportation barriers. As a core part of our delivery model, virtual care complements on-the-ground programs and extends care directly into rural and underserved communities.
Fidelis StreetSide RVs (New York) - Our fleet of StreetSide RVs serve as mobile health hubs that bring coverage directly to communities. From Buffalo to the Bronx, these vehicles offered walk-up access to health insurance enrollment, membership renewals and personalized guidance with no appointments required. The StreetSide RVs made nearly 300 appearances, drawing more than 8,100 visitors statewide.
Maternal & Child Health mobile care (Illinois) - In 2025, Meridian Health Plan of Illinois and the Centene Foundation awarded $1.5 million to OSF HealthCare to support a new mobile maternity care unit delivering prenatal and postpartum services to rural and underserved communities. Operated by OSF HealthCare, the mobile unit expands access to maternal care and complements Centene's Start Smart program by bringing services closer to families who face barriers to traditional care settings.
Hazel Health - Through partnerships between Centene health plans and Hazel Health, school-based telehealth connects students with on-demand clinicians for urgent and preventive care, complementing school nurse support and reducing barriers such as transportation and caregiver availability. Hazel clinicians can order prescriptions, support over-the-counter medication administration and coordinate follow-up with PCPs.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Improving Care for People with Disabilities
Centene is committed to improving access to care for people with disabilities through our PAI. Developed in collaboration with the National Council on Independent Living (NCIL), the PAI helps identify and remove physical and programmatic barriers that prevent access to care and increase the percentage of Centene providers that meet and exceed minimum
federal and state disability access standards. The initiative supports providers in enhancing accessibility, implementing universal design standards and improving the accuracy of disability access data used in member directories.
The PAI's Barrier Removal Fund (BRF) provides grants to help healthcare practices upgrade their facilities with accessible medical equipment and design features. In 2025, the program focused on supporting practices in Ohio and Michigan, following successful projects in Florida, Kansas and
Pennsylvania. BRF grants have supported improvements such as adaptive exam tables, wheelchair-accessible scales,
Value-Based Care
Value-based care remains central to Centene's approach to improving health outcomes, strengthening provider partnerships and supporting affordability. More than 84% of our value-based members are enrolled in Medicaid,
with a significant concentration across eight key markets. This focus enables deeper collaboration with providers and community health centers. To expand access to value-based care, we partner with PCPs, community health centers and third-party facilitators that help aggregate
smaller or rural PCP groups, many of which serve members in less mature managed care markets.
Centene also collaborates with NACHC to advance value-based care adoption among safety-net providers, which are community health centers and other primary care organizations serving members in underserved communities. Through tailored models, technical assistance
and training, we help build the capacities providers need to sustain long-term success in adopting value-based care.
automatic doors, ramps, redesigned exam rooms and sensory-friendly tools, including noise-canceling headphones, weighted blankets, LED lighting and braille signage. These
upgrades strengthen provider readiness and expand access to care that is
both physically and programmatically accessible for members. Since launching in 2018, the BRF has awarded more
than $2.9 million in grants to over 290 providers across 16 states.
In 2025, providers in value-based arrangements
across our eight key markets demonstrated measurable improvements in utilization compared to those not in value-based agreements:
3% lower Emergency 25% lower Department visits inpatient admissions
These providers participating in the value-based arrangement experienced a 5% year-over-year increase in primary care.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
ADDRESSING DRIVERS OF HEALTH
Food Access
Lack of access to healthy foods leads to illness, avoidable healthcare costs and persistently poor health. An estimated 60%* of U.S. adults live with at least one chronic health condition, and those that are diet-related are among the most prevalent. When implemented effectively, food programs have been shown to lower hospital admissions, improve clinical measures such as blood sugar, blood pressure and body mass index and reduce food insecurity.
Centene is committed to using food initiatives to create measurable impact and drive the future of whole-person care. This includes partnering with retail grocers, farmers' markets and other regional vendors to tailor support to the
needs of communities so we can transform food from a basic necessity into a strategic driver of better health and affordability.
* Sourced from the essay, "Fighting Food Insecurity to Improve Health"
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Food Is Medicine
While food access initiatives help address immediate nutrition needs, Food Is Medicine (FIM) is the clinically integrated component of Centene's broader food access strategy. FIM integrates nutritious food and coaching into healthcare delivery to help prevent and manage chronic, diet-related conditions, improving outcomes and reducing the need for higher-cost healthcare.
Implementation
Guide
Centene's FIM efforts focus on three core program types: Medically Tailored Meals, Medically Tailored Groceries and Produce Prescriptions.
Key Programs & Initiatives in 2025:
Medically Tailored Meals:
Health Net Medically Tailored Meals Program (California) - The Medically Tailored Meals program delivers clinically appropriate meals to Medi-Cal members with nutrition-sensitive chronic or serious health conditions, with the goal of improving health outcomes and reducing avoidable hospital and emergency care. The program serves over 75,000 unique members and provides up to two meals per day for up to 12 weeks, with extensions available when medically necessary. Services are delivered as part of the member's clinical care and include nutrition education and oversight by licensed registered dietitians to ensure meals meet individualized nutritional needs.
Medically Tailored Groceries:
Nebraska Fresh Carts Program (Nebraska) - Provides healthy food boxes and nutrition incentives for Medicaid members managing chronic conditions. Early results show increased nutrition engagement and early improvements in blood sugar levels, supporting better disease management.
Centene Foundation Fresh Food Pharmacy (Michigan) - A $1 million investment supporting a fresh food pharmacy for patients with chronic, diet-related conditions. The program pairs medically tailored groceries with health coaching and care coordination to improve outcomes and reduce avoidable healthcare utilization.
Produce Prescriptions:
FreshRx Oklahoma (Oklahoma) - In partnership with FreshRx Oklahoma, Oklahoma Complete Health members with Type 2 diabetes can access a year-long produce prescription program that delivers biweekly boxes of fresh, locally sourced produce alongside nutrition education and clinical monitoring. Results show nearly a two-point average blood sugar reduction among most participants, with additional improvements in blood pressure, weight, energy and mental well-being.
Coordinated Care Harvest Bucks™ (Washington) - Provides Medicaid members with produce prescription vouchers redeemable at grocery stores, paired with care coordination and nutrition education.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Affordable Housing
Centene supports environmentally responsible housing that improves health and reduces household costs. Through the Centene Foundation, we launched an innovative national fund to provide predevelopment loans to McCormack Baron Salazar, one of the leading affordable housing developers in the U.S. These high-impact loans are the most challenging to procure and accelerate construction. Every $1 in predevelopment loans unlocks $30 in
construction financing. We have funded projects in Georgia, Nevada and North Carolina, where our health plans also engage local stakeholders and where lack of affordable housing continues to be a key driver of health.
Improving Health through Local and National Partnerships
Centene champions access to care by reducing barriers - such as limited access to safe housing, nutritious food and other key drivers of health - so the people and communities we serve can achieve their highest level of health. We partner with organizations across markets to expand access to care and strengthen the safety net providers that our members rely on, complementing our clinical programs by meeting members where they are, reinforcing local provider capacity and supporting the broader community infrastructure needed to improve health outcomes.
Key 2025 partnerships included:
Sunshine Health Works (Florida) - Supports economic mobility and access to care by training home health workers, nursing extenders and medical support staff. Through scholarships, certifications and job-skills programs, the initiative helps members and community residents pursue healthcare careers while expanding the workforce in eight counties.
Buckeye Works (Ohio) - Provides community-based care coordination for members with complex medical, behavioral and social needs. Buckeye Works strengthens job readiness for Medicaid members through career planning, skills development and support, such as
transportation, child care and housing rental assistance. Buckeye also participates in Ohio's Meaningful Employment for Medicaid Enrollees program to help members overcome barriers to work and access local employment resources.
MHS Serves (Indiana) - Provides a $12 million, six-year program focused on improving health outcomes by supporting key community-based programs and resources across Indiana. The latest partnership opportunity, Youth Mental Health Empowerment Program, awarded
$1.2 million in 2025 to support the expansion of youth access to healthcare, mental health and trauma-informed care across the state.
National Association of Community Health Centers (NACHC) - Serves more than 32 million patients nationwide as a vital safety net for Medicaid members, children, older adults and historically underserved communities. Centene partners with community health centers and Primary Care Associations to expand access to high-quality, integrated physical, behavioral and social care. Our support
includes community events, screening programs, telehealth equipment, mobile maternity services, disaster-response grants and quality improvement initiatives.
Multi-State Food Security Response - The Centene Foundation and participating health plans invested $1.5 million to address food insecurity after families experienced disruptions to the Supplemental Nutrition Assistance Program (SNAP) and the Special Supplemental Nutrition Program for Women, Infants and Children (WIC). Participating plans included Buckeye Health (Ohio), Sunshine Health (Florida), Carolina Complete Health (North Carolina), Superior HealthPlan (Texas) and Meridian (Illinois). Funding supported more than 70 community-based partners, distributing more than 2 million pounds of food to over 550,000 individuals.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Insights from Climate Strategy Analysis
Centene continues to assess how environmental conditions affect population health through our climate strategy analysis. This work clarifies how climate-related stressors intersect with member needs and informs mitigation strategies across operations, community programs and care delivery.
In 2025, we advanced initiatives that align operational sustainability with member health, including:
Expanding virtual care access, which leads to reducing members' travel-related emissions and improving accessibility.
Supporting development of environmentally sustainable housing that improves member health outcomes and lowers household costs.
Providing financial support for members to buy fresh fruits and vegetables through local markets and community health programs.
Forming local partnerships to address environmental impacts on health and strengthen neighborhood resilience.
Environmental Impacts on Health
Centene recognizes the clear link between environmental conditions and health, as well as the growing challenges climate-related risks pose for the communities we serve. Because these lower-income and medically complex populations are often disproportionately impacted by these factors, we focus on strengthening resilience and integrating climate considerations into our work.
PREPAREDNESS, RESPONSE AND ADAPTATION
Centene prepares for climate-related risks that affect member health, focusing on both chronic environmental conditions and acute weather events that disrupt access to care.
Chronic Climate-related Risks
We address long-term environmental challenges, such as extreme cold, poor air quality and rising temperatures, by monitoring regional conditions and identifying members who may be more vulnerable. Our teams use analytics and local insights to anticipate health needs, support care management plans and share guidance to help members stay safe during prolonged environmental stressors.
Acute Weather-related Risks
For sudden events like hurricanes, floods, wildfires and tornadoes, Centene uses advanced analytics, predictive modeling and care management systems to identify members most at risk during emergencies, including those needing critical prescriptions or ongoing care. Additionally, working with AlertMedia, Provider Relations team members can more quickly assess the status of impacted provider offices, pharmacies and facilities. Our corporate and local teams then conduct proactive outreach, coordinate early prescription refills and help members secure transportation, shelter and essential services.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
NATURAL DISASTER RESPONSE
In 2025, Centene's corporate and local teams continued to help members prepare for and respond to environmental disasters nationwide. Using emergency communication technology and advanced analytics, our health plans can quickly identify high-risk members, locate impacted providers and pharmacies, and coordinate rapid outreach within hours of an event.
Tornado in Missouri - Following the May 2025 St. Louis tornado, Centene and Home State Health coordinated with the mayor's office and local nonprofits, including the Urban League, Nurses for Newborns and the St. Louis Area Diaper Bank, to deliver food, emergency supplies and shelter information to affected families. Teams helped connect members to medical and behavioral health services, supported early prescription refills and provided materials for home repairs. Home State Health
also hosted community relief events that assisted hundreds of families across the region.
This immediate response marked the beginning of a longer-term commitment to support community recovery efforts. In the weeks that followed, Home State Health continued to partner with local organizations to provide access to care,
essential needs and trusted resources. This approach reflects how Home State Health remains present beyond initial disaster response and works alongside local leaders throughout the recovery phase.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Flooding in Central Texas - When catastrophic flooding struck Central Texas in July 2025, Superior HealthPlan used
real-time data to identify more than 71,000 members across impacted counties. Care teams prioritized outreach to individuals considered medically fragile, replacing medications, arranging emergency transportation and restoring access to critical services. Superior employees
and volunteers supported relief events, distributed hygiene and cleaning supplies and delivered emergency supplies to assist residents in the area. The Centene Foundation also launched a matching donation campaign to support local recovery organizations and accelerate community rebuilding efforts.
71K+ Texas members supported during catastrophic flooding
Wildfires in California - As wildfires spread across California in 2025, Health Net deployed its mobile RV unit to evacuation zones to deliver
on-site medical, behavioral health and care management services. The plan coordinated with local providers to ensure impacted members could
access medications and follow-up care. To support long-term recovery, Health Net and the Centene Foundation partnered with the California Community Foundation, distributing more than $1 million for healthcare infrastructure repairs, community health organizations and resilience programs serving affected families.
1M+ invested in California healthcare infrastructure and family resilience programs
Aid in a Time of Crisis
When wildfires swept through Southern California in early 2025, the Health Net team identified members at risk of losing access to medications or essential services using AlertMedia and real-time analytics. Maria, a Health Net member in Los Angeles County, was preparing to evacuate when she received a proactive check-in call
from the outreach team. "I'm in the process of being evacuated, and it's quite a frightening experience," Maria shared. "I truly appreciate your thoughts and support during this difficult time."
Within minutes, the team helped her secure emergency prescription refills and locate temporary housing and community resources. Maria's experience reflects one of thousands of targeted outreach efforts that kept members safe, supported and connected throughout the wildfire response.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Community Impact
Centene's community engagement strategy reflects our belief that strong communities create better health. Through employee service, charitable giving and the Centene Foundation's investments, we work to strengthen the social and economic well-being of the communities we serve. In 2025, we continued to focus on measurable impact - not just the number of people reached or the dollars donated - but on how our efforts improve lives and support long-term resilience.
EMPLOYEE SERVICE AND GIVING
Centene empowers employees to support their communities through volunteerism, charitable contributions and peer recognition. Building on the Centene ImpACT® program launched in 2024, we expanded service and giving opportunities throughout 2025.
In 2025, we introduced our largest service and giving initiative yet, the Season of Giving campaign. Running from October through December, the campaign encouraged team members across all health plans and corporate business units to participate through service activities, charitable giving, allocated rewards and community walks and runs. Engagement was supported through Centene ImpACT® Bingo, "Lead with Your Heart" Lunch & Learns and employee recognition opportunities.
All health plans and corporate business units met or exceeded their campaign goals, demonstrating the strength of our One CenTeam culture and our workforce's commitment to supporting healthier communities.
INTRODUCTION
|
OUR CENTENESTORY
| CARE WHERE IT COUNTS
|
THE FUTURE OF HEALTHCARE
|
BUSINESS ACCOUNTABILITY AND INTEGRITY
Disclaimer
Centene Corporation published this content on April 23, 2026, and is solely responsible for the information contained herein. Distributed via Public Technologies (PUBT), unedited and unaltered, on April 23, 2026 at 21:20 UTC.