Healthcare DIVE April 26, 2024
The nation’s largest Medicaid insurer expects to return to normal operations this year, though redeterminations continue to dog Centene through a mismatch between rates and acuity.
Centene laid out a glide path to business as usual in the first quarter as Medicaid redeterminations wind down, though a potential mismatch between payment rates and member acuity in the safety-net program could complicate touchdown.
Redeterminations, where states recheck beneficiaries’ eligibility for Medicaid, have been a major source of turbulence for Centene, which is the largest Medicaid insurer in the U.S. Centene has lost 3 million Medicaid members since redeterminations began last spring, according to new financial documents.
However, the process is roughly 90% complete, executives said on a call Friday morning discussing...
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