Centene Corporation (NYSE:CNC) 7711 Carondelet Avenue St. Louis, MO 63105 Phone: (314) 725-4477 Fax: (314) 558-2428 http://www.centene.com
Centene Corporation or Centene was organized in Wisconsin in 1993 as a holding company for its initial health plan and reincorporated in Delaware in 2001. The Company is a multi-line healthcare enterprise operating in two segments: Medicaid Managed Care and Specialty Services. Centene's Medicaid Managed Care segment provides Medicaid and Medicaid-related health plan coverage to individuals through government subsidized programs, including Medicaid, the State Children's Health Insurance Program, or SCHIP, Foster Care, Medicare Special Needs Plans and the Supplemental Security Income Program, also known as the Aged, Blind or Disabled Program, or collectively ABD. Medicaid currently accounts for 73% of its membership, while SCHIP and ABD account for 22% and 5%, respectively. The Company's Specialty Services segment provides specialty services, including behavioral health, individual health insurance, life and health management, long-term care programs, managed vision, nurse triage, and pharmacy benefits management to state programs, healthcare organizations, Employer groups and other commercial organizations, as well as to its own subsidiaries. Centene's Specialty Services segment also provides a full range of healthcare solutions for the rising number of uninsured Americans. The Company provides its services to organizations and individuals mainly through Medicaid, SCHIP, Foster Care and ABD programs. For each of its service areas, it establishes a provider network consisting of primary and specialty care physicians, hospitals and ancillary providers. Centene's network of primary care physicians is a critical component in care delivery, management of costs and the attraction and retention of new members. The Company also provides education and outreach programs to inform and assist members in accessing quality, appropriate healthcare services. Centene's health plans facilitate access to healthcare services for its members mainly through contracts with its providers. The Company's contracts with mainn and specialty care physicians and hospitals usually are for one to two-year periods and renew automatically for successive one-year terms, but generally are subject to termination by either party upon 90 to 120 days prior written notice. In the absence of a contract, it typically pays providers at state Medicaid reimbursement levels. Centene pays physicians under a fee-for-service, capitation arrangement, or risk-sharing arrangement. The Company's Specialty Services segment is a key component of its healthcare enterprise and complements its core Medicaid Managed Care business. Specialty services diversify the Company's revenue stream, provide higher quality health outcomes to its membership and others, and assist in controlling costs. Centene's individual health insurance company, Celtic, is a national healthcare provider offering high-quality, affordable health insurance to individual customers and their families. Sold online and through independent insurance agents nationwide, Celtic's portfolio of major medical plans is designed to meet the diverse needs of the uninsured at all budget and benefit levels. Celtic also offers a standalone guaranteed-issue medical conversion program to self-funded Employer groups, stop-loss and fully-insured group carriers, managed care plans, and HMO reinsurers. The Company's Corporate Ethics and Compliance Program was first established in 1998 and provides methods by which it further enhance operations, safeguard against fraud and abuse, improve access to quality care and help assure that its values are reflected in everything it does. Centene competes with other managed care organizations and specialty companies for state contracts. The Company's business is extensively regulated by the states in which it operates and by the federal government.
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