Here are 150 things to know about UnitedHealth Group, Elevance Health, CVS Health, Cigna Group, Humana and Centene — six leading health insurers in the U.S.
For details about Blue Cross Blue Shield companies, click here.
UnitedHealth Group
Company basics
1. Minnetonka, Minn.-based UnitedHealth Group was incorporated in 1974 under the name Charter Med by a group of healthcare professionals and physicians. In 1977, United HealthCare Corp. was created and became the parent of Charter Med. It was not until 1998 that United HealthCare Corp. became known as UnitedHealth Group, and the company launched six independent business segments, one of which was the UnitedHealthcare of today.
2. UnitedHealth Group's other core service line is Optum, a health services company created in 2011 that includes solutions for care delivery, population health management, and clinical and operational improvement. Optum features three core platforms: Optum Health, Optum Insight and Optum Rx, which provide services for healthcare delivery, data and analytics, and pharmacy benefit management, respectively.
3. Andrew Witty was named CEO of UnitedHealth Group in 2021. Brian Thompson was named CEO of UnitedHealthcare the same year. The company appointed Heather Cianfrocco as CEO of Optum in August. Amar Desai, MD, is CEO at Optum Health, Patrick Conway, MD, is CEO at Optum Rx, and Neil de Crescenzo is CEO at Optum Insight.
4. UnitedHealth Group employs more than 340,000 individuals in 33 countries, including Australia, Canada, China, India, the Philippines, Ireland, Italy and the U.K.
5. UnitedHealth Group is ranked No. 5 on the Fortune 500 behind Walmart, Amazon, Exxon Mobil and Apple.
Financial
6. In the second quarter of 2023, UnitedHealth Group reported $92.9 billion in revenue, up 15.7 percent year over year. On its own, UnitedHealthcare's revenue totaled $70.2 billion, and Optum's revenue topped $56 billion.
7. Optum Health's revenue per consumer increased 33 percent year over year in the second quarter, driven by the more than 900,000 patients served under value-based care arrangements.
8. Optum employs or is affiliated with more than 70,000 physicians across 2,200 locations - the company hopes to add an additional 10,000 physicians before the end of 2023.
9. UnitedHealth Group expects to earn between $357 billion and $360 billion in revenue in 2023.
Member information
10. As of June 30, UnitedHealthcare covers approximately 47.5 million individuals in the U.S.
11. UnitedHealthcare covers 27.2 million commercial members, 8.4 million Medicaid members, 7.6 million Medicare Advantage members and 4.3 million members with Medicare supplement plans. Part D plan membership is 3.4 million.
12. UnitedHealthcare offers plans on 22 state ACA exchanges.
13. UnitedHealthcare offers Medicaid/CHIP managed care or D-SNP plans in 30 states.
14. UnitedHealthcare offers Medicare Advantage plans in 2,709 out of 3,143 U.S. counties.
Rankings and ratings
15. In 2023, UnitedHealthcare was the highest-rated commercial health plan for member satisfaction in Texas, Virginia, Idaho, Montana, Utah and Wyoming in J.D. Power's annual commercial member health plan study.
16. UnitedHealth Group CEO Andrew Witty was named the seventh-most influential CEO in the world in 2023 according to CEO World's annual ranking.
17. Fortune named UnitedHealth Group the most innovative health insurer in 2023 and the 24th most innovative company in the nation. The ranking was developed from surveys with employees and experts and rated companies on product innovation, process innovation and innovation culture.
18. In 2023, UnitedHealth Group was named in Points of Light's 11th annual "Civic 50 honorees," a national standard for corporate citizenship and how companies use their time, skills and resources to drive social impact in their communities and company. Among all 50 companies, UnitedHealth Group was named the leader in the healthcare sector and the only payer to be an honoree all 11 years.
New offerings
19. UnitedHealth Group is planning to integrate more behavioral and home health services into its care delivery strategy as the company continues to expand its value-based care offerings, Mr. Witty told investors during a fourth-quarter earnings call in January.
20. UnitedHealthcare announced in March it is moving forward with a plan to eliminate 20 percent of its current prior authorizations and implement a national gold-card program. Code reductions will continue through the rest of 2023 for most commercial, Medicare Advantage and Medicaid plans. The national gold-card program will be implemented in early 2024.
21. UnitedHealthcare has eliminated out-of-pocket costs for its "24/7 Virtual Visits" telehealth program for eligible members enrolled in fully insured employer-sponsored plans. The virtual visits are available by video or phone through UnitedHealthcare's website or app, including virtual care services from Optum.
22. UnitedHealth Group and Walmart partnered around a value-based care model for Medicare Advantage members and a co-branded health plan called UnitedHealthcare Medicare Advantage Walmart Flex. The 10-year collaboration began in 2023 at 15 Walmart Health centers in Florida and Georgia, which will be enabled by Optum's analytics and decision support tools.
UnitedHealth Group in the news
23. UnitedHealth Group closed on its $5.4 billion acquisition of home health firm LHC Group in February, and it plans to purchase home and hospice care provider Amedisys for $3.3 billion, pending regulatory approval.
24. Optum and healthcare data and analytics company Change Healthcare merged in October 2022. The $7.8 billion merger faced major scrutiny from antitrust regulators. UnitedHealth Group spent $100 million to integrate the two companies.
25. Since 2019, Optum has inked several partnerships with health systems to provide services such as IT and RCM, including St. Louis-based SSM Health; Greenbrae, Calif.-based MarinHealth; Boulder (Colo.) Community Health; Cooperstown, N.Y.-based Bassett Healthcare Network; Walnut Creek, Calif.-based John Muir Health; Brewer, Maine-based Northern Light Health; Owensboro (Ky.) Health; and Tacoma, Wash.-based Virginia Mason Franciscan Health.
CVS Health
Company basics
1. The first CVS Health store, which sold health and beauty products, opened in Lowell, Mass., in 1963. In 2006, the Woonsocket, R.I.-based company acquired MinuteClinic, an in-store health clinic. The chain acquired Caremark, a pharmaceutical benefit manager, in 2007. Today, CVS operates more than 9,000 retail stores and more than 1,100 in-store clinics.
2. In 2018, CVS Health acquired insurer Aetna in a $69 billion deal, the largest healthcare merger in U.S. history. Aetna was established as the Aetna Life Insurance company in 1819 in Hartford, Conn. After acquiring Aetna, CVS said it would shift its focus from retail to healthcare, dedicating more in-store space to provider services.
3. Karen Lynch is CEO of CVS Health, a role she has held since 2021 after serving as president of Aetna. Aetna's current president, Daniel Finke, is stepping down and will be replaced by Brian Kane in September.
4. CVS and its subsidiaries have more than 300,000 employees and operate in all 50 states, Europe, Asia, the Middle East and Africa.
5. CVS Health is ranked No. 6 on the Fortune 500 list behind Walmart, Amazon, Exxon Mobil, Apple and UnitedHealth Group.
Financial
6. In the second quarter of 2023, CVS Health reported $88.9 billion in revenue, an 10.3 percent increase year over year. On its own, Aetna's total revenue in the second quarter was $26.7 billion, up 17.6 percent year over year.
7. The company's health services segment (formerly pharmacy) reported $46.2 billion in second-quarter revenue, attributable to pharmacy drug mix, growth in specialty pharmacy, brand inflation and the acquisitions of Oak Street and Signify Health, and partially offset by continued pharmacy client price improvements.
8. The company's pharmacy and consumer wellness segment (formerly retail) reported total revenue of $28.8 billion in the first quarter.
9. CVS expects cash flow from operations to range from $12.5 billion to $13.5 billion in 2023.
Member information
10. As of June 30, Aetna covers approximately 25.6 million individuals in the U.S.
11. Aetna covers 18.1 million commercial members, 2.3 million Medicaid members, 3.4 million Medicare Advantage members and 1.4 million members with Medicare supplement plans. Part D plan membership is 6.1 million.
12. Aetna offers plans on 12 state ACA exchanges.
13. Aetna offers Medicaid managed care plans in 16 states.
14. Aetna offers Medicare Advantage plans in 1,978 out of 3,143 U.S. counties.
Rankings and ratings
15. In 2023, Aetna was the highest-rated commercial health plan for member satisfaction in Alabama, Kentucky, Louisiana, Mississippi, Tennessee, Washington, Oregon, Arizona, Nevada and New Mexico in J.D. Power's annual commercial member health plan study.
16. Ms. Lynch was named the fifth-most influential CEO in the world in 2023 according to CEO World's annual ranking.
17. Fortune named CVS Health the 269th most innovative company in the nation. The ranking was developed from surveys with employees and experts and rated companies on product innovation, process innovation and innovation culture.
18. In 2023, CVS was named in Points of Light's 11th annual "Civic 50 honorees," a national standard for corporate citizenship and how companies use their time, skills and resources to drive social impact in their communities and company.
M&A
19. In May, CVS Health completed its acquisition of Chicago-based primary care company Oak Street Health, which specializes in care for older adults, in a $10.6 billion deal. Oak Street operates more than 160 clinics in 21 states.
20. In March, CVS closed its $8 billion acquisition of in-home care company Signify Health, adding more than 10,000 clinicians to its network.
21. In May, Ms. Lynch said the company will slow down on mergers and acquistions to integrate the two multibillion-dollar assets it purchased in the first months of 2023.
CVS Health in the news
22. In January, CVS invested $100 million in hybrid healthcare company Carbon Health. The company will incorporate Carbon Health's operating model in some existing locations.
23. In March, Aetna was awarded a contract to provide Medicare Advantage plans to 250,000 New York City retirees, one of its largest MA contracts to date, but the plan was struck down in the state's Supreme Court.
24. CVS is wrapping up its clinical trials unit that launched two years ago to focus on its core business long-term priorities. The company aims to wind down the clinical trials unit in phases, with a full exit expected by Dec. 31, 2024.
25. North Carolina ended a 40-year relationship with BCBS and chose Aetna to administer its employee health plan. Starting in 2025, Aetna will take over a three-year, $17.5 billion contract for more than 740,000 North Carolina state employees, retirees and their dependents.
Elevance Health
Company basics
1. The company was founded in 1946 in Indianapolis as Mutual Hospital Insurance and Mutual Medical Insurance. In 1972, the two renamed companies, Blue Cross of Indiana and Blue Shield of Indiana, entered a joint operating agreement and merged as Associated Insurance Cos. by 1985; the Anthem name was already in use by then.
2. The company continued major growth from 1985 through the early 2000s, when its purchases included the BCBS affiliates in Kentucky, Ohio, Connecticut, New Hampshire, Colorado, Nevada, Maine and Virginia. The company officially became Anthem Insurance Company in 1996. In 1992, WellPoint was founded as the parent company of Blue Cross of California and became WellPoint Health Networks in 1996. Also in the early 2000s, WellPoint acquired the BCBS affiliates in Georgia, Missouri, Wisconsin and New York.
3. In 2004, Anthem Insurance Co. and WellPoint Health Networks merged to officially become just WellPoint, but the company operated under the brand name Anthem. The company sold BCBS affiliates in 11 states and kept 14, which it still operates today under the Anthem name. The company purchased Amerigroup in 2012; it serves Medicaid and Medicare enrollees. Amerigroup will be rebranded to Wellpoint in January 2024.
4. In June 2022, Anthem officially rebranded as Elevance Health to represent the company's commitment to "elevating the importance of whole health and advancing health beyond healthcare for consumers." The company also launched its healthcare services arm, Carelon, and Wellpoint to unify Medicare, Medicaid and commercial plans in certain markets.
5. Gail Boudreaux was named CEO of Elevance Health in 2017 after previously serving as CEO of UnitedHealthcare.
Financial
6. In the second quarter of 2023, Elevance Health reported $43.7 billion in revenue, up 13 percent year over year.
7. Elevance's health benefits segment makes up a majority of the company's earnings, with $38 billion in revenue in the second quarter.
8. Carelon reported a total operating revenue of $11.9 billion in the second quarter, up 18.4 percent year over year.
9. Elevance's net income was $1.9 billion in the second quarter. Adjusted net income is expected to be greater than $32.85 per share in 2023.
Member information
10. As of June 30, Elevance Health covers approximately 48 million individuals in the U.S.
11. Elevance covers 11.8 million Medicaid members and 2.1 million Medicare Advantage members.
12. Elevance offers plans on 14 state ACA exchanges.
13. Elevance offers Medicaid/CHIP plans in 25 states, Washington, D.C., and Puerto Rico.
14. Elevance offers Medicare plans in 26 states and Puerto Rico.
Rankings and ratings
15. In 2023, Elevance and its Anthem plans were the highest-rated commercial health plans for member satisfaction in Ohio, and it tied with BCBS Rhode Island in Connecticut, Maine, Rhode Island, New Hampshire and Vermont, according to J.D. Power's annual commercial member health plan study.
16. Chief executive Gail Boudreaux was named the 29th most influential CEO in the world in 2023 according to CEO World's annual ranking.
17. Fortune named Elevance the 147th most innovative company in the nation. The ranking was developed from surveys with employees and experts and rated companies on product innovation, process innovation and innovation culture.
18. In 2023, Elevance was named in Points of Light's 11th annual "Civic 50 honorees," a national standard for corporate citizenship and how companies use their time, skills and resources to drive social impact in their communities and their own organizations.
New offerings
19. Carelon opened its first brick-and-mortar integrated healthcare facility in Fayetteville, N.C., in April; it offers advanced primary care and behavioral health services, along with nonclinical counseling from a multidisciplinary team of clinicians.
20. Elevance offers AI-powered digital concierge care to almost 5,000 members in an effort to provide personalized care for members with chronic conditions. The company told Becker's in April it plans to expand the program to 40,000 members by the end of 2023, with an eventual goal of all 48 million members nationwide.
21. Elevance is using obstetric consultants and value-based incentive programs to help improve maternal outcomes for Medicaid members. Launched in 2015, the company has 33 consultants that partner with more than 2,400 providers in more than 25 Medicaid markets nationwide, with expansions occurring within 10 commercial markets as well.
22. Elevance partnered with Aledade in 2022 to assist independent primary care physicians transition to value-based care and ACOs. Independent PCPs participating in Elevelance's network can access Aledade's suite of technology and in-person services.
Elevance Health in the news
23. Elevance is planning to acquire Blue Cross and Blue Shield of Louisiana, adding the Baton Rouge-based payer's 1.9 million members to its Anthem brand.
24. CEO Gail Boudreaux said in October that Elevance Health is the largest commercial health insurer in the nation by total membership. The company has 48 million domestic members as of June 30, compared to 47.5 million at UnitedHealthcare.
25. Elevance named Kofi Essel, MD, as its new "food as medicine" program director in June, signaling a growing strategy at the company around social determinants of health.
The Cigna Group
Company basics
1. Cigna was founded in 1792 as the Insurance Company of North America, the country's first marine insurer and its oldest stockholder-owned payer. The company paid claims for 1871's Chicago Fire, covered those affected by the 1906 San Francisco earthquake and subsequent fires, and insured 30 members of the Manhattan Project in 1942.
2. In 1982, Cigna was formed by a merger between Connecticut General Corp. (CG) and the Insurance Company of North America (INA). Its new name came from a combination of the parties' abbreviated names.
3. In 2018, Cigna purchased pharmacy benefits manager Express Scripts for $67 billion. In 2020, it launched its health services brand, Evernorth, to house its pharmacy solutions, benefits management, care solutions, and data and analytics capabilities.
4. In 2023, the company restructured as the Cigna Group. The health insurance segment is called Cigna Healthcare, while Evernorth Health Services houses the company's pharmacy, care delivery and benefits solutions, including Express Scripts.
5. David Cordani has been chair of Cigna Group since 2022, CEO since 2009 and president since 2008 — he first joined the company in 1991. Cigna is based in Hartford, Conn.
Financial
6. In the second quarter of 2023, Cigna reported $48.6 billion in revenue, up 7 percent year over year.
7. Evernorth pharmacy revenues rose 7 percent year over year to $35.2 billion
8. Cigna Healthcare reported second-quarter revenues of $12.7 billion, up 11 percent from the previous year.
9. Cigna is ranked No. 15 on the Fortune 500 list.
Member information
10. As of June 30, Cigna had 19.5 million total medical members, up 10 percent year over year.
11. Cigna covers 592,000 Medicare Advantage members.
12. Cigna offers plans on 16 state ACA exchanges.
13. Cigna offers Medicare Advantage plans in 581 out of 3,143 U.S. counties.
14. Cigna provides health coverage to 1.2 million non-U.S. members.
Rankings and ratings
15. In 2023, Cigna is the highest-rated commercial health plan for member satisfaction in New Jersey, according to J.D. Power's annual commercial health plan study.
16. Cigna Group CEO David Cordani was named the 17th most influential CEO in the world in 2023 according to CEO World's annual ranking.
17. Fortune named Cigna the 83rd most innovative company in the nation. The ranking was developed from surveys with employees and experts and rated companies on product innovation, process innovation and innovation culture.
18. Cigna was named among the nation's top 1,000 employers in 2023 by Newsweek. The ranking of top workplaces is based on a survey that collected more than 389,000 company reviews of employers with at least 1,000 employees.
New offerings
19. Primary care company VillageMD, which is majority owned by Walgreens, purchased physician practice group Summit Health for $8.9 billion in 2023. Evernorth has invested in the combined company and will serve as a minority owner at VillageMD.
20. Cigna partnered with Virgin Pulse on an individualized digital health platform for 11 million members. The platform will launch in 2024 and uses AI technology and behavioral science to allow members to track their mental, physical and social health. Customers can log their exercise, weight, time slept and track outcomes through wearables.
21. Evernorth and Kaiser Permanente signed a five-year partnership in 2022 aimed at lowering costs and expanding care access. Some Kaiser members gained access to Cigna's PPO network, and Evernorth subsidiaries became preferred pharmacy partners.
Cigna Group in the news
22. Two Cigna members filed a class-action complaint against their insurer for allegedly denying large batches of members' claims without individual review, thereby denying them coverage for certain services. The lawsuit comes after ProPublica reported in March that Cigna's internal claims review process may save the company millions every year when members do not appeal denied claims. Cigna has rebuked the report and said its claims review process follows lawful industry standards.
23. Cigna is pushing for more of its employees to return to the office, the Hartford Courant reported in April. CEO David Cordani said in an email to employees that the company's ultimate goal is to bring the number of employees working in-office close to pre-pandemic levels.
24. In June, a federal judge issued a preliminary injunction barring former Cigna executive Amy Bricker from working for CVS Health, while a lawsuit over her noncompete clause moves forward. Ms. Bricker previously served as president of Express Scripts, and the case is being appealed.
25. Mr. Cordani addressed questions from investors in November over concerns the company is falling behind other insurers by not pursuing major mergers or acquisitions. In response, Mr. Cordani pointed to the company's strong financial performance and existing growth strategy, adding the company remains open to M&A.
Humana
Company basics
1. Humana was founded as a nursing home company in 1961 by attorneys David Jones Sr. and H. Wendell Cherry, who partnered to open a facility in Louisville, Ky. Through 1969, the company, known as Extendicare, developed 50 nursing homes and became the largest nursing home company in the country.
2. In the 1970s, the company sold the nursing home chain and looked toward hospital ownership with an emphasis on large-scale management to compete with providers that were locally owned. In 1974, the company changed its name to Humana and grew to become the largest operator of hospitals in the country by the 1990s.
3. Humana entered the insurance market after one of its Arizona hospitals lost a contract with a health maintenance organization. It would eventually go all in on insurance in 1993 after shifting its hospital ownership business to another company, Galen Health Care, which eventually sold 73 hospitals to HCA.
4. Bruce Broussard, former McKesson Specialty/US Oncology CEO, leads Humana as its president and CEO. He joined the company in 2011.
5. In 2023, the company split into two units: insurance services and CenterWell. Insurance services consists of all the businesses currently within the retail and group and specialty segments. CenterWell consists of the healthcare service segment.
Financial
6. Humana is ranked No. 42 on the Fortune 500.
7. In the second quarter of 2023, Humana reported $26.7 billion in revenue, up 13 percent year over year.
8. Humana posted $959 million in net income in the second quarter, up from $696 million in the second quarter of 2022.
9. Humana's medical loss ratio was 87.3 percent in the second quarter.
Member information
10. As of June 30, Humana covers approximately 17.1 million individuals in the U.S.
11. Humana covers 5.8 million Medicare Advantage members, 1.3 million Medicaid members, 2.3 million dental members and 2 million vision members. The company also provides health coverage to 5.9 million military members.
12. Humana offers Medicaid plans in six states.
13. Humana offers Medicare Advantage plans in 2,860 out of 3,143 U.S. counties.
14. Humana said in March it would exit the employer group commercial business, including fully insured, self-funded and federal employee health plans.
Rankings and ratings
15. Humana's Bruce Broussard was named the 59th most influential CEO in the world in 2023 according to CEO World's annual ranking.
16. Fortune named Humana the 32nd most innovative company in the nation in 2023. The ranking was developed from surveys with employees and experts and rated companies on product innovation, process innovation and innovation culture.
17. Humana was ranked by Fortune as sixth among the nation's top 500 companies in 2023 for diversity, equity and inclusion efforts by Fortune.
18. Humana was named among the nation's top 1,000 employers in 2023 by Newsweek. The ranking of top workplaces is based on a survey that collected more than 389,000 company reviews of employers with at least 1,000 employees.
New offerings
19. Humana's CenterWell senior care business opened its 250th center in June, with plans to add 30 to 50 centers per year through 2025.
20. Humana is launching new Medicare Advantage special needs plans with Longevity Health Plan in South Carolina and Georgia, with plans to expand the partnership to five more states in 2024.
21. Humana and Aledade signed a 10-year partnership in March on value-based primary care for older adults, which includes a path to full-risk agreements. Aledade will provide care to Humana's Medicare Advantage members nationwide.
22. Humana entered a five-year agreement in February with ChenMed, which will provide in-network services to Humana Medicare Advantage members across its 120 clinics in 15 states. The agreement is an extension of a long-standing relationship between Humana and the Miami-based provider.
Humana in the news
23. Humana sold a 60 percent stake in its hospice and home care subsidiary Kindred at Home in 2022. The company purchased Kindred for $5.7 billion in 2021.
24. Federal lawmakers sought more information about claims denials from the largest Medicare Advantage insurers in May, including Humana. A Senate committee sought internal documents detailing how the companies decide to approve or deny claims, including how the payers use artificial intelligence in the process.
25. Humana laid off more than 1,100 employees in two states in early 2023 following the decision to close all its SeniorBridge home care facilities nationwide.
Centene
Company basics
1. Centene was founded in Milwaukee as a nonprofit Medicaid plan in 1984. The plan's original name was Family Hospital Physician Associates.
2. In 1995, the company named Michael Neidorff as president and CEO during its expansion into Indiana. Family Hospital Physician Associates was rebranded as Centene in 1997, which is also when it moved its headquarters to its current location in St. Louis. The company went public in 2001.
3. Centene named Sarah London CEO in 2022. Before joining Centene in 2020, she was a partner at Optum Ventures.
4. Centene is the country's largest Medicaid managed care organization. It also operates in the United Kingdom.
5. Centene is ranked No. 25 on the Fortune 500.
Financial
6. In the second quarter of 2023, Centene reported $37.6 billion in revenue, up from $35.9 billion during the same period last year.
7. Centene posted $1.1 billion in net income in the second quarter, up from a $172 million loss in the second quarter of 2022.
8. Centene's medical loss ratio was 87 percent in the second quarter.
9. In July, the company raised its year-end adjusted EPS guidance to $6.45.
Member information
10. As of June 30, Centene covers approximately 28.4 million individuals in the U.S.
11. Centene covers 16 million Medicaid members through different subsidiaries, 3.7 million commercial members, 3.3 million exchange members through Ambetter and 1.3 million Medicare Advantage members through Wellcare.
12. Centene offers Medicaid plans in 31 states.
13. Centene offers Medicare Advantage plans in 1,739 out of 3,143 U.S. counties.
14. Centene offers plans on 28 state exchanges.
Rankings and ratings
15. Centene's Sarah London was named the 38th most influential CEO in the world in 2023 according to CEO World's annual ranking.
16. Fortune named Centene the 149th most innovative company in the nation in 2023. The ranking was developed from surveys with employees and experts and rated companies on product innovation, process innovation and innovation culture.
17. Centene was ranked 182nd among the nation's top 500 companies in 2023 for diversity, equity and inclusion efforts by Fortune.
18. Centene was named among the nation's top 1,000 employers in 2023 by Newsweek and given a five-star rating. The ranking of top workplaces is based on a survey that collected more than 389,000 company reviews of employers with at least 1,000 employees.
Centene in the news
19. Centene awarded a $35 billion PBM contract to Cigna in October for 20 million members, with implementation expected in 2024. The payer's previous contract was with CVS Caremark.
20. Since taking over the role in 2022, Ms. London has overseen the divestiture of several non-core businesses. She told Fortune the businesses that have been sold were keeping Centene from "really focusing and being as efficient as we could."
21. Centene completed the sale of its Spanish and central European businesses to Vivalto Santé, a French private hospital group, in November.
22. Centene acquired managed care company Magellan Health in January 2022. In December, it sold PBM MagellanRx to Prime Therapeutics. It completed its divestiture of Magellan Specialty Health to Evolent Health in January.
23. Centene could end 2023 with no four-star-rated Medicare Advantage contracts, Ms. London told investors in July. The percentage of Centene members with four-star or higher plans dropped from 48 percent to 3 percent in 2022.
24. Centene canceled its plan to build a 2.4 million-square-foot campus in North Carolina in 2022 because of the shift to hybrid and remote work.
25. Centene paid at least $307.5 million in 2022 to settle allegations it overbilled state Medicaid programs for pharmacy services. It settled similar allegations from five other states in 2021.