Centene's Medicaid premium and service revenues rose 5% to $22.77 billion in the second quarter, the company said, even as total Medicaid membership fell to 12.11 million from 12.82 million a year earlier. State rate increases designed to address medical cost trends and state-directed payments drove the revenue gain. The Medicaid HBR came in at 93.9%, down from 94.9% in second quarter 2025. The company attributed the lower ratio to rate and revenue increases alongside what it called tangible progress in managing medical costs within the segment

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