CNC Fact Sheet
Total Page:16
File Type:pdf, Size:1020Kb
Focused on transforming the health of the community, one person at a time By delivering better health outcomes at lower costs Centene Corporation, a FORTUNE® 100 company, is a diversified, We are a leader in healthcare with a multi-national healthcare enterprise that provides a portfolio of comprehensive portfolio of innovative services to government sponsored and commercial healthcare solutions which includes coverage for programs, focusing on under-insured and uninsured individuals. Medicaid, Medicare and the Health Insurance Marketplace. We also For more than 35 years we have remained deeply committed to transforming contract with other healthcare and the health of the community, one person at a time, by delivering results for our commercial organizations to provide stakeholders: state governments, members, healthcare providers, uninsured specialty services to help people individuals and families, and other healthcare and commercial organizations. attain better health and quality of life. Centene’s core philosophy is that quality healthcare is best delivered locally. A local approach enables us to give our members access to high quality and HEALTH COVERAGE INCLUDES: culturally sensitive healthcare services. • TANF (Temporary Assistance for Needy Families) CENTENE’S SUCCESS IS DRIVEN BY OUR COMMITMENT TO: • Medicaid Expansion • CHIP (Children’s Health Insurance Program) • ABD (Aged, Blind and Disabled) • Long-Term Services and Supports Focus on Whole Active Local • Dual Demonstrations Individuals Health Involvement • Intellectually/Developmentally Disabled • Foster Care • Medicare Advantage LOCAL APPROACH WITH CLINICAL INTERVENTIONS • Medicare Special Needs Plan CULTURAL SENSITIVITY AND PROGRAMS • Health Insurance Marketplaces We employ more than 64,000 Centene utilizes evidence-based, • Commercial Insurance people, many of whom work in clinical outcomes that target specific SPECIALTY SERVICES INCLUDES: our local health plan organizations conditions and disease states such as • Pharmacy Solutions across the United States. Our hiring diabetes, asthma, heart disease, and • Health, Triage, Wellness, and Disease practices reflect the composition obesity. In addition, Centene develops Management Services of our membership and the local solutions that respond to the complex • Vision and Dental Services community. Equally important, our health needs of a diverse range of • Care Management Software staff training focuses on the impact individuals, including lower-income • Correctional Healthcare Services • Home-based Primary Care of culture on healthcare decisions, pregnant women, newborns, persons • Management the impact of poverty on health, with intellectual and developmental • Federal Services and the importance of providing disabilities, children in foster care, • Clinical Healthcare appropriate resources for members and migrant workers. • Data Analytics with disabilities or linguistic barriers. centene.com ©2020 Centene Corporation. All rights reserved. CENTENE | TRANSFORMING THE HEALTH OF THE COMMUNITY, ONE PERSON AT A TIME Centene offers affordable and high-quality products to nearly 1 in 15 Americans across 50 states all 50 U.S. states, including Medicaid and Medicare members (including the Medicare Prescription Drug Plan) as well as individuals served by the Health Insurance Marketplace and the TRICARE program. 23+ million GROWING INTERNATIONAL PRESENCE managed care Centene operates internationally through subsidiaries and investments members in the UK, Spain and Slovakia. Today, Centene is the largest Medicaid managed care organization in the country, #1 carrier in the nation and a leader in California, Florida, New York and Texas, four of the largest Medicaid states. on Health Insurance Centene is also the national leader in managed long-term services and supports. Marketplace # FORTUNE® # FORTUNE® Change $24.1 billion $74.6B 64,000+ 51 500 (2019) 7 the World (2019) in cash and investments* 2019 revenue* employees *As of December 31, 2019, prior to the acquisition of WellCare which closed on January 23, 2020. ADDRESSING MEMBER NEEDS THROUGH INNOVATION QUALITY means going above-and-beyond to make sure our members get appropriate Personal Member Outreach and Support preventive care to stay healthy, and that Through MemberConnections® and other outreach programs, they receive the right care in the right representatives visit members where they live and work to guide place. As a part of our commitment to them through the complex healthcare system and get them the the highest quality care for our members, community resources they need. we pursue accreditation by independent organizations such as URAC and the Incentives for Healthier Living National Committee for Quality Assurance Incentive programs like My Health Pays® encourage healthy activity, (NCQA) for our programs and health plans such as regular check-ups and routine screenings, to strengthen across the country, wherever eligible. the relationships between members and their caregivers while promoting personal healthcare responsibility. URAC ACCREDITATIONS Helping Mothers and their Babies CASE MANAGEMENT, DISEASE MANAGEMENT, HEALTH Start Smart for Your Baby® is an extensive, award-winning UTILIZATION MANAGEMENT, HEALTH NETWORK, education, care management and outreach program for pregnant HEALTH CALL CENTER, PHARMACY BENEFITS MANAGEMENT, SPECIALTY PHARMACY members, new moms and their babies — helping to lower the risks of premature births and admissions to neonatal intensive care units. NCQA ACCREDITATIONS CREDENTIALS VERIFICATION (CVO) CERTIFICATION, DISEASE MANAGEMENT, HEALTH PLAN, LTSS Technology for Better Healthcare DISTINCTION, MULTICULTURAL HEALTH CARE Centene uses technology to improve care coordination, eliminate DISTINCTION, UTILIZATION MANAGEMENT, CREDENTIALING, PROVIDER NETWORK, WELLNESS redundancy and reduce errors. Our state-of-the-art systems provide AND HEALTH PROMOTION members, healthcare providers and caregivers secure access to health information and treatment history, including prescription For more information on our programs, drug use, immunization history, reported allergies, past doctor partnerships, accreditations and visits, behavioral health history, laboratory tests and vital signs. awards, please visit: centene.com ©2019 Fortune Media IP Limited. Used under license. .