Centene Corp is a healthcare company that provides managed healthcare products and services through Medicaid, Medicare, and commercial products. The company’s population health management, educational, and other initiatives help members harness the healthcare system to receive medically necessary services and management of routine, severe, and chronic health problems. Centene operates its business through two segments – Managed Care and Specialty Services. The Managed Care segment provides health plan coverage to individuals through government-subsidised and commercial programs. Its covered healthcare benefits consist of primary and specialty physician care, inpatient and outpatient hospital care; emergency and urgent care, prenatal and postpartum care, laboratory and X-ray services, home-based primary care, transportation assistance, dental care, vision care, telehealth services, immunisation, prescriptions and limited over-the-counter drugs, specialty pharmacy, provision of durable medical equipment, behavioural health and substance abuse services; therapies; social work services; and care coordination. The company’s Specialty Services segment covers companies offering diversified healthcare services and products to its Managed Care segment and other external customers. It offers traditional pharmacy clinical and administrative services and specialised pharmacy benefit services through the company’s specialty pharmacy businesses, AcariaHealth and PANTHERx. Centene’s Community Medical Group (CMG) provides clinical healthcare covering primary care, access to certain specialty services, and a suite of social and other support services. Apixio, its healthcare analytics company, offers artificial intelligence (AI) technology for retrospective chart reviews.
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