Centene 2026 Q2 Revenue Up 10% to $53.579 Billion, Raises Full-Year Guidance to $193.5-$197.5 Billion
Centene Corporation reported 2026 second-quarter revenue of $53.579 billion, up 10% year over year. The managed-care company raised its full-year revenue guidance to 1935-1975 hundred million dollars (i. e. , $193.5-$197.5 billion) and expects adjusted diluted EPS above $4.80. Medicare revenue rose 17% to $11.057 billion, while premium and service revenue grew 4% to $44.375 billion. The operating expense ratio improved to 6.9% from 7.1% a year earlier, and first-half operating cash flow surged 141% to $7.956 billion.
Centene Corporation, a managed-care company founded in 1984 and headquartered in St. Louis, Missouri, provides comprehensive healthcare services to government-sponsored insurance programs and the commercial individual market. With operations across all 50 U. S. states and approximately 26 million members, the company's core products include Medicaid, Medicare, and Marketplace insurance. Centene is described in company materials as the largest provider of Medicaid and Marketplace insurance in the United States. The company operates through four segments: Medicaid, Medicare, Commercial, and Other. Medicaid is the core business, with roughly 12.11 million members as of the end of the second quarter of 2026, including about 10.75 million traditional Medicaid members and 1.36 million members with high medical needs. The Medicare segment comprises traditional Medicare and prescription drug plans, with approximately 0.98 million and 8.8 million members, respectively. Medicare revenue reached $11.057 billion in the second quarter, up 17% year over year. The Commercial segment's Marketplace business contracted but saw improved profitability. The Other segment provides clinical, pharmacy, dental, and other ancillary services. In the second quarter of 2026, total revenue reached $53.579 billion, up 10% year over year, with premium and service revenue of $44.375 billion, up 4%. The medical expense ratio declined significantly, and the operating expense ratio fell to 6.9% from 7.1% in the same period of 2025. Operating cash flow for the first half totaled $7.956 billion, up 141% year over year. As of quarter-end, cash and investments totaled $44.8 billion. The company plans to continue optimizing its operations, including exiting low-margin markets and adjusting its workforce structure, to improve overall profitability. Centene raised its full-year 2026 revenue guidance to 1935-1975 hundred million dollars (equivalent to $193.5-$197.5 billion) and expects adjusted diluted EPS above $4.80.