Centene Corporation (CNC) Announced Q1 2026 Earnings on April 28, 2026, Reporting $44.7 billion in premium and service revenue for the quarter

During the first quarter of 2026, Centene Corporation reported $44.7 billion in premium and service revenue for the quarter.

The company also reported a first quarter adjusted diluted EPS of $3.37.

The consolidated HBR was 87.3% for Q1, with the Medicaid HBR at 93.1% and the Medicare segment producing an HBR of 84.9%.

Cash flow provided by operations was $4.4 billion for Q1.Executive leadership noted they are working to "drive margin improvement through targeted and increasingly scaled initiatives to modernize and standardize processes to better manage medical cost trend." In the Marketplace business, Centene gained visibility into demographic and claims experience, forecasting a slight risk adjustment receivable for the year.

Centene is also "deploying advanced analytics and selective AI-enabled tools across forecasting, medical economics and payment integrity" to help "identify fraud, waste and abnormal claims behavior earlier."For forward guidance, Centene updated its projections to "increase our full year 2026 adjusted EPS outlook to greater than $3.40." The company "added $1 billion of premium revenue to our prior range" and expects the "Medicaid composite rate yield around 4.5%," with "no change to our HBR full year range of 90.9% to 91.7%." Additionally, Centene announced leadership changes, noting "Dan Finke joined the organization to serve as our Group President, overseeing the Medicaid and Commercial businesses," and the company elevated "Michael Carson to Group President, overseeing our Medicare PDP and Specialty businesses."