Centene is a bit of an outlier among its health insurance peers. While the past few years have produced a cascade of insurer exits from Obamacare’s marketplaces — particularly amid uncertainty about the health law’s future and the Trump administration’s thousand cuts to the program — Centene has doubled down. And it’s paid off in spades. More than 1.4 million Americans signed up for Centene’s federal Affordable Care Act plans during the most recent open enrollment season, leading CEO Michael Neidorff to exclaim the firm “had planned on incremental growth, but not that much.” The company also has a growing footprint in the managed care market fueled by deals such as its $3.75 billion acquisition of Fidelis Care last fall.
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