CNC · 10-Q · 2026Q1 · Full report
Medicare Star Ratings Impact
CENTENE CORP · 2026-04-28 · Importance 43 · Surprise 32
Centene reports improved Medicare Advantage Star Ratings exposure: approximately 60% of its Medicare Advantage membership was enrolled in plans rated 3.5 stars or higher in the October 2025 CMS release (including ~20% in 4‑star plans), up from ~55% in the prior year. Management states these ratings materially affect future plan year revenues and competitive positioning in Medicare Advantage markets. Higher rated plan mix should support retention, pricing and bid competitiveness in upcoming plan years.
Key facts
- Based on October 2024 CMS Medicare Advantage Star Ratings, approximately 55% of Centene's Medicare Advantage membership was enrolled in plans rated 3.5 stars or higher compared to approximately 23% in the prior year.
- Based on October 2025 CMS Medicare Advantage Star Ratings, approximately 60% of Centene's Medicare Advantage membership was enrolled in plans rated 3.5 stars or higher, including approximately 20% in 4-star rated plans; prior year comparison was ~55% at 3.5 stars and ~1% at 4-star.
Impact estimates
| metric | direction | stage | expected | basis |
|---|---|---|---|---|
| operating_income | positive | probable | — | Based on October 2024 CMS Medicare Advantage Star Ratings, approximately 55% of Centene's Medicare Advantage membership was enrolled in… |