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Sankey diagram of Centene Corporation. A complete text table follows the diagram.
The government-sponsored insurer serves far more Medicaid and Medicare members, but each risk pool converts premiums into medical care and retained margin differently.
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The diagram excludes $5.289B of premium-tax revenue and the matching expense so it can focus on premiums, member care, service delivery, and segment gross margin.
Labels and narrative explain the filing. A category marked “arithmetic bridge” or “residual” is calculated from reported totals, rather than a separately reported line.
| Category | Stage | Value | Notes |
|---|---|---|---|
| Medicaid | 1 | $23.6B | 12.4M members |
| Medicare | 1 | $10.3B | 9.8M members including PDP |
| Commercial | 1 | $9.6B | 4.1M members, mostly Marketplace |
| Other services | 1 | $1.2B | Specialty and service activity |
| Medical care | 2 | $38.3B | Claims and member health benefits |
| Service delivery cost | 2 | $702M | Primarily Other services |
| Segment gross margin | 2 | $5.7B | Before corporate operating costs |
| From | To | Value |
|---|---|---|
| Medicaid | Medical care | $22.0B |
| Medicaid | Service delivery cost | $23M |
| Medicaid | Segment gross margin | $1.6B |
| Medicare | Medical care | $8.8B |
| Medicare | Segment gross margin | $1.6B |
| Commercial | Medical care | $7.2B |
| Commercial | Segment gross margin | $2.4B |
| Other services | Medical care | $378M |
| Other services | Service delivery cost | $679M |
| Other services | Segment gross margin | $120M |