Wells Fargo 2018 Healthcare Conference-Boston - September 6, 2018 - Centene Corporation

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Wells Fargo 2018 Healthcare Conference-Boston - September 6, 2018 - Centene Corporation
Wells Fargo 2018
Healthcare Conference

     -- Boston --

                    September 6, 2018
Wells Fargo 2018 Healthcare Conference-Boston - September 6, 2018 - Centene Corporation
Forward-Looking Statements
The company and its representatives may from time to time make written and oral forward-looking statements within the meaning of the Private Securities Litigation Reform Act
("PSLRA") of 1995, including statements in this and other presentations, press releases, filings with the Securities and Exchange Commission ("SEC"), reports to stockholders and in
meetings with investors and analysts. In particular, the information provided in this presentation may contain certain forward-looking statements with respect to the financial
condition, results of operations and business of Centene and certain plans and objectives of Centene with respect thereto, including but not limited to the expected benefits of the
acquisition of Health Net, Inc. (Health Net) (Health Net Acquisition) and the acquisition of New York State Catholic Health Plan, Inc., d/b/a Fidelis Care New York (Fidelis Care) (Fidelis
Care Acquisition). These forward-looking statements can be identified by the fact that they do not relate only to historical or current facts. Without limiting the foregoing, forward-
looking statements often use words such as "believe", "anticipate", "plan", "expect", "estimate", "intend", "seek", "target", "goal", "may", "will", "would", "could", "should", "can",
"continue" and other similar words and expressions (and the negative thereof). We intend such forward-looking statements to be covered by the safe-harbor provisions for forward-
looking statements contained in PSLRA. A number of factors, variables or events could cause actual plans and results to differ materially from those expressed or implied in forward-
looking statements. Such factors include, but are not limited to, Centene's ability to accurately predict and effectively manage health benefits and other operating expenses and
reserves; competition; membership and revenue declines or unexpected trends; changes in healthcare practices, new technologies and advances in medicine; increased healthcare
costs; changes in economic, political or market conditions; changes in federal or state laws or regulations, including changes with respect to income tax reform or government
healthcare programs as well as changes with respect to the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act and any
regulations enacted thereunder that may result from changing political conditions; rate cuts or other payment reductions or delays by governmental payors and other risks and
uncertainties affecting Centene's government businesses; Centene's ability to adequately price products on federally facilitated and state-based Health Insurance Marketplaces; tax
matters; disasters or major epidemics; the outcome of legal and regulatory proceedings; changes in expected contract start dates; provider, state, federal and other contract changes
and timing of regulatory approval of contracts; the expiration, suspension or termination of Centene's contracts with federal or state governments (including but not limited to
Medicaid, Medicare, TRICARE or other customers); the difficulty of predicting the timing or outcome of pending or future litigation or government investigations; challenges to
Centene's contract awards; cyber-attacks or other privacy or data security incidents; the possibility that the expected synergies and value creation from acquired businesses, including,
without limitation, the Health Net Acquisition and the Fidelis Care Acquisition, will not be realized, or will not be realized within the expected time period; the exertion of management's
time and Centene's resources, and other expenses incurred and business changes required in connection with complying with the undertakings in connection with any regulatory,
governmental or third party consents or approvals for the Health Net Acquisition or the Fidelis Care Acquisition; disruption caused by significant completed and pending acquisitions,
including the Health Net Acquisition and the Fidelis Care Acquisition, making it more difficult to maintain business and operational relationships; the risk that unexpected costs will be
incurred in connection with the completion and/or integration of acquisition transactions, including among others, the Health Net Acquisition and the Fidelis Care Acquisition; changes
in expected closing dates, estimated purchase price and accretion for acquisitions; the risk that acquired businesses, including Health Net and Fidelis Care, will not be integrated
successfully; the risk that, following the Fidelis Care Acquisition, Centene may not be able to effectively manage its expanded operations; restrictions and limitations in connection with
Centene's indebtedness; Centene's ability to achieve improvement in the Centers for Medicare and Medicaid Services (CMS) Star ratings and maintain or achieve improvement in other
quality scores in each case that can impact revenue and future growth; availability of debt and equity financing, on terms that are favorable to Centene; inflation; foreign currency
fluctuations; and risks and uncertainties discussed in the reports that Centene has filed with the SEC. These forward-looking statements reflect Centene's current views with respect to
future events and are based on numerous assumptions and assessments made by Centene in light of its experience and perception of historical trends, current conditions, business
strategies, operating environments, future developments and other factors it believes appropriate. By their nature, forward-looking statements involve known and unknown risks and
uncertainties and are subject to change because they relate to events and depend on circumstances that will occur in the future. The factors described in the context of such forward-
looking statements in this presentation could cause Centene's plans with respect to the Health Net Acquisition, the Fidelis Care Acquisition, actual results, performance or
achievements, industry results and developments to differ materially from those expressed in or implied by such forward-looking statements. Although it is currently believed that the
expectations reflected in such forward-looking statements are reasonable, no assurance can be given that such expectations will prove to have been correct and persons reading this
presentation are therefore cautioned not to place undue reliance on these forward-looking statements which speak only as of the date of this presentation. Centene does not assume
any obligation to update the information contained in this presentation (whether as a result of new information, future events or otherwise), except as required by applicable law. This
list of important factors is not intended to be exhaustive. We discuss certain of these matters more fully, as well as certain other risk factors that may affect Centene's business
operations, financial condition and results of operations, in Centene's filings with the SEC, including the annual report on Form 10-K, quarterly reports on Form 10-Q and current reports
on Form 8-K.
                                                                                                                                                                                     2
Wells Fargo 2018 Healthcare Conference-Boston - September 6, 2018 - Centene Corporation
Earnings Guidance Policy

  Our Company’s policy is, “that the Company undertakes no obligation to update its earnings
  guidance, other than as part of its quarterly or yearly earnings disclosure, and that silence on
  guidance by the Company or Company officials should not be interpreted that guidance has or
  has not changed. In any event, no updated guidance would ever be given that is not previously
  or simultaneously disclosed in an SEC filing or other broad non-exclusionary means.”

  “Further, it is Company policy to generally not hold discussions with investors commencing two
  weeks prior to earnings release.”

  This presentation also includes non-GAAP financial measures. You can find Centene's
  presentations on the most directly comparable GAAP financial measures calculated in accordance
  with GAAP and reconciliations in Appendix A. Centene is providing certain non-GAAP financial
  measures in this presentation as Centene believes that these figures are helpful in allowing
  investors to more accurately assess the ongoing nature of Centene's operations and measure
  Centene's performance more consistently across periods. Centene uses the presented non-GAAP
  financial measures internally to allow management to focus on period-to-period changes in
  Centene's core business operations. Therefore, Centene believes that this information is
  meaningful in addition to the information contained in the GAAP presentation of financial
  information. The presentation of this additional non-GAAP financial information is not intended
  to be considered in isolation or as a substitute for the financial information prepared and
  presented in accordance with GAAP.
                                                                                                3
Wells Fargo 2018 Healthcare Conference-Boston - September 6, 2018 - Centene Corporation
Who We Are

                     WHO WE ARE                                                    WHAT WE DO

                        St. Louis                                                           31 states
                        based company founded in                                              with government sponsored
                        Milwaukee in 1984                                                      healthcare programs and
                                                                                                    implementations

     41,200 employees                                             Medicaid      Marketplace      Medicare       Correctional

     #61                    #210                  #27
      on the
                            on the
                                             Fortune’s Fastest               2 international markets
                         Fortune             Growing Companies
 Fortune 500 list
                      Global 500 list              (2017)

                                                                 12.8 million members
                                                                             includes 2.9 million TRICARE eligible
$15.0 billion $59.2-60.0B
                                                                                           Product / Market
  in cash and investments            expected revenue for 2018        ~330                    Solutions
                                                                                                                               4
Wells Fargo 2018 Healthcare Conference-Boston - September 6, 2018 - Centene Corporation
Source: Fortune

                  5
2017 Performance

           Revenues                                  Total Revenues of $48.4 billion          + 19%

                HBR                                  Health Benefits Ratio of 87.3%          + 80 bps

         Diluted EPS                                           Diluted EPS of $4.69           + 38%

    Adjusted Diluted
                                                       Adjusted Diluted EPS of $5.03          + 14%
          EPS1

        Membership                              Added 765K members between years              + 7%
1   Represents a non-GAAP measure. See Appendix A for reconciliation of non-GAAP measures.
                                                                                                        6
Q2 2018 Performance

           Revenues                                  Total Revenues of $14.2 billion          + 19%

                HBR                                  Health Benefits Ratio of 85.7%          (60) bps

         Diluted EPS                                           Diluted EPS of $1.50            +4%

    Adjusted Diluted
                                                       Adjusted Diluted EPS of $1.80          +13%
          EPS1

        Membership                              Added 585K members between years              + 5%
1   Represents a non-GAAP measure. See Appendix A for reconciliation of non-GAAP measures.
                                                                                                        7
2018 Guidance

                                                                                                                  Low         High
 Total revenues (in billions)                                                                                    $59.2        $60.0
 GAAP diluted EPS                                                                                                $4.25        $4.57
 Adjusted Diluted EPS1                                                                                           $6.80        $7.16
 HBR%                                                                                                            85.9%        86.4%
 Selling, general & administrative (SG&A) expense ratio                                                          10.2%        10.7%
 Adjusted SG&A expense ratio2                                                                                     9.4%        9.9%
 Effective tax rate                                                                                              34.0%        36.0%
 Diluted shares (in millions)                                                                                    198.7        199.7

   1   Represents a non-GAAP measure. See Appendix A for reconciliation of non-GAAP measures.
   2   Represents a non-GAAP measure. Adjusted SG&A% excludes acquisition related expenses of $422 million to $428 million.

                                                                                                                                     8
5 Year Compound Annual Growth Rates
2013-2018(F), excluding stock price

                                                               $                   41%
                                                                                   Total Revenues1

                                              Delivering Shareholder
                                                       Value

               EPS                     37%                                                             CNC                    38%
                                       Adj. Diluted EPS2                                                                       Stock Price3

1 Based upon 2018 guidance midpoint.
2 Represents a non-GAAP measure using the guidance midpoint. See Appendix A for reconciliation of non-GAAP measures. The 5 year GAAP diluted
EPS CAGR is 25% using the guidance midpoint.
                                                                                                                                               9
3 5 year stock price CAGR as of August 27, 2018.
2013 vs. 2018
($ IN BILLIONS)

                                            $59.2 -
                                             $60.0
                                                                                                                                  2.4% -
                                                                                                                                   2.6%

                                                                                                           1.6%
                   $10.9

                      2013              2018 Guidance                                                      2013              2018 Guidance
                              REVENUE                                                                ADJ. NET INCOME MARGIN*

 * Excludes estimated merger costs and amortization of acquired intangible assets. 2018 also excludes California minimum MLR changes;
 See Appendix A for reconciliation of non-GAAP measures.                                                                                     10
Adjusted Diluted Earnings Per Share*
(FROM CONTINUING OPERATIONS)

                                                                                                  Guidance Range
                                                                                                   $6.80 – $7.16
                 CNC 5 Year CAGR
                     +37%**

                                                                                          $5.03
                                                                           $4.43
                                                   $3.14
                          $2.31

                          2014                    2015                     2016           2017      2018 (F)

  *Represents non-GAAP measure. See Appendix A for reconciliation of non-GAAP measures.
  **Based on 2018 guidance range mid-point.

                                                                                                                   11
Stock Price CAGR vs. Peers
5 YEAR CAGR, AUGUST 2013-2018

                                                                                    38%

                                                                             29%

                                   12%

                             S&P 500                                       Peer     CNC
                            Composite                                      Group1
 Note: CAGR from August 27, 2013 – August 27, 2018. Source: Yahoo!Finance
 1 Peer group includes Aetna, Anthem, Cigna, Humana, Molina, United and WellCare.
                                                                                          12
Total Revenue Growth
($ IN MILLIONS)

                                                                                                         Guidance Range
                                                                                                        $59,200 - $60,000

                                                                                                     $48,382
                   41% 5 Year CAGR*                                                        $40,607

                                                                                 $22,760
                                                                       $16,560
                                                             $10,863
                                                    $8,110
             $4,103         $4,448 $5,211

                2009          2010         2011      2012     2013      2014      2015      2016      2017     2018(F)

% Increase 22%                 8%           17%      56%      34%       52%       37%       78%       19%      23%*
 over PY
        * Based on 2018 guidance range mid-point.                                                                  13
Diversifying Revenues

                       2015: $22.8 Billion                      2018(F): $59.6 Billion1

                                              2%
                                                                            20%
                                             4%

                                                                                    9%
                                             10%
                          84%                                    65%
                                                                                       6%

                 Medicaid               Commercial   Medicare                  Other

     1   Midpoint of guidance range.                                                        14
Funds Flow

                             Structured to Facilitate Free Cash Flow

                  Unregulated Net Cash Flow
                   Available to Service Debt                               Centene
                                                                                                         States’
                                                                          Corporation               Actuarially Sound
                                                                                                       Premiums

                                  Unregulated Entities

                                                              Centene
Envolve Benefit       Envolve             Envolve Pharmacy
   Options           PeopleCare               Solutions
                                                             Management                 Regulated Health Plans
                                                              Company

                      • Market-based, state-approved contractual relationship
                      • Generates sufficient cash flows to cover fixed charges

                                                                                                                  15
Centene: 2008

  HEALTHCARE COVERAGE SOLUTIONS
  Government Solutions                         AZ   FL   GA   IN   OH   SC   TX   WI

  Low-Income Medicaid                          ●    ●    ●    ●    ●    ●    ●    ●
  CHIP                                         ●         ●    ●    ●    ●    ●    ●
  ABD (non duals)                              ●    ●              ●    ●    ●    ●
  ABD (dual-eligible) or Dual Demonstrations   ●    ●    ●                   ●    ●        8
  Long-Term Services and Supports              ●                             ●          States
  Foster Care                                                                ●
  Medicare Special Needs Plan                  ●                   ●         ●    ●
                                                                                          70
  Specialty Health Solutions
                                                                                       Solutions
  Pharmacy Benefits                            ●    ●    ●         ●    ●    ●
  Behavioral & Specialty Therapies             ●    ●    ●    ●    ●    ●    ●    ●
  Life & Health Management                     ●    ●    ●    ●    ●    ●    ●    ●
  Managed Vision                               ●    ●    ●    ●    ●    ●    ●    ●
  Telehealth                                   ●    ●    ●    ●    ●    ●    ●    ●

                                                                                                   16
Product Solutions

 Populations & Products                    AZ AR CA CT4 FL GA4 IL IN IA1 KS LA MD2,4 MA MI MN MS MO NE NH4 NM3 NY NV OH OR PA4 SC TN TX VT WA WI

TANF                                       ●       ●       ●   ●   ●   ●   ●   ●   ●   ●                ●   ●   ●   ●    ●   ●    ●   ●   ●          ●       ●        ●   ●
Medicaid Expansion                         ●   ●   ●               ●   ●   ●       ●   ●                            ●    ●   ●    ●   ●   ●                           ●
CHIP                                               ●       ●   ●   ●   ●   ●   ●   ●   ●                ●   ●   ●   ●    ●   ●    ●   ●   ●          ●       ●        ●   ●
ABD (non-duals)                            ●       ●       ●       ●   ●   ●   ●   ●   ●                ●       ●   ●    ●   ●        ●   ●          ●       ●        ●   ●
ABD (Medicaid only dual-eligibles )        ●       ●       ●               ●   ●                                ●   ●    ●   ●        ●   ●   ●              ●            ●
Medicaid-Medicare Plans                            ●               ●                            ●                            ●        ●              ●       ●
Intellectually/Developmentally Disabled                            ●       ●   ●                                    ●                                        ●
Long-Term Services and Supports                    ●       ●       ●       ●   ●                                         ●   ●        ●       ●              ●

                                                                               2                                    330
Foster Care                                        ●       ●           ●       ●   ●                    ●   ●   ●   ●    ●   ●            ●                  ●        ●

                              31
Medicare Advantage                         ●   ●   ●       ●   ●   ●   ●       ●   ●                    ●   ●                ●        ●   ●   ●      ●       ●        ●   ●
Medicare Special Needs Plan
Health Insurance Marketplaces
Commercial Insurance (Lrg & Sm Grp)
                                           ●
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                                                               ●   ●   ●       ●                        ●   ●   ~   ●
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                          4
Correctional Healthcare                            ●   ●   ●   ●                       ●    ●       ●   ●           ●    ●                    ●          ●       ●
                                                                   INTERNATIONAL                                       PRODUCT
 Specialty Health Solutions
                              STATES●      AZ AR CA CT FL GA IL IN IA KS LA MD MA MI MN MS MO NE NH NM NY NV OH OR PA SC TN TX VT WA WI
Pharmacy Benefits
Behavioral & Specialty Therapies           ●
                                               ●
                                               ●
                                                   ●
                                                   ●
                                                           ●
                                                           ●
                                                               ●
                                                               ●
                                                                      M ARKETS
                                                                   ● ● ● ● ●
                                                                   ● ● ● ● ●
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                                                                                                                    S●● OLUTIONS
                                                                                                                           ● ● ●
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Life & Health Management                   ●   ●   ●       ●   ●   ●   ●   ●   ●   ●   ●    ●   ●       ●   ●   ●   ●        ●    ●   ●       ●      ●   ●   ●        ●   ●
Primary Care Solutions for Complex Pop.                    ●       ●   ●       ●                            ●                         ●                      ●        ●   ●
Managed Vision                             ●   ●   ●       ●   ●   ●   ●   ●   ●   ●        ●   ●       ●   ●   ●   ●        ●    ●   ●       ●      ●       ●        ●   ●
Dental Benefits                            ●   ●           ●   ●   ●       ●   ●            ●   ●       ●   ●                ●        ●       ●              ●            ●
Telehealth (Nurse Triage/Education Line)   ●   ●   ●       ●   ●   ●   ●       ●   ●   ●    ●   ●       ●   ●   ●   ●        ●        ●       ●      ●       ●        ●   ●
 1 Iowa operations expected to commence July 1, 2019, subject to closing conditions and regulatory approval.
 2 Managed Service  Organization (MSO) contract.
 3 Centennial Care Medicaid managed care operations expected to commence January 1, 2019, subject to closing conditions and regulatory approval.

 4 Correctional Healthcare operations in CT, GA, MD, NH & PA reflect acquisition of MHM Services, Inc., which closed in the first quarter of 2018.

                                                                                                                                                                 17
Medicaid Leadership

  BRINGING EXPERIENCE TO NEW MARKETS

    1984   1995   1999    2004   2006    2006                2007             2009                 2010

    2011   2011   2012   2012     2012   2013                2013              2013                 2015

   2015    2017   2017   2017    2018    2018                20191               20192

                                          1   Operations anticipated to commence January 1, 2019
                                          2   Operations expected to commence July 1, 2019                18
Envolve

                                  RECENT SUCCESSES

                                Health Plan management services
    Addressing market needs               in NY and MD

       and driving external
      revenue growth via an                  Commercial Behavioral Health (ASO) and
     integrated platform that                EAP for 20,000 Operating Engineers
                                             Union members
    leverages the strength of
        Centene’s specialty
             solutions           On.Demand diabetes
                                 management for 43,000 county
                                 employees and dependents

                                                                              19
National View

                                                                                                       

                                                              

                                                                                   

                                                 Centene State
                                                 Centene HIM Membership
                                                2018 New HIM State

    Peak Membership                         New States                        KS, MO, NV, NY (Fidelis Care)
                                            Expansion States                  FL, GA, IN, OH, TX, WA
  2015                       167,000                                          AZ (2 counties)
                                            Sole Carrier                      MS (Statewide)
  2016           2018 683,000
                                                                              GA & IN (some rural counties)
  2017                    1,200,000         States Where We are               MO (25), IN (3), OH (3), NV
                                            Covering Bare Counties            (14), WA (2)
  2018                    1,650,000         Statewide Presence                AR, MS, NH, NV
     *2015 excludes Health Net, all years
               exclude Fidelis                             Lowest Silver in 349 of 413 Counties
                                                                                                            20
Marketplace Demographics

 Gender
 and Age                               46%                        45%
                                                                               2018*
                                                                                                   45%
                         2016                        2017
                       (avg. age 42)              (avg. age 42)            (avg. age 43)
     Female        84%
                    54%                      92%
                                               55%                      55%
     Male
                                                                           16%

 Metal Tier

     Silver        85%
                          2016                90%
                                                     2017               87%
                                                                               2018*
                                                                                                   92%
     Bronze                       12%                       8%                               11%
     Gold & Platinum        84%
                           3%                   16% 2%                    16% 2%
                                                                        * Based on signups as of 12/12/17

                                                                                                     21
2018 Medicare Profile
                                                         Products
   • Membership: over 420k (Projected Year-End 2018)
                                                       MA /
   • $5B Revenue                                       MAPD
   • Multi-product
                                                               MMP
   • Multi-state
                                                       D-SNP

                                                               C-SNP

                                                       I-SNP

                                                               Med.
                                                               Supp.

   2017 Centene Medicare Market                        EGWP
   2018 New Centene Medicare Advantage Additions

                                                                       22
Year-Over-Year Growth

                                 Medicare Product Breakout
            11%
                                     MA/MAPD
      15%
                                     DSNP
             2017
                       57%           MMP
      17%
                                     Med. Sup.

            9%

      12%

            2018 (P)
                             On pace to exceed 90k YoY
      21%              58%   enrollment growth target

                                                             23
Accelerating Our Strategy

                                 Expanding our national leadership in
                                  government sponsored healthcare
      2018
   14.5 million
    members
  (pro forma as
   of June 30,
      2018)                              New York Presence, National Leadership
                                                                                     Shareholder
                                                                                    Return of over
      2016                                                                              1,200%
   11.4 million                                                                      since 2010 (1)
    members                             California, Medicare and Federal Presence

      2010                • Expanding addressable market opportunities
   1.5 million            • Organic growth – new markets and new products
   members                • Seeking new acquisition opportunities

    (1) From December 31, 2009 through August 27, 2018.
                                                                                              24
Diversified Government Services Platform

                                                                               +

            6%                      10%                                   5%
       9%                                                            9%
                               9%

                                                               18%
 20%

                         65%
                                                                                    68%
                                                81%

        LTM 6/30/2018                LTM 6/30/2018                     LTM 6/30/2018
          Revenue:                     Revenue:                      Combined Revenue:
          $52 billion                  $10 billion                       $62 billion

                        Medicaid/Complex Care         Commercial/Exchanges
                        Medicare/Duals                Specialty/Government

                                                                                          25
Recently Acquired Provider Assets

  • Serves 250,000 individuals      • Leading at-risk provider in FL

  • 300 facilities                  • Covers over 80,000
                                      government sponsored
                                      beneficiaries
  • Expands correctional
    footprint to 5 states
                                    • Specialty care and support
                                      services
                                                                 26
Technology and Analytics Capabilities

   • A full-service PBM will complement to
     Centene’s internal PBM
   • Disruptive platform that allows to drive
     change across the care continuum
   • Expect to realize savings by significantly
     reducing both administrative and drug-
     impacted medical costs
                                                  27
$677B Medicaid
          Addressable
           Markets                                              $783B Medicare

                                                                $100B Health Insurance Marketplace
     $1.86                                                       $9B   Correctional Healthcare
    trillion*                                                   $109B Federal Services

                                                                $182B International

*Data based on CBO projections and Company estimates for FY19                                    28
Targeted   Medicaid

 Pipeline   Medicare

 $270       Health Insurance Marketplace

            Correctional Healthcare
billion     Federal Services

            International

                                      29
Recent Contract Wins

    NEW MEXICO         ARIZONA         FLORIDA          ARIZONA              IOWA

   Centennial Care     AHCCCS         Statewide       Comprehensive Statewide contract
    2.0 Program      Complete Care     Medicaid     healthcare services for the IA Health
                                     Managed Care                         Link Program
                                       Contract

                                                                                     30
Recent Contract Wins

    WASHINGTON            NEW              KANSAS           HEALTH NET         FLORIDA
                        HAMPSHIRE                        FEDERAL SERVICES

     Managed care       Medical and      Managed care    Next generation     Comprehensive
   services to Apple   dental staff to    services to    Military & Family     healthcare
        Health's          the NH           KanCare        Life Counseling       services
       Integrated      Department of     beneficiaries   (MFLC) Program
    Managed Care        Corrections       statewide
    (IMC) Medicaid
      beneficiaries

                                                                                         31
Medicaid Pipeline Realization
($ IN BILLIONS)

                                                            2012-2018
   Total                                                                                  Total
   Pipeline                                        $174B                          74   Contracts

  Targeted                                                                             Targeted
  Pipeline                                              $137B                 52       Contracts

  Realized or                                                                          Contract
  Anticipated Revenue*                                      $27B            42            Wins

                                                                   81% Win Rate
*Anticipated revenue includes contract wins that have not yet gone live
                                                                                             32
Visibility on 2019 Total Revenue

                                                                                  $69+B
           $59.6B*                                            • HIF and CA pass
                                                                throughs
                                     • Full Year of Fidelis
                                     • Marketplace &
                                       Medicare Market
                                       Expansions
                                     • Pennsylvania LTC
                                       SE Region
                                     • New Markets: NM & IA
                                     • Reprocurement wins:
                                       AZ, FL & IL

              2018P                                                               2019P
 *2018 mid-point of guidance range
                                                                                          33
A Growth Company

               Long term expectations of
        double digit growth in revenue and profit

                                 Less than 50%
      $1.9 Trillion            Managed care penetration in
      Addressable Market     government sponsored healthcare
                                (Medicaid and Medicare expenditures)

                                                                       34
In Summary…
WE ARE A GROWTH COMPANY

     Robust         Demonstrated Ability to Convert
     Pipeline        Opportunities to CNC Revenue

     Revenue      Total Revenue in Excess of $69B with
     Visibility    Significant Opportunities in Process

    Diversified      Opportunities Across Markets,
     Growth
     Strategy     Products, Specialty Services and M&A

                                                          35
Appendix A
Reconciliation of Non-GAAP Measures
($ IN MILLIONS, EXCEPT EARNINGS PER SHARE DATA)
  Included in this presentation are certain non-GAAP financial measures that management believes provide information that is useful to investors in understanding period-over-
  period operating results and enhance the ability of investors to analyze Centene’s business trends and performance. These non-GAAP financial measures should not be
  considered in isolation, or as a substitute for the corresponding GAAP financial measures and may not be comparable to similar measures used by other companies. A
  reconciliation of these non-GAAP financial measures with the most directly comparable financial measure calculated in accordance with GAAP follows:

 Reconciliation of GAAP Earnings from Continuing Operations to Adjusted Diluted EPS:
                                                                                       2013            2014             2015             2016            2017          Q2 2017            Q2 2018
 GAAP Ea rni ngs from continui ng opera tions                                       $     161       $     268        $     356        $     559       $     828        $     254          $     300
 Amortiza tion of a cqui red i ntangi bl e a s s ets                                         6              16               24             147             156                39                 45
 Acqui s i tion rel a ted expens es                                                       -               -                  27             234               20                1                  1
 Ca l i forni a mi ni mum medi ca l l os s ra tio cha nges                                -               -                -               (195)            -                -                    30
 Cos t s ha ri ng reductions                                                              -               -                -                -                 22             -                  -
 Income tax reform                                                                        -               -                -                -              (125)             -                  -
 Cha ri tabl e contri bution                                                              -               -                -                  50              40             -                  -
 Debt extingui s hment                                                                    -               -                -                  11            -                -                  -
 Penn Trea ty a s s es s ment expens e                                                    -               -                -                -                 56             -                  -
 Income tax effects of a djus tments                                                        (2)             (6)            (20)             (79)           (108)             (14)               (16)
    Adjus ted Ea rni ngs from Continui ng Opera tions                               $     165       $     278        $     387        $     727       $     889        $     280          $     360
 Di l uted s ha res outs tandi ng (i n thous a nds )                                  112,494         120,360          123,066          163,975         176,702          176,420            199,451
    GAAP Di l uted EPS                                                              $    1.43       $    2.23        $    2.89        $    3.41       $    4.69        $    1.44          $    1.50
    Adjus ted Di l uted EPS (1)                                                     $    1.47       $    2.31        $    3.14        $    4.43       $    5.03        $    1.59          $    1.80

 Reconciliation of GAAP diluted EPS to Adjusted Diluted EPS:                           Annual Guidance
                                                                                      December 31, 2018
 GAAP di l uted EPS                                                                       $4.25 - $4.57
 Amortiza tion of i ntangi bl e a s s ets (2)                                             $0.81 - $0.83
 Acqui s i tion rel a ted expens es (3)                                                   $1.62 - $1.64
                                                                 (4)
 Ca l i forni a mi ni mum medi ca l l os s ra tio cha nges                                   $0.12
   Adjus ted Di l uted EPS                                                                $6.80 - $7.16

 (1)   Adjusted Diluted EPS is defined as GAAP diluted net earnings from continuing operations before amortization of acquired intangible assets, acquisition related expenses, other one time adjustments,
       and the tax impact of such adjustments, calculated on a per share basis. We believe these adjustments are not indicative of future performance.
 (2)   The amortization of acquired intangible assets per diluted share presented are net of an income tax benefit estimated to be $0.24 to $0.25 for the year ended December 31, 2018.
 (3)   Acquisition related expenses per diluted share are net of an income tax benefit estimated to be $0.50 to $0.51 for the year ended December 31, 2018.
 (4)   The impact of retroactive changes to the California minimum MLR is net of an income tax benefit estimated to be $0.03 to $0.04 for the year ended December 31, 2018.
Reconciliation of Non-GAAP Measures
($ IN MILLIONS, EXCEPT EARNINGS PER SHARE DATA)
       Included in this presentation is Adjusted EBITDA and Adjusted SG&A. Management believes that these non-GAAP financial measures provide information that is useful to
       investors in understanding period-over-period operating results and enhance the ability of investors to analyze Centene’s business trends and performance. These non-GAAP
       financial measures should not be considered in isolation, or as a substitute for the corresponding GAAP financial measures and may not be comparable to similar measures used
       by other companies.
       The Company also references 2018(F) Adjusted Net Income Margin, 2018(F) Adjusted EBITDA, and 2018(F) Adjusted SG&A. The Company cannot provide a reconciliation of these
       items without unreasonable efforts. As such, they have been excluded from the reconciliation below.
       A reconciliation of Adjusted EBITDA and Adjusted SG&A, non-GAAP financial measures, with the most directly comparable financial measures calculated in accordance with
       GAAP follows:

      Reconciliation of GAAP Earnings from Continuing Operations to Adjusted EBITDA:
                                                                                                                        2015             2016             2017
      GAAP Ea rni ngs from continui ng opera tions                                                                    $    356         $    559         $    828
      Interes t expens e                                                                                                    43              217              255
      Income taxes                                                                                                         339              599              326
      Depreci a tion a nd a mortiza tion                                                                                   112              281              362
      Non-ca s h s tock compens a tion expens e from cont. opera tions                                                      71              148              135
                           (1)
        Adjus ted EBITDA                                                                                              $    921         $ 1,804          $ 1,906

      Reconciliation of GAAP Selling, General & Administrative expenses (SG&A) to Adjusted SG&A:
                                                                                              2015                                         2016             2017
      GAAP s el l i ng, genera l a nd a dmi ni s tra tive expens es                                                   $    1,802       $    3,676       $    4,446
      Acqui s i tion rel a ted expens es                                                                                       27             234               20
      Penn Trea ty a s s es s ment expens e                                                                                  -                -                 56
      Cha ri tabl e contri bution                                                                                            -                  50              40
        Adjus ted s el l i ng, genera l a nd a dmi ni s tra tive expens es                                            $    1,775       $    3,392       $    4,330

(1)    Adjusted EBITDA is defined as net earnings attributable to Centene Corporation excluding income tax expense, interest expense, depreciation, amortization (excluding senior note premium amortization) and
       non-cash compensation expense.
Wells Fargo 2018
Healthcare Conference

     -- Boston --

                    September 6, 2018
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