Centene Q1 2025 Earnings: $1.3B Net Income, Membership Trends, and Industry Updates

Centene reported a net income of $1.3 billion in Q1 2025, with total revenues rising 15.4% year-over-year to $46.6 billion. The company maintained its adjusted EPS guidance above $7.25 for the year, reflecting steady financial performance. Despite an overall membership exceeding 27.9 million, Medicaid enrollment decreased by 2.5% year-over-year to below 13 million members, with the remainder spread across exchange, commercial, Medicare Advantage, and prescription drug plans.

Centene's medical loss ratio (MLR) remained stable at 87.5% for Q1 2025, in line with the previous year's 87.1%, indicating consistent claims expense in relation to premiums earned. In industry leadership news, UnitedHealth Group's president and CFO John Rex was recognized as the highest-paid payer CFO in 2024, receiving $18.7 million. Additionally, Cigna announced a cash dividend of $1.51 per share scheduled for June 18, signaling ongoing shareholder returns.

A federal judge dismissed a proposed class-action lawsuit targeting insurance coverage mandates in New Mexico, highlighting ongoing judicial decisions impacting insurance regulatory environments. These developments collectively offer insight into key financial, membership, and regulatory trends shaping the U.S. health insurance market in 2025.