Centene Corporation has announced its financial results for the first quarter of 2025. The company reported adjusted earnings per share of $2.90 per diluted share, a 28% increase from $2.26 in the first quarter of 2024.
Premium and service revenues grew by 17% year-over-year, totaling $42.5 billion. Membership also increased, with a 29% rise in Marketplace members and a 22% increase in Medicare Prescription Drug Plan (PDP) members.
For the first quarter of 2025, total revenues were $46.62 billion, with premium and service revenues amounting to $42.49 billion. The company’s health benefits ratio (HBR) stood at 87.5%, while the selling, general, and administrative (SG&A) expense ratio was 7.9%.
“Our first-quarter results demonstrate the resiliency of Centene’s platform and the progress we are making as an organization while navigating a dynamic policy landscape,” said Centene’s CEO Sarah M. London. “We are pleased to reiterate our full-year 2025 adjusted diluted earnings per share outlook of greater than $7.25.”
In April, Centene’s subsidiary, SilverSummit Healthplan was selected by the Nevada Department of Health and Human Services to continue providing Medicaid services, including the expansion of Medicaid Managed Care into rural and frontier areas. The contract, set to begin in January 2026, has a five-year term, with an option for a two-year extension.
A month before that, Centene subsidiary Meridian Health Plan of Illinois was awarded a contract to continue providing Medicare and Medicaid services to dually eligible individuals in Illinois. The contract, also set to begin in January 2026, has a four-year term with extensions available.
As of March 31, 2025, Centene’s membership included 11.37 million members in traditional Medicaid, 5.63 million in the individual Marketplace, and 7.87 million in the Medicare PDP. Total at-risk membership was 27.94 million.
For the first quarter, premium and service revenues reached $42.49 billion, a 17% increase from the previous year. The company raised its full-year revenue guidance to reflect stronger performance, projecting premium and service revenues between $164 billion and $166 billion for 2025.
