Centene : SASB Index 2021

SASB Index

Centene created the index below to provide stakeholders with disclosures aligned with the Sustainability Accounting Standards Board (SASB) Managed Care standard. Disclosures aligned with other relevant Sustainability Accounting Standards were also included for workforce diversity and engagement. All data relates to the year ended December 31, 2021, unless otherwise stated.

DATA PRIVACY & SECURITY

SASB TOPIC

SASB CODE

ACCOUNTING METRIC

CENTENE DISCLOSURE

Customer

HC-MC-230a.1

Description of policies and

Centene Data Privacy & Security Standards

Privacy &

practices to secure

Technology

customers' protected health

Standards

information (PHI) records and

other personally identifiable

information (PII)

HC-MC-230a.2

(1) Number of data breaches,

Centene and its subsidiaries report required data breaches

(2) percentage involving (a)

to the U.S. Department of Health and Human Services,

personally identifiable

Office for Civil Rights. Please refer to the U.S. Department of

information (PII) only and (b)

Health and Human Services Office for Civil Rightswebsite.

protected health information

(PHI), (3) number of

customers affected in each

category, (a) PII only and (b)

PHI

HEALTHCARE ACCESS

SASB TOPIC

SASB CODE

ACCOUNTING METRIC

CENTENE DISCLOSURE

Access to

HC-MC-240a.1

Medical loss ratio (MLR)

87.8%

Coverage

Centene operates in two segments: Managed Care and

Specialty Services. Our MLR disclosure includes the

Managed Care segment. The Specialty Services segment

MLR is immaterial to the consolidated organization.

HC-MC-240a.2

Total amount of rebates

Centene accrued MLR rebates of $196 million as of

accrued and paid due to non-

December 31, 2021 and paid MLR rebates of $207 million

compliance with the Patient

during the 12 months ending December 31, 2021.

Protection and Affordable

Care Act for Medical Loss

Information is disclosed in accordance with U.S. Title 45:

Ratio (MLR)

Public Welfare Part 158 - Issuer Use of Premium Revenue:

Reporting and Rebate Requirements (U.S. 45 CFR Part 158).

HC-MC-240a.3

Percentage of proposed rate

100%

increases receiving "not

unreasonable" designation

All of Centene's filed rate increase requests subject to

from Health and Human

review as per U.S. Title 45: Public Welfare Part 154 for the

Services (HHS) review or state

period of this report received "not unreasonable"

review

designation from HHS or state review.

HC-MC-000.A

Number of enrollees by plan

In certain instances, our data aggregation processes are

type

established by line of business, as opposed to plan type,

based on the nature of our business. For this metric, we

have chosen to disclose the data by line of business. See

December 31, 2021 enrollees by line of business in the 2021

Form10-K,page 47.

HEALTHCARE QUALITY

	SASB TOPIC			SASB CODE		ACCOUNTING METRIC		CENTENE DISCLOSURE
	Plan		HC-MC-250a.1	Average Medicare Advantage		Member Weighted Rating
	Performance				plan rating for each of the		Reporting Year 2022
						following plan types: (1)		HMO/HMOPOS: 3.9
						HMO, (2) local PPO, (3)		Local PPO: 3.7
						regional PPO, (4) PFFS, and (5)		PFFS: 4.0
						SNP
								HMO - Health Maintenance Organization Plans
								HMOPOS - Health Maintenance Organization - Point of Sale
								Plans
								Local PPO - Local Preferred Provider Organization Plans
								PFFS - Private Fee-for-Service Plans
				HC-MC-250a.2	Enrollee retention rate by		Please refer to MEMBERSHIP table in the 2021 Form10-K,
						plan type, including: (1) HMO,		page 47.
						(2) local PPO, (3) regional
						PPO, (4) PFFS, and (5) SNP
	Improved		HC-MC-260a.1	Percentage of enrollees in		Centene's government-sponsored Medicare Advantage,
	Outcomes				wellness programs by type:		Marketplace and Medicaid managed care plans develop and
						(1) diet and nutrition, (2)		offer a comprehensive portfolio of programs that build in
						exercise, (3) stress		wellness aspects to advance health outcomes for Centene's
						management, (4) mental		members. These programs leverage cutting edge clinical
						health, (5) smoking or alcohol		guidelines, evidence-based best practices, and data science
						cessation, or (6) other		models to support whole health for the individual based on
								their identified needs. Strategies for preventive services
								align with U.S. Preventive Services Task Force (USPSTF)
								recommendations and focus on reducing the risk of
								developing chronic conditions, addressing current
								conditions, and promoting healthy behaviors. Services
								provided will specifically address national priorities such as
								smoking cessation, immunizations, and promotion of
								healthy living through lifestyle choices. 100% of our
								membership has access to one or more of our programs
								through a variety of channels including an on-demand
								health education library, telephonic and digital health
								coaching/chronic condition management programs and
								local partners.

HC-MC-260a.2 Total coverage for preventive health services with no cost sharing for the enrollees, total coverage for preventive health services requiring cost- sharing by the enrollee, percentage of enrollees receiving Initial Preventive Physical Examinations (IPEE) or Annual Wellness Visits (AWV)

Centene offers health plans that are designed to include a variety of preventive health services with no member cost share. For our Commercial (including Marketplace) and Medicare Advantage members:

• Approximately $3.6 billion in claims were paid for preventive care services with no cost sharing from members.
• Approximately $1.2 billion in claims were paid for preventive care services which required some form of cost sharing from members.
• Of the total cost of coverage for members, approximately 20.6% was paid for preventive services.

HC-MC-260a.3 Number of customers receiving care from Accountable Care Organizations or enrolled in Patient-Centered Medical Home programs

133,711 total beneficiaries were attributed to Accountable Care Organizations as of December 31, 2021.

ENVIRONMENTAL IMPACTS ON HEALTH

	SASB TOPIC			SASB CODE		ACCOUNTING METRIC		CENTENE DISCLOSURE
	Climate		HC-MC-450a.1	Discussion of the strategy to		See 2022 Task Force on Climate-relatedFinancial
	Change				address the effects of climate		Disclosures Index
	Impacts				change on business
	on Human				operations and how specific
	Health				risks presented by changes in
						the geographic incidence,
						morbidity, and mortality of
						illnesses and diseases are
						incorporated into risk models
	EMPLOYEE PARTNERSHIP & DEVELOPMENT
	SASB TOPIC			SASB CODE		ACCOUNTING METRIC		CENTENE DISCLOSURE
	Workforce		SV-PS-330a.2	(1) Voluntary and (2)		Turnover for Centene, excluding International (which
	Diversity &				involuntary turnover rate for		represents approximately 20% of the Enterprise): 20.4% in
	Engagement				employees		total, 18.2% voluntary and 2.2% involuntary (excluding
								reductions in force)
				SV-PS-330a.3	Employee engagement as a		86% in Spring 2021 Pulse Survey
						percentage		81% in Fall 2021 Pulse Survey

Centene is in continual dialogue with our employees through "Shaping Centene," a series of ongoing, enterprise- wide employee surveys that seek our employees' sentiment on a variety of topics, including company culture, people leadership effectiveness, and our approach to a diverse, equitable and inclusive workplace. Our company is continually evolving, and acting on feedback from our employees strengthens our culture of engagement and creates an environment where all employees feel valued and heard. Centene's employee engagement survey was administered by Perceptyx. The Engagement Index was calculated based on the responses to four engagement questions from the survey. The numerator is the total count of favorable responses ("Strongly Agree" or "Agree") across all four questions. The denominator is the total count of valid responses across all four questions. Overall engagement represents the percent of responses that were favorable out of all responses received across the four engagement questions.

Additional information regarding our employee engagement survey is available on page 29 of our 2021 C-Index Diversity, Equity & Inclusion report: CenteneC-Index