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Centene faces uncertain future amid federal healthcare cuts

By St. Louis Post-Dispatch  
   July 15, 2025

Government-run health care programs fueled the rise of Centene Corp., but cuts to federal assistance could cause it to slide. Centene has grown to be the largest Medicaid managed care provider in the country. And it’s the largest carrier in the ACA, created by President Barack Obama's signature healthcare law. But now, Centene's focus on Medicaid and the ACA insurance exchange is posing new challenges: The federal government is tightening Medicaid eligibility and cutting subsidies for marketplace health insurance plans. The "One Big Beautiful Bill Act," which President Donald Trump signed into law on July 4, is expected to have a major, largely negative, impact on Centene and other healthcare providers.

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