Thread regarding Centene Corp. layoffs

Centene’s $448M Quality Improvement Plan: Call Legal

Sue-perstar Sarah™
When you can't earn four stars, subpoena them.

Source: https://www.insurancebusinessmag.com/us/news/risk-compliance-legal/centene-chases-448m-over-star-rating-rules-a-court-already-ki-led-594798.aspx

Only 9% of MA members in four-star-or-better plans for 2027, and Sarah London’s latest turnaround strategy apparently involves suing CMS for $448 million. And the funniest part? Centene might actually win!

But recovering revenue through litigation isn’t operational improvement. Will executive bonuses reflect the difference, or are we putting courtroom victories on the transformation scorecard now? And apparently, the quality improvement team now includes outside counsel.

CMS, we’re all pulling for you, and you have the opportunity to do the funniest thing ever. Stunt on dat ho. 💅

Welcome to Centene: Where apparently even the turnaround needs an attorney.


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| 125 views | | 8 replies (last 1 day ago) | Reply
Post ID: @OP+1m5p0pzk1

8 replies (most recent on top)

@145 Nah,whether you like the guy or not he is far too smart to be that poster.

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Post ID: @2x5+1m5p0pzk1

@145 That weirdo lives for your attention. He also thinks you and other posters and myself are collaborating so uh yeah

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Post ID: @17d+1m5p0pzk1

@13q tell the truth… this is Drew, isn’t it?
😂

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Post ID: @145+1m5p0pzk1

@13b Yes, we can tell from your florid, grandiose stylings. How about putting these on your vision board and leaving us out of it?

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Post ID: @13q+1m5p0pzk1

A little more context and food for thought:

That $448 million is Centene’s estimate of additional 2028 bonus payments and rebate retention if CMS recalculates its stars without 17 disputed measures. It isn’t an award, and as mentioned before, Centene may have a legitimate legal case.

But consider the member side and POV for a moment. “Changing the health of our community” and all that…

CMS’s May 2026 penalty notice found Centene overcharged Medicare members receiving outpatient substance-use treatment. Refunds weren’t ensured until auditors identified the problem several years after members incurred the costs.

CMS also issued separate penalties over members being charged beyond their annual out-of-pocket limits in 2021 and 2022. Those limits are supposed to protect people when their medical bills pile up.

So yes, challenge CMS’s compliance with the rules. But where’s the evidence of Centene holding itself to the same standard?

  • Winning a better rating doesn’t mean a single patient received better care.* And the examples above definitely don’t allude to “one person at a time” as much as they do to the precious margin and EPS KPIs that really seem to matter.

If this lawsuit succeeds, how much of that additional funding will reach members, and most importantly, what measurable improvements will Centene commit to delivering? Will it be fed into the AI operations machine to create more margin or to the needs of the members in providing better care?

Inquiring minds deserve to know…

  • Attention OPS… this post was 100% written by me. Go fish, su---r. 😂
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Post ID: @13b+1m5p0pzk1

Comedic gold
In

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Post ID: @115+1m5p0pzk1

Now this is comedic! The same corporation covering up and engaging im federal crimes suing the government. Oh look stalker got my comment removed. Can promise I'll keep posting.

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Post ID: @114+1m5p0pzk1

“Hi! I’m NoCenteam and I really love the sound of my own voice. I think I’m funny and clever but, well, you’ve seen my material. Mostly because I never stop posting. Thank you for your attention to this matter.”

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Post ID: @d8+1m5p0pzk1

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