Thread regarding Centene Corp. layoffs

What They Tell Employees vs. THE TRUTH

Remember what employees were told when this started?

“When our membership shifts, we need to shift our organization accordingly.”

That was the story.

Membership changed. The healthcare environment changed. Centene had to respond. The VSP was presented as part of adapting to those realities and positioning the company for the future.

For the people actually living through it, that meant deciding whether to take a separation package, watching friends and coworkers disappear, wondering whether layoffs were next, and being told over and over about transformation, simplification, and the mission.

It sounded like Centene was reacting to circumstances.

Now listen to the story Sarah London told investors. Centene chose not to “hunker down. Instead, leadership decided to “redesign and transform the company.”

They are asking:

“What are the capabilities that we need and what talent do we need?” And the destination?An “industry-leading cost structure.”

That's not quite the same effin’ story, is it?

One story sounds like: Membership changed, so unfortunately the organization has to change with it.

The other sounds like: We are deliberately redesigning the company, deciding which capabilities and people we need, exiting business that doesn't produce sufficient returns, and engineering a lower cost structure.

And here's what really pi---s me off. While employees were living through all of this uncertainty, Centene's financial condition was improving.

Q2 net earnings: $1.09 BILLION.
Operating cash flow: $3.59 BILLION.
Adjusted EPS guidance: raised to more than $4.80.

Marketplace strategy: margin over membership. Businesses that can't produce sustainable economics? Leave them.

People and capabilities that don't fit the redesigned company? Well, now we know the question leadership says it has been asking.

What happened to our membership?
What talent do we need?
How do we get through this difficult period together?
What capabilities do we need?
How do we protect the people carrying out the mission?
How do we achieve an “industry-leading cost structure”?

And THAT is the part every Centene employee who survived should understand. This wasn't necessarily a storm you survived. It was a company being redesigned around you.

And if reducing the cost structure is part of the strategy, better financial results don't necessarily mean the danger has passed. They may mean the strategy is working.

So when another town hall rolls around and you're told about the mission, transformation, simplification, resilience, or whatever this week's vocabulary is, remember the vocabulary leadership uses when the audience changes.

Employees got the story about circumstances. Investors got the story about strategy. Employees heard why change was necessary. Wall Street heard what Centene was building.

Same CEO.
Same company.
Same transformation.
Very different effin story.

And the people left behind now get to carry that mission with fewer coworkers, less institutional knowledge, more work, and absolutely no reason to believe leadership has finished asking:

“What talent do we need?”

NoCenteam free advice: You’re being fed false truths. Run as fast as you can. There’s life after these charlatans.


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| 14 views | | 12 replies (last 2 days ago) | Reply
Post ID: @OP+1m34r55g0

12 replies (most recent on top)

@ah I am convinced they are about to be acquired by a tech company. I've had this feeling since June.

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Post ID: @et+1m34r55g0

I often wonder how the executives in the health insurance industry sleep at night? When you’re day consists of:
“How can we turn a bigger profit from the tax money that’s supposed to go to the poor starving sick people?”

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Post ID: @ej+1m34r55g0

AI slop mixed with commentary. Not worth reading the blah blah blah the same person keeps posting.

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Post ID: @e3+1m34r55g0

@at

I don't know what you're talking about, and I work very hard to earn my mega million$ every year.

Are you insinuating that there's some sort of funny money happening with my business as usual? Because I assure you, I'm TRANSFORMING and ALIGNING the FUTURE just as dastardly I mean EFFECTIVELY and EFFICIENTLY as I can!

  • So* busy every day, and I'm only ONE PERSON, and let me tell you: full foil highlights and top quality puffer vests are NOT CHEAP! These things cost MONEY, and so what if my yearly compensation and bonus is 400 times what your salary is, I'M WORTH IT!

::::::popsopenmorningDomchampersforendlessmimosainthestanley:::::::::

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Post ID: @bc+1m34r55g0

@av And I don’t mean lock her up in a cushy United States prison but rather in a prison in either Syria, North Korea, Venezuela, or El Salvador.

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Post ID: @ay+1m34r55g0

As Centene we run a simi-legal insurance racket hoovering up trillions in government dollars that is supposed to go toward people’s health care. Did you think they would be ethical or have any integrity toward their employees or comments to the media?

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Post ID: @ax+1m34r55g0

@at You’ve convinced me; lock her up!

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Post ID: @av+1m34r55g0

We need to look at the whole picture. (Where do we fit in to this?) Our Current CEO has not been criminally indicted, charged, or convicted of any crimes from a legal standpoint, However, as the Chief Executive Officer of Centene Corporation, she faces intense scrutiny and public criticism for her role in leading a company plagued by systemic legal issues, shareholder lawsuits, and fraud allegations.
Since taking over as CEO following Michael Neidorff’s departure in 2022, London has inherited and managed a variety of severe regulatory and corporate controversies:

  1. Overseeing a History of Massive Settlements
    While London wasn't at the helm when many of the initial pharmacy benefit manager (PBM) overbilling practices began, she took over as Centene was finalizing more than $1.25 billion in settlements across dozens of states to resolve Medicaid fraud allegations. Critics argue that accepting a leadership position at a company built on these practices—and continuing to protect its market dominance—makes top executives complicit in the corporate culture.

  2. Ongoing State Investigations and Civil Suits
    Under London's tenure, Centene's legal challenges have continued to evolve:
    • The California Investigation: In 2022, shortly after she took over, health officials in California launched an investigation into Centene regarding pharmacy benefits related to its acquisition of Magellan Health.

• Shareholder Lawsuits: London and other top executives were named in a high-profile shareholder class-action lawsuit. The lawsuit accused Centene's corporate leaders of overhyping their profit outlook before abruptly withdrawing guidance, causing the stock to tank more than 40% and severely harming the company's financial reputation.

• Congressional Scrutiny: In 2026, the U.S. House Committee on the Judiciary sent an inquiry to London regarding investigations into Affordable Care Act marketplace subsidies and premium tax credit structures.

  1. Political Contributions Amid Scandals
    Like her predecessor, London has been criticized for using massive corporate and personal campaign donations to smooth over relations with regulators. For instance, reports highlighted thousands of dollars in campaign contributions flowing to state attorneys general and governors at the exact same time Centene was negotiating massive overbilling settlements or contract renewals in those states.
    Ultimately, while the legal distinction protects Sarah London from being labeled a criminal in court, critics view her as a continuation of a corporate playbook that prioritizes multi-billion-dollar government payouts and political insulation over the genuine welfare of the low-income families Medicaid is meant to serve.
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Post ID: @at+1m34r55g0

Everything is changing. More RIFs and all PHCO is moving to new VPs next month. Announcements have been trickling out this week. No more job security for UM.

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Post ID: @am+1m34r55g0

@a5 I have wondered about acquisition..

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Post ID: @ah+1m34r55g0

Centene is being setup to get bough out by Humana. They are in talks as I type this. Their major footprint is Medicare. Centene has a very small Medicare footprint, but a very large Medicaid footprint. Meaning, Centene needs to adjust their business model in order to stay in business. All Centene’s eggs are in one basket, and there’s no diversification in their portfolio. They can’t compete against UHG or Elevance, without increasing their membership portfolio. Therefore, the only option, merge or get bought out. It’s gonna happen…Just watch!

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Post ID: @a5+1m34r55g0

I agree. All of these CEOs, for Centene, Humana, Cigna, Elevance, and United should be FIRED and probably replaced with AI.

In fact, the entire C-Suite for these five corporations should be fired and replaced with AI.

Not only could AI do their jobs BETTER but think of all the MILLIONS of dollars saved if AI did their jobs and, in turn, all the GOOD that could be done with that money for both members AND employees.

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Post ID: @a3+1m34r55g0

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