医保巨头Centene第三季度营收506亿美元：上调全年盈利指引，医保优势业务提前一年实现盈亏平衡
美国最大的政府医保管理公司 Centene 于10月27日发布2026年第三季度财报：当季总营收506.47亿美元，同比增长1.9%；公司同时上调全年盈利指引，并表示旗下 Medicare Advantage（医保优势）业务有望在2026年实现盈亏平衡，比原定多年度扭亏计划提前一年。
具体数字方面，第三季度保费与服务收入为451.05亿美元；按美国通用会计准则（GAAP）每股稀释亏损0.14美元，去年同期为每股亏损13.50美元（当时包含67.2亿美元商誉减值）；调整后每股收益0.58美元，高于去年同期的0.50美元。当季归属公司的净亏损为7100万美元，而去年同期净亏损高达66亿美元。医疗赔付率（HBR）为92.7%，其中 Medicaid 业务为93.6%、Medicare 业务为93.8%、商业（含医保市集）业务为89.0%。
Centene 把2026年全年调整后每股收益指引上调0.40美元至「5.20美元以上」，GAAP 每股收益指引升至「3.46美元以上」，全年总营收指引上调至1965亿至2005亿美元。自6月底以来，公司债务减少11亿美元至150亿美元，其中包括10月全额赎回2027年到期高级票据。分业务看，Medicare 保费与服务收入112.63亿美元，同比增长20%；Medicaid 为240.39亿美元，增长4%；商业业务为87亿美元，下降21%。Medicaid 会员数为1190万人，较年初减少5%；公司员工总数53,900人，低于去年同期的60,900人。
Centene 总部位于密苏里州 St. Louis，是全美最大的 Medicaid 管理式医疗公司，并通过 Ambetter 等品牌在联邦医保市集销售个人计划、以 Wellcare 品牌经营 Medicare Advantage。首席执行官 Sarah London 表示，核心业务基本面稳固，公司盈利恢复的速度快于此前预期。（来源：Centene 公司2026年10月27日第三季度财报新闻稿）
Centene Posts $50.6 Billion in Q3 Revenue, Raises 2026 Guidance as Medicare Advantage Reaches Breakeven a Year Early
Centene Corporation, the largest U.S. manager of government-sponsored health plans, reported third-quarter 2026 results on October 27: total revenues of $50.647 billion, up 1.9% year over year. The company raised its full-year earnings guidance and said its Medicare Advantage business is on track to reach breakeven in 2026, one year ahead of its multi-year turnaround plan.
Premium and service revenues were $45.105 billion for the quarter. GAAP diluted loss per share was $0.14, compared with a loss of $13.50 a year earlier, when results included a $6.72 billion goodwill impairment; adjusted diluted earnings per share were $0.58, up from $0.50. The net loss attributable to Centene was $71 million, versus a $6.6 billion loss a year ago. The consolidated health benefits ratio was 92.7%, with Medicaid at 93.6%, Medicare at 93.8%, and Commercial (including Marketplace) at 89.0%.
Centene raised its 2026 adjusted diluted EPS guidance by $0.40 to greater than $5.20 and its GAAP diluted EPS guidance to greater than $3.46, and lifted total revenue guidance to between $196.5 billion and $200.5 billion. Debt fell by $1.1 billion since June 30 to $15.0 billion, including the full redemption of its 2027 senior notes in October. By segment, Medicare premium and service revenues rose 20% to $11.263 billion, Medicaid rose 4% to $24.039 billion, and Commercial fell 21% to $8.7 billion. Medicaid membership stood at 11.9 million, down 5% since the start of the year, and total headcount was 53,900, down from 60,900 a year earlier.
Headquartered in St. Louis, Missouri, Centene is the nation's largest Medicaid managed-care company; it also sells individual Marketplace plans under the Ambetter brand and Medicare Advantage plans under Wellcare. CEO Sarah London said solid underlying fundamentals in the company's core businesses have powered a faster recovery in its earnings trajectory than previously anticipated. (Source: Centene Corporation third-quarter 2026 results release, October 27, 2026)
来源：GSM·美国（原文链接）
图片来源：图：圣路易斯市政厅外景（资料图）。MARELBU 摄，CC BY 3.0，经 Wikimedia Commons。 / St. Louis City Hall (file photo). Photo by MARELBU, CC BY 3.0, via Wikimedia Commons.
GSM Global · 本篇英文版 English edition of this story
