Centene profit misses on higher medical costs as healthcare activity rebounds

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[July 27, 2021] (Reuters) -Centene reported a lower-than-expected quarterly profit on Tuesday, hurt in part by normalized medical costs as COVID-19 vaccinations led to a recovery in demand for elective medical care that had been postponed during the height of the pandemic.

Continued uncertainty caused by the emergence of coronavirus variants and new infection outbreaks in parts of the United States with low vaccination rates led rival health insurers, such as UnitedHealth Group Inc and Anthem Inc, to be prudent about their 2021 growth forecasts.

Centene said demand for healthcare services was above normal levels at its Obamacare business that sells health plans on online marketplaces created by the Affordable Care Act, due to pent-up demand from previously postponed services.

"We are monitoring COVID variants closely as the pandemic continues to evolve," Chief Executive Officer Michael Neidorff said.

The insurer's health benefits ratio — the amount it spends on medical claims compared with its income from premiums — worsened to 88.3% in the second quarter from 82.1% a year earlier.

On an adjusted basis, the company earned $1.25 per share, missing estimates of $1.39 per share, according to Refinitiv IBES data.

During the quarter ended June 30, Centene said it recorded a legal settlement expense of about $1.25 billion, or $1.78 per share.

This included nearly $144 million in settlements in June with Ohio and Mississippi, related to claims the company overcharged the states' Medicaid programs for pharmacy benefit management services. (https://reut.rs/3iYvvJw)

Centene raised its 2021 revenue forecast to between $123.3 billion and $125.3 billion, from its previous outlook of $120.1 billion to $122.1 billion.

(Reporting by Manojna Maddipatla in Bengaluru; Editing by Shounak Dasgupta)

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