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🔧 Centene Corporation (Internal Tools)

Centene Corporation (Internal Tools)

Transforming the health of the community, one person at a time.

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Overview

As one of the largest Medicaid managed care providers in the U.S., Centene has developed extensive internal systems and programs to address the social determinants of health of its members. While not a commercial software product, their approach involves proprietary screening tools, data analytics to identify at-risk members, and partnerships with community organizations. They often acquire and integrate technology (like Casenet) to build out their care management platforms.

✨ Key Features

  • Member Screening for Social Needs
  • Data Analytics and Risk Stratification
  • Partnerships with Community-Based Organizations
  • Care Management Platforms (e.g., Casenet)
  • Targeted Intervention Programs

🎯 Key Differentiators

  • Deep focus on government-sponsored healthcare programs (Medicaid)
  • Local approach with health plans in multiple states
  • Significant investment in addressing social barriers to care

Unique Value: Integrates SDOH interventions directly into the core business model of a managed care organization, leveraging its scale and local presence to impact member health.

🎯 Use Cases (3)

Managing the health of Medicaid and Medicare members Connecting members with housing, food, and transportation resources Reducing health disparities within their member populations

✅ Best For

  • Operating large-scale SDOH intervention programs for millions of managed care members.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • A software solution for purchase by external hospitals or clinics

🏆 Alternatives

UnitedHealth Group (Optum) Elevance Health Molina Healthcare

This is an operational model, not a product for sale. The alternative is for a health plan to buy commercial software instead of building or assembling its own solution.

💻 Platforms

Internal Web Platforms

🔌 Integrations

Internal claims and member data systems External community partner networks

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Internal tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ ISO 27001 ✓ SSO

💰 Pricing

Contact for pricing

Free tier: N/A

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