Centene, a major health insurer, recently reported a significant $6.6 billion loss in the third quarter of this year. This loss is attributed to the challenges the company is facing in controlling the rising healthcare costs associated with the government-subsidized health plans it manages and sells.
One of the major factors contributing to Centene’s loss is a $6.7 billion goodwill impairment charge due to a decline in the company’s stock price and the anticipated impact of the One Big Beautiful Bill Act signed into law by President Trump. This legislation is expected to result in significant cuts to Medicaid spending, which will directly affect Centene as it administers Medicaid benefits for over 12 million Americans.
Furthermore, the future outlook for health insurers like Centene appears challenging, as the One Big Beautiful Bill Act is projected to eliminate coverage for nearly 12 million Americans over the next decade, according to data from the Congressional Budget Office. The legislation also introduces more eligibility checks and bureaucratic hurdles, making it more difficult for insurers to retain Medicaid enrollees.
Centene’s financial struggles are also exacerbated by rising costs among its health plan members across all three government-subsidized benefits it manages: Medicaid, Medicare Advantage, and individual coverage under the Affordable Care Act. This has led the company to withdraw its financial guidance for 2025, citing lower-than-expected market growth in more than 20 states.
Despite these challenges, Centene remains optimistic about its future prospects. The company recently reported a net loss of $6.63 billion for the third quarter but issued guidance projecting an adjusted diluted earnings per share of at least $2.00 for the full year 2025. CEO Sarah M. London emphasized the company’s progress and focus on driving margin improvement and delivering outcomes for its members.
In conclusion, Centene’s financial struggles highlight the complex landscape of the healthcare industry, particularly in the face of evolving legislation and rising costs. As the company navigates these challenges, it remains committed to driving long-term success and delivering value to its members.

