Business Segments · Premium tax
Medicaid — Premium tax
Centene Medicaid — Premium tax increased by 5.8% to $5.29B in Q1 2026 compared to the prior quarter. Year-over-year, this metric grew by 28.0%, from $4.13B to $5.29B. Over 4 years (FY 2021 to FY 2025), Medicaid — Premium tax shows an upward trend with a 26.1% CAGR.
Analysis
StatementSegment
CategoryEfficiency
SignalContext dependent
VolatilityStable
First reportedQ1 2021
Last reportedQ1 2026
How to read this metric
Increases in premium tax are typically tied to revenue growth, but can impact net margins if not fully recoverable through rate adjustments.
Detailed definition
Taxes levied by state governments on the premiums collected by managed care organizations. These are often pass-through...
Peer comparison
Common in state-regulated insurance markets; often reported as 'Premium Taxes and Fees'.
Metric ID:
cnc_segment_medicaid_premium_taxHistorical Data
20 periods
| Q2 '21 | Q3 '21 | Q4 '21 | Q1 '22 | Q2 '22 | Q3 '22 | Q4 '22 | Q1 '23 | Q2 '23 | Q3 '23 | Q4 '23 | Q1 '24 | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Value | $2.00B | $2.00B | $2.00B | $2.95B | $1.97B | $2.14B | $2.01B | $3.94B | $2.77B | $3.08B | $4.12B | $4.07B | $3.86B | $5.12B | $4.51B | $4.13B | $6.28B | $4.79B | $5.00B | $5.29B |
| QoQ Change | — | +0.0% | +0.0% | +47.7% | -33.4% | +8.7% | -6.1% | +96.1% | -29.6% | +11.0% | +34.0% | -1.3% | -5.1% | +32.6% | -12.0% | -8.4% | +51.9% | -23.6% | +4.3% | +5.8% |
| YoY Change | — | — | — | — | -1.6% | +7.0% | +0.4% | +33.3% | +40.8% | +43.8% | +105.3% | +3.4% | +39.5% | +66.6% | +9.4% | +1.5% | +62.4% | -6.5% | +10.8% | +28.0% |
Range$1.97B – $6.28B
CAGR+22.7%
Avg YoY Growth+27.8%
Median YoY Growth+19.4%
Current Streak2 quarters growth
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Frequently Asked Questions
- What is Centene's medicaid — premium tax?
- Centene (CNC) reported medicaid — premium tax of $5.29B in Q1 2026.
- How has Centene's medicaid — premium tax changed year-over-year?
- Centene's medicaid — premium tax increased by 28.0% year-over-year, from $4.13B to $5.29B.
- What is the long-term trend for Centene's medicaid — premium tax?
- Over 4 years (2021 to 2025), Centene's medicaid — premium tax has grown at a 26.1% compound annual growth rate (CAGR), from $8.00B to $20.20B.
- What does medicaid — premium tax mean?
- Taxes paid to states based on the amount of Medicaid premiums collected.