cj major centene
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In our exchange product, following a strong open enrollment, we end the quarter at over 2 million members. We are pleased with both our member retention and our new member enrollments. As I discussed at the fourth quarter call, we introduced three new product offerings for the exchange in These products designed to meet the evolving needs of our members, have performed in line with our expectations, serving as both a tool for our member retention and attraction as a means to provide member engagement and manage utilization.

In Medicare, we ended the quarter following annual enrollment with more than 1. As we continue into and beyond, we see significant opportunity in Medicare. Our focus continued to be margin enhancement through clinic clinical initiatives, network expansion and value-based contracting. Overall, is off to a solid start across all three core products. Thank you, Brent. Total membership increased to This was largely due to four states providing lump sums for us to pass through to providers.

The remainder of premium and service revenue outperformance was strong continued Medicare and Medicaid growth. Our Q1 consolidated HBR was Medicaid at All right, back to the Q1 HBR. Our commercial business improved basis points year-over-year reflecting pricing discipline and making progress towards the annual goal we laid out at Investor Day. The inclusion of Magellan and Circle each increased the year-over-year ratio by approximately 20 basis points and 15 basis points respectively.

Our goal continues to be to build cash at parent beginning in the back half of for share buybacks and debt paydown. This corresponds with the timing of the majority of our health plan dividends. Our debt-to-cap ratio was down slightly at However, we do have a quarter of actuals under our belt, and we all know that the PHE has been pushed out to July, and therefore, redeterminations would start after that.

Jim Murray and the team are making operational decisions and changes that are focused on long-term durability of operating excellence. And now better late than never, STARS is a Tier 1 initiative of the value creation office with new investments being made in member engagement, value-based contracting, operational functions and clinical initiatives. Given the STAR calendar, it will take a couple of years for our investments to show up in STAR scores that come out in late , which will drive revenue.

In the meantime, as we said in multiple venues, the STAR scores that come out in late that drive revenue will show a meaningful drop due to the sunsetting of the COVID era disaster relief provisions and our immature operations during these past measurement periods.

On other value creation initiatives, we look forward to giving you more details at the June Investor Day, but let me give you a teaser on one that Sarah mentioned.

While we are still finalizing the details, we expect to reduce over half of our domestic leased real estate footprint.

Though there will be a one-time cost to this, which we will frame for you in Q2, the run rate benefit will be a nice contributor to our value creation goals. More to come in June. In summary, the business is performing well while we are focused on, enthusiastic about and investing in the future. Thank you.

We will now begin the question-and-answer session. Please go ahead. Good morning. And Sarah, congrats on the new role. Wanted to ask a couple of things. Can you tell us how those numbers kind of shake out versus your expectations? I know you expected the exchanges to get basis points better. I think you talked about Medicaid being at least year-over-year, Medicaid, probably up more than basis points year-over-year. So just kind of curious how those came out versus your expectations?

And then secondly, on the Medicaid side, how are the discussions going with states on the rate setting process for next year? Do you still expect them to kind of let these MLR floors absorb whatever upside there might be or do you think the states are looking to come after the lower utilization potentially be at lower rates?

Thanks, Justin. Yeah, so going ripping through the HBRs by our lines of business, Medicaid was right on track in the quarter. And we sort of expect that to tick up during the year and then the fourth quarter to come down a little bit. On our commercial business, we expect about basis points year-over-year improvement. We got basis points in the first quarter.

Last Q2 was pretty ugly for commercial. We had to collapse six of our products down to three. And after a few years, you have to get down to the three products, and we had great retention based on some programs that were implemented. So not just an HBR benefit, but also really good retention performance on that business. And ladies and gentlemen, our next question today comes from John [Phonetic] Raskin of Nephron Research.

Hi, good morning. Close enough. And how are you thinking about sort of network development? And specifically curious about potential impacts from providers that are seeing pressure on labor cost inflation? And then maybe any specifics around the changes with respect to value-based care in and beyond? Yeah, thanks. The fact that our rates are contracted creates a buffer on that, but obviously aware of the potential future impacts.

Medicaid though is really discussions as we moved into the pandemic and now coming out of the pandemic have allowed us to really be a very high percentage for the Medicaid product. And ladies and gentlemen, our next question today comes from Scott Fidel with Stephens. Hi, thanks. And then on the question, I was hoping maybe you can give us a little more insight just to some of the policy dynamics that are playing out here around the exchange market?

And Brent, I know that you had touched on one of those with the administration looking to try to address the family glitch. Scott, thanks for your comments and for the question. So the enhanced APTCs are currently scheduled to expire at the end of this year.

That said, there is broad democratic support for the program. And so one example of that would be a slimmed-down Build Back Better. And the prevailing view is that the enhanced APTCs being extended out to , as well as drug pricing reform would be the most likely healthcare candidates for inclusion in a bill like that. So watching that certainly very closely over the coming months here. There are other legislative and policy options that are available to mitigate the impact.

I will turn it over to Kevin Counihan, who is on the phone to talk a little bit more about the family glitch and how we see that as an opportunity for Ambetter product, but also some of the hurdles that we would need to overcome in order to make that as actionable as possible. So much of healthcare policy is about should be about simplicity and making things easier and simpler for individuals and families to access affordable coverage.

I was hoping you could help us think about the headwinds from the drop expected drop in STAR revenues going into and how you may have anticipated and incorporated that into your bid for ?

So those sunset as we go into And our jobs as managers, not victims, is to execute and pull levers, and the value creation plan is designed just to do that.

Matt, I was just going to add a little bit more detail on, and Drew touched on this in his comments. But sort of as we look forward, right, because it is a multi-year effort, our ability to focus on it and make it a Tier 1 initiative right now is very important to making that sort of meaningful rebound.

Hi, this is Adam Ron on for Kevin. It seems like you were largely able to improve your exchange margins and hit the enrollment targets that you outlined.

I think some companies are figuring out that this at the core is an insurance business. We powered through that competition. We welcome competition. And Brent, maybe a couple of new products that helped us diversify our portfolio. I mean, we actually raised our premium.

We increased it, but yet we were still able to grow and be successful in our markets from the standpoint. And some of that has to do with the new products that we developed. One of the products was more of a clinic focused in South Florida and in Texas and also more of a tailored network approach we use and that helped us retain members.

So retained growth and being able to very much bring new product that really helped us retain and keep our membership and actually grow even if we raise premiums.

Hey, good morning. Just a two-part question. The commercial HBR seasonality was so unusual last year. Second part of the question was just we read so much noise about the California PBM implementation with Magellan having gone poorly initially.

Let me hit the mechanical question first. Last year, we sort of whipsawed quarter-to-quarter in our commercial performance.

And then on the Magellan front, I would say the team out there worked very, very closely with the state in those early days of go-live and has been performing very, very well since mid to late February. There are zero backlog in authorizations, and I think has built a really positive relationship with the state through that collaboration. Relative to the RFP, California is a very important state for us, and we have throughout the Magellan acquisition process, throughout the Rx go-live and throughout our bid process have been very focused on making sure that we are aligned with the state and meeting their expectations and looking to exceed their expectations.

So there were challenges out of the gate, but I think the team recovered incredibly well. And we have a lot of preparation for this RFP. Sarah, I wanted to follow up on some of your comments on the value creation plan to start.

You mentioned putting the pharmacy RFP out. Thanks for the question. The key criteria are obviously going to be quality and performance, transparency is incredibly important and then also feeling that like we have a very close partner. And so economics are incredibly important, probably first, second and third, but then also making sure that as we deliver a member and provider experience that we have a very responsive partner that is as focused on quality as we are.

So pretty pleased with the level of engagement so far. And so making sure that we are growing from the strength of the core business lines and looking at obvious adjacencies and then making sure that we are operating at a high level of excellence on an ongoing basis because we believe that will build the trusted relationships and through that local approach can give us a differentiated strategy for growth.

So more to come in June on that. And ladies and gentlemen, our next question comes from A. Rice at Credit Suisse. Hi, everybody. Just wanted to follow up, first, a clarification on comments Sarah made about the Medicare bid strategy.

I wonder if you would still say that, that would be the case? And then a more broad question, you referenced in the release that Medicaid utilization is seems to be returning to somewhat normalcy. I wonder where are you at relative to a pre-pandemic level or a baseline level on Medicaid at this point.

And if you want to make any comments on Medicare and the Marketplace as well on that, that would be great? Thanks, A. I will just clarify relative to Medicare, the focus is absolutely on margin, still preserving slight growth, but really starting to turn the dial on margin expansion. Drew, do you want to talk about utilization? Yeah, sure. Let me give you a couple of examples.

Like pediatric physicals and preventative, that snapped back pretty quickly, which is a good thing in But the adult visits are still lagging a little bit, and then ER has come back for all business lines, except for non-emergent in ER visits in Medicaid. And our next question today comes from Michael Ha with Morgan Stanley.

Thank you, guys. And my condolences as well to Michael and the Centene team. So my question two-part question on Medicaid pipeline. First, with the number of upcoming RFPs, I was wondering if you could highlight which near-term opportunities are top of mind of Centene? And then second part question to Sarah, and firstly, congrats on the appointment.

I know Michael has been speaking about Centene as more than just a health plan for so long [Phonetic], and with your extensive background in healthcare tech really looking forward to seeing you usher the Company forward. Clearly, the pandemic slowed down reprocurements in and We try to run the very best health plans each and every day and respond to win these RFPs. But we also see a lot of new opportunities. And ladies and gentlemen, our next question today comes from George Hill with Deutsche Bank.

Good morning, and thanks for taking the question. And is it, like is it going to what I would call the usual suspects? And I mean each of the parties has their own unique opportunities to impress us. The company denies any liability and says the settlement does not indicate an admission of fault in the accusations.

The enormity of the grant stems from an add-on to a state program that was originally designed to bring companies to poorer areas of the state. Apple received the most recent one. We need to make sure that Michael gets the well-trained, skilled workforce that he needs to do the job.

Centene is a Fortune company, and its billion-dollar hub project drew incentive offers from states across the country. After weighing the offered packages, Centene selected North Carolina for the hub, promising more than 6, high-paying jobs for Charlotte over the next 12 years.

The company says that the lawsuits and subsequent settlements with Ohio and Mississippi stem from services provided by Envolve Pharmacy Solutions Inc. Centene says that they have improved transparency to eliminate spread pricing. Importantly, putting these issues behind us allows us to continue our relentless focus on delivering high-quality outcomes to our members.

The Centene dedication ceremony happened the same day the N. Senate released its state budget proposal with tax cuts in it. It limits spending to a 3.

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If you have 12 or more college credits, you'll need to submit a college transcript with a cumulative GPA of 2. If you're attending a community college or a traditional four-year college or university, you may need to submit ACT or SAT test scores. To get into a bachelor's degree program after graduating high school, you'll need to complete a college application and submit official transcripts to the institution.

If you have 12 or more college credits, you'll be required to submit your college transcripts. The minimum GPA varies according to the program. While some require a minimum GPA of 2. You can strengthen your application to a bachelor's program by:. For acceptance into a master's degree program, you'll need to submit a completed application and official transcripts from a college or university. Most programs require a GPA of 3. Additional requirements usually include:.

If you're passionate about public protection or equal justice under the law, then you may be a good candidate for a criminal justice degree. This degree offers a wide array of interesting coursework, some of which cross over into other disciplines like sociology and political science.

Here are just a few common criminal justice degree courses:. American Political System: Topics in this course include the rights and responsibilities of citizens, problems and solutions common in the criminal justice system, and the role of public and private organizations in crime prevention.

Courts and Social Policy: In this course, you can explore the ways the court system shapes public policy as well as how social factors influence the decision making process of judges. Criminology: This course examines the causes and effects of criminal behavior, including social structures and aberrant behavior. Fundamentals of Civil Liberties: In this course, you have an opportunity to examine in depth the rights granted to American citizens through the U. Constitution and how they fit within the criminal justice system.

Philosophy of Punishment: This course explores contemporary theories about the role and value of punishment, how they compare to current and historical practice, and their effectiveness. Theories of Criminal Behavior: In this course, you can investigate theories about criminal behavior placed in their historical and social contexts. When selecting your course of study, you may find it helpful to compare some of these majors to find the one that's the right fit for you.

Check out some examples of popular criminal justice majors and the topics you'll encounter in their curriculum. Criminology focuses on the ways criminals behave, why they engage in crime, and how the criminal justice system responds to it.

This major draws from social sciences and behavioral sciences. By earning this degree, you may deepen your understanding of criminal procedure, law and society, policing in America, theories of criminology, and victimology.

As a forensic science major, you'll have opportunities to examine how to use science to help solve crimes. Coursework for the major typically includes more science courses like chemistry and biology and how they apply to investigations. Broad topics within this field include computer forensics, crime scene investigation procedures, and cybersecurity.

Students who pursue this major typically have an interest in a career as a police officer or law enforcement official. The courses you take give you a closer look at the work they do, including crime scene investigation, report writing, and department budgeting.

You also may study kinesiology, psychology, and communication as part of the curriculum. Sociology can be an interesting major if you're interested in a role in rehabilitation services or social work, which typically requires working with people who have committed crimes.

One option is to earn an associate degree in criminal justice followed by a bachelor's degree in sociology. This can let you explore topics like gender, marriage and family, social inequality, crime, and race relations.

A criminal justice degree offers several advantages, including the variety of subjects you study and new skills you're able to learn. Coursework typically includes fascinating subjects like information technology, law, and psychology that apply to multiple disciplines and help you gain a deeper understanding of the way the world works.

You also may be able to pick up new skills that translate across many circles, including:. You may choose the direct route and apply these skills to jobs within the criminal justice system. However, you're not limited to working in law enforcement or the court system.

The knowledge and skills you can acquire through criminal justice coursework can be useful in other areas. With a criminal justice degree, jobs are plentiful. This field offers a variety of rewarding job opportunities in law enforcement, corrections, or the court system.

And you can work in the public or private sector. As a police officer, you'll protect members of your community by enforcing local, state, and federal laws. In the course of your work, you'll have many different duties. Some of these duties include:. To become a police officer, you typically need to have a high school diploma or the equivalent.

You'll also need to pass written and physical examinations and enroll in a police academy for 12 to 14 weeks. Law enforcement officers at the state and federal levels usually have a college degree as well. If you're interested in an exciting private-sector job, you might become a private investigator PI.

As a PI, you may help law enforcement officers solve cases or investigate cases yourself. Attorneys, businesses, and private citizens hire PIs to look into financial, legal, criminal, personal, or missing person cases. Some of your daily tasks as a PI might include:. To get a job working with a private investigation agency, you may want to earn at least an associate's degree in criminal justice or a related field.

Some firms also hire former police officers. To work as a PI, you may need to get licensed by the state where you plan to work and make sure you meet the requirements. As a detective, you may help solve serious crimes like assault, robbery, homicide, or drug offenses.

To do this, you can use your knowledge to ensure investigations are conducted legally and perform an array of investigative tasks. These include:. Educational requirements for detectives differ from department to department. While some departments require special training at the police academy, others require a bachelor's degree in criminal justice or a related field.

Most police departments also require detectives to have some experience working as a police officer. If you like the idea of using your knowledge to understand criminals and their reasons for committing crimes, you might enjoy a career as a forensic psychologist. An intensive analysis of selected problems in institutional and community corrections. An intensive analysis of selected problems in American law enforcement and police-community relations.

A major research paper is required. The methods through which organized crime influences and, in many instances, controls entire communities. Traditional types of crime heavily influenced by organized crime, such as loan sharking and gambling, will be analyzed in an effort to demonstrate the basis of power and wealth of organized crime in the United States. CJ Criminal Procedure. A study of the basic constitutional rights associated with the investigation, prosecution, and trial of criminal cases, and how the U.

Supreme Court and other appellate courts have interpreted those rights. The course focuses on law enforcement practices including arrests, lineups, interrogations, searches and seizures, and in court processes including pre-trial proceedings, trial, and sentencing. CJ Gangs. This course will offer an in-depth study of gangs in the United States. Topics to be examined include various theories of gang formation, group dynamics, and individual factors associated with gang membership.

Attention will also be given to the different types of gangs that exist. Given these dynamics, the final portion of the course will focus on prevention and intervention efforts aimed at reducing gang behavior. CJ Capital Punishment. This course focuses on capital punishment law, particularly United States Supreme Court decisions addressing constitutional issues relevant to the death penalty.

Students also will explore empirical, penological, political, and moral issues related to the death penalty and its administration. An examination of the issues of race and ethnicity which continue to affect all aspects of criminal justice in America.

Whether as offenders, victims, or as persons working or seeking to work within the system, African Americans, Hispanics, and other minorities are treated differently than non-minorities.

This course explores the core concepts of race and ethnicity as they have developed in our culture and examines the evidence for and against various forms of racism and discrimination in key institutions of the criminal justice system. The nature and status of constitutional, statutory, and other remedies are also explored.

CJ Crime and the Media. The course will deal with issues related to the mass media and crime in society. The increasing importance of the mass media in shaping peoples perception of attitudes toward the criminal justice system will be focused on. Other topics will include the media as a cause and cure for crime, biases in the media coverage, the effects of the media on criminal proceedings and crime on television and in films. CJ Violent Crime. This course focuses on the study of violence and crime in America through exploring historical perspectives, examining diverse acts of violence, assessing relevant criminology theory regarding the genesis of violent behavior, considering media coverage, and reviewing trends in national and international data on violence.

Specific violent crimes such as homicide, family violence, sexual assault, workplace violence, youth violence, and serial crimes will be surveyed. Acts of official violence, such as capital punishment and police brutality, will also be examined along with their impact on society.

CJ Terrorism. This course will explore the development of terrorism as a form of crime. Topics to be studied include major terrorist groups and their strategies, tactics and targets, jurisdictional issues, anti- and counter-terrorist operations, federal law enforcement, and future trends in terrorism.

CJ Drugs, Crime and Society. This course will present an overview of the problems of drug-related crime in contemporary society. Specific drug substances are discussed, as well as legal, cultural, and social factors in connection with drug law enforcement. Increasingly, practitioners in the American criminal justice systems are required to interact with their counterparts, as well as citizens from other national jurisdictions.

Effective interaction, including cooperation and sharing, requires some understanding of how criminal justice is conceived and practiced in other parts of the world. This course examines and compares key institutions of the criminal justice systems in six model countries, two in Europe, two in Asia, one Islamic nation, and one from Latin America. We look not only at formal organizations in each country, but also at actual practices and how they compare with each other and the United States.

To understand how differences and similarities have developed, we also learn something of the history, culture, political system and economic conditions of each model country. CJ Criminal Justice Ethics. This course investigates the application of moral logic to problems in the field of criminal justice. Issues related to policing, criminal prosecution, and corrections will be studied.

Students will be encouraged to induce general moral precepts and rules from the examination of particular situations and problems. CJ Issues in Contemporary Security. An overview of security systems applicable to contemporary industrial and commercial demands. Losses through physical, technological, and personnel hazards are viewed as preventable phenomena if vulnerabilities are recognized and ameliorative measures taken.

Counter-measures will be weighed within the framework of loss criticality and cost of effectiveness. An in-depth study of a limited or specialized area within the criminal justice field. Course content will vary according to the area of specialization of the instructor and the interest of the students. May be repeated if course content differs. CJ Principles of Investigation.

This course provides students with a theoretical framework for the practice of investigation in both the private and public sectors. Various techniques and protocols for investigation will be explored including infractions and ethics investigations and background investigations. Students will link these methods to the collection of physical evidence, interpretation and preservation of data, rules of evidence, techniques of documentation, along with interview and interrogation approaches.

CJ International Criminal Justice. This course examines crime and the criminal justice system at the international level. This course mainly explores international aspects of crime, international and transnational crime, international criminal justice systems, including the United Nations, INTERPOL, the International Criminal Courts, and the international criminal justice statistics.

This course provides students with an applied understanding of counseling skills, techniques, and strategies in addiction treatment. The psychology of addictions and various treatment modalities are discussed. Engagement, assessment, treatment planning, brief and ongoing treatment, continuing care, and work with special populations are considered. Dialectical behavior therapy, cognitive-behavioral, mindfulness practice techniques, and motivational interviewing concepts are introduced, and students apply them in role-playing scenarios.

Boundaries, ethics, and counselor self-awareness are also covered. CJ Program Evaluation. This course will explore the process by which we, in a practical sense, are able to provide useful information and analysis on policy and programs within a given set of real-world constraints.

The class contains a service-learning component in which the student will perform a program evaluation on behalf of a community social service agency.

This course provides an overview of how public policy shapes and influences the criminal justice system through the examination of various political, economic, legal, and social contexts. Current issues facing criminal justice policy makers are explored and various policy evaluation methodologies are reviewed. Additionally, reforms of the political process are discussed with respect to critical issues facing the criminal justice system in contemporary America.

CJ Strategic Planning. This course is designed to acquaint students with general theories of planned change at the individual, organizational, and community levels.

Special attention will be given to the need for employee involvement and collaboration in working toward organizational goals, with reference to concepts such as reinventing government and total quality management. The emphasis will be on applied theory.

Students will be expected to develop their own ideas for change in the fields of policing, courts, or corrections. They would then be required to consider the resistances that would likely arise as their changes are introduced, and how they should best be dealt with, considering planned change theories from the course. CJ Criminal Justice Internship. Criminal Justice internship involves student field-based work experience within selected agencies of the criminal justice system or allied helping agencies.

This course is designed to provide students with an opportunity to translate theoretically oriented classroom principles into practical application. Meet all Criminal Justice faculty. Stephen A. Morreale Professor of Criminal Justice. Read Bio. Aimee Delaney Associate Professor. Take the next step.