Ed. you, XXXX quarter call. Centene's thank fourth morning, joining for you full-year Thank earnings Good and and everyone,
of we and will discuss and course provide morning's XXXX and on markets this financial the full-year During fourth-quarter call, updates our Centene's products. results
will Fidelis and regulatory and We the of environment. up-to-date legislative you also bring integration on the
that Medicaid comes First, leads me hopeful dialogue on healthcare than legal debate. repeal environment. provide let to the greater clear It the legislation, governors from commentary Medicaid needed managed to supported during and we the is services healthcare are and numerous government it when provide care parties regulatory a constructive more from replace and parties divided policy. ever. We're both both Clearly, strongly
ballot It Idaho, there high be continues initiative Nebraska affordable, by have appears healthcare marketplace the coverage. We recent most and also to passing quality consistent for Utah, expansion. Medicaid also from seen recently enrollment figures demand
annual a regulatory allowing proposed As payment product predictability. is guidance for marketplace. notices payment regulatory the we the The CMS's greater stable and maintaining XXXX goal of stated in environment CMS support financial for notice,
on with efforts operating local providers healthcare. to citizens the all with well strong regulators. relationships sure model flexibility making working have where of the have This waivers. in states support affordable with give look the continued XX.XX who we works their frontlines greater We Importantly, to XX.XX, a our to forward access administration's we by high-quality states and are
X.X million The improved earnings. growth XXXX, $XX.X year the of operations by we to XXX X.Xx we for flows of capped I'd like net adjusted members, off reported XXXX mark. the and strong XXXX. surpassing $X.XX. net In this margin to another recap million HBR strong Next, by XX% income Cash XX was results by Centene's robust added remain to basis X.X%. accomplishment Centene, to The from adjusted XX.X%. highlights points EPS revenues fourth-quarter to We XX at improved year-over-year and billion XX% basis grew points morning.
year, our the usual we business as approach. stuck During to
legal been We not distracted headlines. have by ACA
it agree reverse. we with As the all legal will experts, be
our rate Also win of there Arizona, improved management markets by is possible to in traction remind successfully successfully contracts new In we Iowa. markets. ahead New industry-leading and noted. year-over-year, AC you, Medicaid to Mexico exchange two won XX%. six efforts entered insurance reprocured Medicaid, and While and to leader Please the in Kansas initiatives new note, like expanded We initial with and RFPs expectations. have exchanges, in about the our In remains Centene individuals network Ambetter this Washington has increased an in members Florida, been chatter I the and card our XX% an medical drive the exchange to our or HBR in X.X previously coverage. approximately Medicaid in continue gain comprehensive three marketplace. Overall, disruption XXXX existing remain XXX,XXX and million. membership XXXX, I help contracts
organic year. closed is acquisition of Fidelis, the it XXXX, M&A engaged and only the In of counties New York. our in strong in health XX investments we growth, strategic addition, all statewide we In throughout plan the
year, our York with integrating the into We're going. New health the we pleased enterprise. integration is how plan, Fidelis, began During very our now
accretion the in single-digit and mid-teens to accretion XX full-year accretion EPS second close. without all our the track first targets. close in moved on percentage the we EPS Centene's the to X, in We transaction. close Fidelis percentage incident. since Fidelis following day been ledger to January high anticipate following general systems adjusted the the we to synergy adjusted achieve HR employees to We remain low also on has the months example, on For
in and anticipating are generally On net pre-tax billion $XX XX net run expect million in a to and in add synergies. we rate synergies also in in pre-tax over EBITDA, net revenue year months, We million $XXX $XXX $XX synergies approximately million including close first adjusted in following the Fidelis approximately basis, the total two.
we MHM joint our to Services MHS the in venture In other Centurion. correctional partner Provider a completed in and previously Fidelis, Healthcare to of Staffing was acquisition government addition systems and National agencies.
XX We are services providing states now with XX correctional contracts. in
also of has -- for clinics completed social in leading focused We on our as data the acquisition in well CMG income Group analytics. provider Interpreta, CMG, as increased and Group, in Miami-Dade, a real-time Community technology Florida. an primary risk focus a clinical on the at genomic expertise Community that We XX with Medical company care beneficiaries low determinants. ownership
with We lower costs is more is ownership in investment a quality for shift total RxAdvance management pharmacy an XX%. transparent higher a now and Our consumers. benefits made model, that platform. sustainable support towards We technology-based PBM
we in advocating year, pricing to purchased healthcare. a successful past in public-private addition the This standard an Ribera important University for in model, Over of partnerships Torreon, Centene -- for versus lastly, have Hospital Salud which the is Madrid. stake been our net rebate. sets Last controlling
point, final of Centene transformative we a key enhance As introduced program parts to a Forward, our enterprise.
to long-term capital technologies is Rather that line effort better period. Centene growth, and savings savings to is for short-term a increased We reinvest to XXXX. a Forward this It generating in note additional that and to go margin profitability. effort to $XXX multiyear million into self in to expect have it capabilities important the Centene up is immediately over realize position not a bottom
Moving on to market product updates.
providing Medicaid to In, reprocurement, we We're Florida. discuss as First, all in and we XX a regions. now state's part the physical successful December of continue healthcare will activity. behavioral services statewide program. Medicaid
its Medicaid state. plan geographic in X, renewed On serve Kansas. was large our membership the a this providing -- an care revenue health currently contract. January previous This and recipients footprint Importantly, program. our Kansas our state's continue successful services managed from contract of existing the results XXX,XXX additional reprocurement that previous for approximately We in contracts. to
January, beneficiaries over is recipients Southeast In the enrolled care Centene over We serve progressing program. serving in in Mexico. Mexico's currently January long-term XX,XXX state. of Pennsylvania's XX,XXX began in care enrolled long-term zone. XXXX. month early a the zone now program We approximately managed the we launched The serving still in New XX,XXX members Southwest as We process. expected. Pennsylvania. Last in began members, in New have while Medicaid launch
third and implemented will final of by zone XXXX. The be January
North reinforces long-term our Our this national care. leadership measure participation program Carolina. in position in
pleased managed are among care largest regions state. regions These in to the two selected We two in the Carolina program. are Medicaid North in the be
Carolina result in is will RFP. joint the state. health Our better The Complete to XXXX. in [ph] Health only for at This venture the provider a set contract members commence sponsored for outcomes winner the February X, is cost lower
first will more our fully we provide state was on want our innovative in earnings do Carolina. yesterday, details however, North that As to call. only understand providers did not highlight, the believe I quarter that with we approach this awarded
to proving Medical will be right market. with in partnership our and believe FQHCs, we the Carolina for model that we the Society North the However, success
entity partner the we believer quality, program. a best We for growth state in its expect are led Medicaid provider has and approach in the to the be and
We are helping and how this appeal what we innovative currently model understand manage an quality. means, them considering and can to costs improve help in
County -- in in provide This comprehensive operating in additional began facilities. Centurion healthcare contract December, Volusia December a of Next, an detainees Centurion. average Detention covers X,XXX contract, new Florida under services. new an
contract, new of addition is in the Centurion With statewide now this Florida.
was inmates healthcare to in X,XXX. intent providing In the is population Arizona Metropolitan state's healthcare In in the to prison the wider Arizona. an to population provide by of system. XXXX. to detainee services the healthcare July range XX,XXX. Centurion services award is an providing late a Center begin Centurion comprehensive The of Mexico. began to provide Centurion in average approximately a to notified services will Under daily housed of its of February, agreement, of services in Albuquerque. expected contract to contract healthcare New Centurion January Detention detainees of State average
marketplace. insurance health Now
in Our exchange marketplace At we in approximately XXXX, business million states. members perform continue to fourth year-end X.X well served quarter. XX the
and while that discipline. achieved affordable almost a our in to focus We new quality grew Ambetter national XX% the healthcare national maintaining providing pricing products XX% approximately successful our XXXX. high For in led began XXXX, We In market market continued enrollment. now states shrunk X%. has this offering share. four approximately open on very exchange
most XXX,XXX is We our six estimate members. well across Ambetter existing footprint of in as January, paid increase recent XX,XXX as increase of members also members XX to Fidelis of state. we ahead This our In X XXX,XXX Ambetter XXX,XXX. legacy of XXX,XXX almost million expanded a well The represents had year-over-year states. our
As XXX. key December XX,XXX demographics with consistent you members we the our on these on made we December comments provided Day. remain Investor Day the of to was recall, initial estimate The XXX, Investor
Excluding subsidiaries. are other XX% consistent are with demographics Fidelis, Middle and prior tier years. eligible approximately for
rate XX%. retention maintained Our at is
industry to operations year another We of leading expect in have marketplace our strong business.
have expanded MMP On and or represents XXXX. served growth approximately XX%. Medicare the XX geographic growth year-over-year our we beneficiaries. and our Medicare. XXX,XXX we XX,XXX with At in approximately This of states footprint strategy, Consistent in are year-end,
continue to our targeted approach business. We take growing to Medicare Advantage
XXXX, we Investor the stability with came on that ROE. commented Day, December price we margin recognizing As headwinds lowest in for
expect As is first star four a to approximately quarter XXXX rating. get reminder, due of to MA This its we repositioning to a members. decrease membership back Fidelis XX,XXX by
expect We XXXX flat continue compared XXXX. to and to membership MA revenue grew
return year. to MA will for parent plan star four XXXX a We the rating
this you, joint will with rate the including how impact a remind fast, enhancement gears efforts allow other with beyond. expect have We positive on This in announced venture one our XXXX I growth accelerate well grows. to is plans, how new to Ascension outlook. Shifting in us but should MA not along Healthcare. we product it and multiple
rate increase composite XXXX, For Medicaid X%. was our
are composite be last Medicare our XXXX. rate week. expectations. We XXXX issued And of rates increase notice the line advantage expecting advance CMS to preliminary in in with Separately, appear X.X% a Medicaid
medical another with consistent continue cost as trends, to single the including in In successful see overall year Centene. low our flu well XXXX was digits. for stable as We conclusion, expectations anticipate
growth results beyond. for Our strong and XXXX momentum XXXX reaffirmed our
focused is robust remain on margin expansion. Our pipeline growth opportunities of we and
acquisition raising Arizona our higher the reflect Madrid with to Hospital. Centurion open marketplace, guidance -- for win XXXX expected Madrid and of are the the We than a in in enrollment win
tomorrow, enhances split to shareholders Jeff, over cap stock would remind liquidity like you approved will to call X, distributed approval for stock the line split growth. as February with the be turn I that -- in I Centene's two-for-one market Before
size. as our Jeff it float fourth your XXXX guidance. and details full-year enterprise you in financial now interest moves Centene. Importantly, quarter to well you level for as increased results on further XXXX of our a our Jeff? appropriate for will provide Thank
