call. first thank and quarter everyone, morning, XXXX for you Good Ed. joining you, Centene's earnings Thank
results first update call, discuss our and Centene's and this we During markets the quarter of morning's products. provide course on will financial
project be main have the and This on to announced core the our emphasize, the WellCare we our We business. regulatory integration, Centene provide to legislative on I WellCare. Forward. to around includes our agreement while focus experienced recently want transformation team an acquire commentary executing environment results and continues of our will also working
Let begin Membership strong me XX.X first recipients. line marked increase and XXXX the quarter robust first This flows. cash We end financials. another top XXXX. by with bottom was of pleased solid million to with million operating quarter at quarter growth represents beneficiaries quarter begin were X.X an of and XXXX within
impact due year-over-year increased increased quarter adjusted year-over-year. HBR First of as when we to diluted the as We to to XXX billion. Care noted $X.XX which higher a acquisition year-over-year per represents XX% at announced points This HBR in the we primarily revenues the XX% [ph] of growth operates moratorium to The year. $XX.X health period reported XX.X%. compared This basis earnings XXXX. same Fidelis well share in last was first $X.XX the quarter
our to improvement due pleased earnings our net better network efforts. improved to points management adjusted scale are XX was leveraging enhanced We medical margin basis and report year-over-year. This management,
see to further opportunity continue We improvement. for
X.X increased times net of above single of X and net stable of further will previously operating prepared billion in to Lastly, expectations comment came his in line Medical X.X our XXXX provide details including on $X.X cost medical financial flows A earnings stated at guidance Jeff low cost. the or times earnings. high-end our times remained remarks. with quick in digits. range cash
Medicaid markets we'll discuss recent and updates, to activity. on product Moving first
XX%. million we the of recipients in million Medicaid performed of business X.X a year-over-year X.X XX, On or growth well first Our March book representing quarter. had
we we opportunity previously As to our margins. improve continue have see overall to an mentioned, Medicaid
to on state updates. Now
state. balance served covers Hampshire. commence XXX,XXX new appeal Centene on expected to in new from large will North September you XXXX. Medicaid we state that in March state-wide with will two the contracts [ph] The program Iowa, Medicaid commence Carolina, be to March active operations process The won beneficiaries beneficiaries regions New New three state. I XXXX to At we the two. between the cautiously an have Iowa's X, the recent in we plans the the the of contract XX Hampshire, We remain our managed in The X, successfully regarding will and remind July recipients. reprocured in is split program. equally RFP optimistic moving is two XX,XXX appeal.
sustainable I new the the we Medicaid program. in We will committed you, is any are and and Medicaid quarters care contracts no managed confident all higher managed HBR remind different. Iowa a to is state book initial operate a care of
As gained succeed medical new this with will management this begin respect will expect members. It knowledge pattern Iowa We margins match and that at we experience to in attain efforts is normalize. our we our traction to able point time believe to program. fully will over be and to this
This represents On the to a recipients. declined XX,XXX Next get XXX,XXX rating. previously basis of across increase star of beneficiaries back This Medicare, XXwe to MMP at XX,XXX a due Fidelis March year-over-year states. is Medicare served repositioning membership by XX approximately over four as and sequential projected. its
for next expect MA flat of business. membership return discussed our will Medicare to star MA revenue to to previously XXXX year. as four compared XXXX will the an be in believe be We inflection Centene Advantage apparently continue to We XXXX. a point book
as expect Ascension performing joint in the beyond. this the the and to growth venture profitable WellCare's XXXXs platform with MA and addition of previously along with suggested accelerate top We
key states. and members cleared increase increased sequential years. million health marketplaces. basis. these prior beneficiaries demographics with in across Membership of subsidies. The approximately consistent beneficiaries another remained marketplace strong business by XX consistent silver-tier with or a our Now, XX, XXX,XXX or members performance a year-over-year of XX% March enrolled quarterly on greater XX%. represents expectations. X At received insurance served XXX,XXX are XX% XX% This up Approximately than exchange The plans we
reflected in which updated our Additionally we year is retention see rate a last compared slightly higher guidance. to
the of to the leader strong expect have of process. year We another national exchange operations as
update healthcare provide environment. regulatory healthcare we Next, to appetite time, At on there an believe little and is reforms. legislation revisit I'll in Washington this comprehensive
cost nation's and its will and lower and class to parties bipartisan health government sector strengthens the evidenced a we attention government turning of with on care. This and see is both political XX% the With discussion congressional to of continue solutions welcome to federal to by enhance expand and and XXXX delivery quality Medicare recipients XX% Centene Medicare to presidential work States that the system. on of solution health the healthcare beneficiaries private improve plans. programs. ways Medicaid private continue elections,
prescription for greater price efforts will This continue advocate see to pricing. pleased on drug includes are to Centene We bipartisan put costs. towards net transparency. moving reducing forth
We rule recent have response to rebates. stressed these the draft things PBM in our on
our compliance in Thus successfully have Centene service RxAdvance. equity been This and The with states cloud-based national platform, that went far standard manages benefits Nebraska. full the ahead a has with implementation migrated is transparency. RxAdvance We drugs of unmatched and PBM the and into interests curve seamlessly. two specialty Mississippi
healthcare obtain care. Medicaid. be states to to above comprehensive would a purchase the to [indiscernible] of of in credits. of the and companies strong $XX capabilities be recently including We Medicare federal significantly increase to increase predecessor This the help experience, marketplace of creating to focused to quality enable sponsored Centene's front level. on on with the in partial a Americans our American their Medicaid the our with exchange given is markets. coverage to believes has ability a able pro to addition level to premier on will Part will basis of demonstrated Advantage three new offerings, to developed together was every XXX% scale to would acquire additional high-quality to states CMS the a now comments waver assets diversify expansion. commend WellCare health political federal D Medicare affordable states access and Medicare XXX% of Medicaid expected line few bring make of expect like to WellCare. flexibility programs. offering approval and announced working forward growing. which the allowing be growth This companies to Centene primarily Part population coverage expand two you, WellCare agreement Centene and to combination quality tax up significantly end access below Utah's and portfolio with their Medicaid continue advanced enterprise spend are provide our adapt our decades billion both bolster progress. its efforts enhance exemplified all states of product D. sure adjust Centene by top-performing remind The to at the will that government rollout scale of combined and We accretive look with like provide have I'd any regulatory and and recently to their be citizens giving approximately I forma to to a This would affordable to greater of over and We On annual changes and most making about the time. our [indiscernible]. have XXXX. expected is WellCare's administration's XXX%
of addition Medicare expertise creates the opportunities existing Centene's believe across markets. WellCare's also We significant
U.S. company. presents XX also portfolio. that I think Centene's to is it than cost income More seniors. [indiscernible] will providing quality people It course target focus XX% Medicaid turn are day note further companies Medicare WellCare's or extend of of combined robust opportunity complimentary the and our Centene's low at growth Advantage healthcare to existing offerings. of the combination this below is approach low to to of XX,XXX for on The NAH Both seniors in our strategy. high market. accelerate the federal the [ph] XXX% strengthen will and important a substantial
markets. Part as across will able Centene's XX will million Expanding and we XX clients. will it of footprint exchange to the provide growing consists beneficiaries services over from million This in in states. million new be Medicare XX from benefit our to presence to combined will U.S. leverage X The our company recipients D we WellCare including expand XX exchange price healthcare Additionally, Medicaid
and on We care will Medicaid program. those the servicing in addition exchanges in the TRICARE organization of country. our individuals The managed enrolled WellCare position expand as the be also largest the will
a remain will values largest similar integration achieve largest believe transition. including of will ensure and exchange the become our provider both with the We're local fourth we and We and planning help seamless approach company. models company's working we care already offerings integrated on Medicaid
We when hit the ground running we close. expect to
Our talent. synergies attracting integration for include capturing members, and retaining the and priorities delivering values best
provide further to combined enhance such [indiscernible] as including the combined data our logistics. provide as of company success advantage. tools both with our targets we which our leaders platform leading platform be synergy We have will companies experienced We transaction. in essential to and accretion the confident when Centene's in are that believe technology outlined the we will and integration quality company the It announced a competitive will care analytical
cutting-edge enhance specialty platform processing We to We WellCare's and will of also want in We our This to with enhance quality advocacy. providers. capabilities. while the leading scale, ability high high-quality lower recognize Further coordinate continue to membership will of base should invest care cost-effective significantly systems network technology, integration across the costs. Centene's to managed ensure and access importance to competitive practice.
to want adequately also are that compensated. and ensure We these providers appropriately
regulatory at appropriate initiated adjustments. preliminarily have We appropriate federal the the discussions level with
these of describe laid the being will are have a been found process five out [indiscernible] level as state for We At timetable and and submission. discussions others have found. the constructive in
authorities appropriate states. these in processes states It taken opinion Some the will have largest with place. preliminary regulatory our protect providers, recipients, is discussions and our
$XXX estimated billion. in XX% be may approximately of far, The Nebraska stated. of forma access we for there previously, form to forma internal some company revenues and XX% have revenue pro combined commented divestitures maintain and timelines XX% Missouri. $X our billion forma will continue have of for our Medicare thus and pro [indiscernible]. Based Medicaid, approval mix of the The EBITDA consists pro for I we of on that XXXX As
expected. increase throughout the than Shifting of A this months rate rate move in since Fidelis, targets. We XXXX will to performance our We set the continue the we of In to to restatement our updates stage other IT. outlook, XX first quarter remain process. our close collective provide CMS Medicaid and as with with significant recently state an combination are February look note quick we one of Fidelis transactions confident Advantage very transaction X.X% to [ph] plan accretion to smoothly. synergies on approximately expect be beyond. us strong issued Medicare running the We notice to shareholders, stakeholders. better composite rate we and gears partners and forward In members, and XXXX maintain adjustment to and for is a value of positive results providing summary, of our momentum continue integration is the pleased on realize approximately track to
all will believe diversification Centene's of pipeline sustainability Our growth. WellCare and lines the opportunities enhance additional of We remains that of the scale robust. across the business long-term acquisition provides
future We to to want are who extend governments ability optimistic about Centene's in and our partner position leadership [ph].
Investor thank interest and Ed to is continued the you As New We XX, Jeff. We look our Day to York reminded turn Centene you, in forward over there. call in we'll seeing you your City. now for June