Do you have any thoughts on CNC?
CNC has a very interesting business, focused on government programs (like Medicaid). This puts pressure on margins since they are dependent on government reimbursement rates, but on the positive, it is an established and growing segment of HC. Strong track record with nice forecasted earnings thru 2024. CNC is undervalued due to the recent HC dip. Can't go wrong with UNH or CNC (which essentially bookend the insurance space.....commercial and government).
CNC is a top-20 holding in my PRHSX at 1.7%.
From Morningstar:
Centene's Narrow Moat Intact Despite Recent Contract Uncertainty
Business Strategy and Outlook | Updated Dec 23, 2022
Centene aims to be the top provider of government-sponsored health plans. Although it has grown at a solid clip organically, the company also has made significant acquisitions—most notably WellCare—to meet that goal. Technology investments to boost efficiency have helped Centene prosper in this relatively low-margin managed-care sector, as well.
Centene leads the Medicaid managed-care business; those plans account for about two thirds of its medical membership. The Medicaid program is jointly funded by federal and state governments and primarily serves low-income individuals of any age and people with disabilities. The Affordable Care Act expanded the Medicaid population starting in 2014, and we think this program may be used in the future to expand insured rates further.
Centene boasts the leading franchise, Ambetter, on the individual exchanges. With its technology investments and scale-related advantages in local markets, Centene aims to remain the low-cost leader in this market. This business accounts for about 10% of Centene's medical membership and enjoys higher profit margin prospects than its other businesses. Also, demand for Centene's exchange-related plans could rise, as enhanced tax credits increase affordability on the exchanges and free plans may be offered to eligible Medicaid recipients in nonexpansion states.
Through the acquisition of WellCare in early 2020, Centene added to its Medicare-related capabilities, particularly in the fast-growing Medicare Advantage program. With positive demographic trends and increasing popularity relative to traditional Medicare plans, we see the Medicare Advantage program as one of the most attractive growth opportunities in health insurance in the long run. This opportunity largely explains the appeal of the WellCare deal, although WellCare also added to Centene's Medicaid footprint, too.
Fair Value and Profit Drivers | Updated Jan 03, 2023
We are maintaining our $87 fair value estimate, which implies a 14 times price/earnings multiple on 2023 expected earnings.
After a strong year on the top line but weak year on the bottom line in 2021, we expect those trends to largely reverse. Management is shooting for mid-single-digit revenue and midteens earnings per share growth from 2021 to 2024. While we see headwinds that make that goal look aggressive, especially in 2024, we project low-single-digit annualized revenue growth and 11% adjusted earnings growth annually through 2026.
By major segment, after a strong 2021 in Medicaid, we expect a mild contraction in revenue, as redeterminations may push some members off the rolls and employer-based medical plans recover following the pandemic, and as we incorporate potential market share losses of some of Centene's existing Medicaid contracts that recently have been awarded to other plans (particularly some important California counties). In Centene's smaller Medicare business, we expect midteens annualized revenue growth primarily as demographic trends and the increasing popularity of Medicare Advantage plans benefit that business. We expect mid-single-digit annualized growth from the company's commercial business during the next five years, primarily on continued expansion of the individual exchange business, which may pick up the slack for Medicaid after redeterminations begin again.
We expect adjusted net margin improvement that is slightly less than management's goal of 60-70 basis points of expansion from 2021 to 2024, given the recently announced Tricare West contract loss. However, we see significant margin improvement opportunities along with substantial share repurchase activities that could boost adjusted EPS growth, as well. In total, we expect 11% adjusted EPS growth compounded annually through 2026. We expect free cash flows to exceed $4.5 billion by 2026, up from $3.3 billion in 2021.