Climate Change Data

Environmental Metrics

ESG Focus Areas

• Environmental
• Social
• Health
• Governance

Environmental Achievements

• LEED Gold Certified buildings at St. Louis headquarters with vegetated roofs and native plantings, reducing stormwater runoff and energy consumption.
• Plans for new East Coast headquarters in Charlotte, NC to follow WELL building standard focusing on occupant health and wellness in addition to environmental sustainability.

Social Achievements

• Launched Provider Accessibility Initiative (PAI) to improve healthcare access for people with disabilities, receiving the 2019 Health Equity Award.
• Community Connections Help Line (CCHL) screened roughly 15,000 members for non-medical needs.
• Partnership with Feeding America to address food insecurity, securing and delivering over 80,000 meals through employee donations.
• Partnership with Nuestros Niños to provide bilingual health-focused resources to Hispanic communities.
• 90% of workforce transitioned to remote work during COVID-19 pandemic.
• Employee engagement survey showed 88% of employees reported strong engagement.

Governance Achievements

• Completed a materiality assessment to prioritize ESHG topics.
• Established an internal work group to advance ESHG strategy.
• Environmental and Social Responsibility Committee on the Board of Directors provides oversight.
• Commitment to compliance and responsible data and information management.

Climate Goals & Targets

Environmental Challenges

• COVID-19 pandemic and its disproportionate impact on vulnerable communities.
• Addressing health disparities and barriers to care.

Mitigation Strategies

• Partnership with NMQF for Minority and Rural Health Coronavirus Study.
• Formation of Centene Health Disparities Task Force.
• COVID-19 relief efforts including waiving prior authorizations and cost sharing, paid leave program for clinical staff, and donations to local organizations.
• Investment in telehealth solutions for FQHCs and other providers.
• Sourcing and distributing PPE to safety net partners.

Supply Chain Management

Climate-Related Risks & Opportunities

Reporting Standards

Frameworks Used: UN Global Compact, UN Women’s Empowerment Principles, Ethical Principles in Health Care

Awards & Recognition

• 2019 Health Equity Award
• Ranked No. 14 out of the 100 largest employers for COVID-19 response by Forbes
• Named to 2020 Change the World list by FORTUNE magazine
• Featured in the World Economic Forum’s “Workforce Best Practices Report”

Environmental Metrics

ESG Focus Areas

• Environmental
• Social
• Health
• Governance

Environmental Achievements

• LEED Gold- and Silver-certified campuses designed to promote environmental health and employee well-being; Sacramento campus reduced energy consumption by 17% compared to standard systems; 9,436 pounds of grease recycled in Centene-supported cafes; Ribera Salud subsidiary deployed water-reduction strategies in Spain.

Social Achievements

• 76% of domestic workforce are women, with 65% of supervisory positions held by women; 48% of employees identify as people of color; 10% identify as having a disability; $346M Tier 1 and $55M Tier 2 diverse supplier spend; Launched COVID-19 vaccine educational leadership events and provided workforce emergency paid sick leave for vaccination; Expanded working environments to include more remote and flexible hybrid arrangements; Employee Engagement Pulse Survey showed 79% engagement in DEI efforts; 3,391 employee volunteer hours supporting nonprofits; Partnerships to address social isolation among older adults and improve access to COVID-19 vaccines.

Governance Achievements

• Established an executive-level ESHG Work Group and a Climate Change Task Force; Environmental and Social Responsibility Committee of the Board of Directors provides oversight of ESHG matters; Annual code of conduct training for all employees; Information security program certified against ISO 27001.

Climate Goals & Targets

Environmental Challenges

• Climate-related risks impacting vulnerable populations; Water insecurity in Spain; Social isolation among older adults exacerbated by COVID-19; Systemic disparities in healthcare access; Need to further engage with suppliers on sustainability.

Mitigation Strategies

• Formed a Climate Change Task Force to identify and address climate-related issues; Implemented water-reduction strategies in Spain; Partnerships to address social isolation and improve vaccine access; Established a Health Equity and Wellness Council; Created a Vendor Code of Conduct and initiated a Vendor Sustainability Program.

Supply Chain Management

Responsible Procurement

• Vendor Code of Conduct addressing environmental compliance, diversity, equity, inclusion, human rights, labor, and data privacy and security; Initiated a Vendor Sustainability Program.

Climate-Related Risks & Opportunities

Physical Risks

• Extreme weather events

Reporting Standards

Frameworks Used: SASB

Certifications: ISO 27001 (Information Security)

UN Sustainable Development Goals

• Goal 3: Good Health and Well-being
• Goal 4: Quality Education
• Goal 5: Gender Equality
• Goal 8: Decent Work and Economic Growth
• Goal 10: Reduced Inequalities
• Goal 11: Sustainable Cities and Communities
• Goal 13: Climate Action
• Goal 17: Partnerships for the Goals

Centene's initiatives contribute to these goals through various programs and partnerships.

Awards & Recognition

• Fortune's World’s Most Admired Companies; DiversityInc’s top companies list; Human Rights Campaign top score for LGBTQ+-inclusive workplace policies; Bloomberg’s Gender-Equality Index

Environmental Metrics

ESG Focus Areas

• Environmental
• Social
• Health
• Governance

Environmental Achievements

• Reduced real estate footprint by establishing strategically located talent hubs, leading to lower emissions and energy consumption.
• Over a million pounds of waste diverted from landfills through furniture resale, reuse, and recycling programs.
• Saved over 70 million sheets of paper in 2022 through electronic document delivery, reducing waste and carbon emissions.
• Composted an estimated 24,000 pounds of food waste at the St. Louis corporate office.

Social Achievements

• Launched Members Empowered to Succeed (METS) program focusing on individual needs and improving mental health outcomes.
• Implemented Start Smart for Your Baby® program, improving maternal and infant health outcomes, including the option of in-person and virtual doula services.
• Provided over 13 million virtual visits to members through telehealth partnerships.
• Increased member engagement by 60% with Digital Care Management (DCM).
• Provider Accessibility Initiative (PAI) contributed over $2 million in grants to 240 providers for accessibility enhancements.
• Successfully piloted housing coordinator positions in several states, improving health outcomes for members experiencing homelessness.
• Expanded parental and caregiver leave benefits.
• Companywide giving of $41.8 million and 10,981 volunteer hours.
• Supported Uvalde community with wellness fair, trauma-focused therapy training, and investment in a new community center.

Governance Achievements

• Restructured Board committees to enhance governance and accountability.
• Appointed a new Chief Ethics & Compliance Officer.
• Integrated sustainability criteria into risk and performance assessments of suppliers.
• 85% of strategic suppliers received a satisfactory score on the supplier sustainability questionnaire.

Climate Goals & Targets

Environmental Challenges

• Addressing health disparities among vulnerable populations.
• Managing climate change impacts on members.
• Maintaining ethical and compliant sourcing in the supply chain.

Mitigation Strategies

• Implementing Health Equity Improvement Model.
• Utilizing advanced analytics to identify and proactively reach out to potentially impacted members during severe weather events.
• Using a proprietary supplier sustainability questionnaire to assess and improve strategic suppliers’ sustainability performance.

Supply Chain Management

Supplier Audits: 85% of strategic suppliers received a satisfactory score on the supplier sustainability questionnaire.

Responsible Procurement

• Vendor Code of Conduct
• Supplier sustainability questionnaire
• Integration of sustainability criteria into risk and performance assessments.

Climate-Related Risks & Opportunities

Physical Risks

• Extreme weather
• Natural disasters

Reporting Standards

Frameworks Used: SASB, TCFD

Certifications: ISO 27001 (Information Security)

UN Sustainable Development Goals

• Goal 3: Good Health and Well-being
• Goal 4: Quality Education
• Goal 5: Gender Equality
• Goal 8: Decent Work and Economic Growth
• Goal 10: Reduced Inequalities
• Goal 11: Sustainable Cities and Communities
• Goal 13: Climate Action
• Goal 17: Partnerships for the Goals

Centene's initiatives contribute to these goals through various programs and investments in healthcare access, education, social services, and environmental sustainability.

Awards & Recognition

• Great Place to Work® re-certification

Environmental Metrics

ESG Focus Areas

• Healthcare Quality
• Healthcare Access, Equity and Social Drivers of Health
• Healthcare Innovation and Thought Leadership
• Customer Experience and Relationship Management
• Culture, Talent and Well-being
• Diversity, Equity and Inclusion
• Community Impact and Giving
• Environmental Impacts on Health
• Environmental Sustainability
• Governance and Accountability
• Ethics and Compliance
• Data Privacy and Security
• Risk Management
• Public Policy

Environmental Achievements

• Reduced Scope 1 GHG emissions from 13,694 mt CO2e in 2022 to 9,998 mt CO2e in 2023
• Reduced Scope 2 (location-based) GHG emissions from 77,574 mt CO2e in 2022 to 54,959 mt CO2e in 2023
• Reduced Scope 2 (market-based) GHG emissions from 73,121 mt CO2e in 2022 to 54,646 mt CO2e in 2023
• Reduced Scope 3 GHG emissions from 1,861,003 mt CO2e in 2022 to 1,337,192 mt CO2e in 2023
• Over 828,000 pounds of waste diverted from landfills through furniture reuse and recycling.
• Saved over 99 million sheets of paper through print optimization.
• Composted an estimated 40,000 pounds of food waste at the St. Louis office.
• Achieved a 78% reduction of U.S. office space from a 2021 baseline.

Social Achievements

• Launched a new intergenerational Employee Inclusion Group (EIG) called STAGES.
• 36% reduction in voluntary turnover rates from 2022.
• Over 1.9 million members screened for Social Determinants of Health (SDOH).
• Over 13 million virtual visits provided to members.
• 22,813 verified employee volunteer hours dedicated to nonprofit organizations.
• More than 10,000 people served through food pantries.
• Improved medication adherence by 14% with the Sempre program.
• Facilitated an estimated $8.7 million in member spending on essential services with the Paytient program.
• Improved loneliness scores by 78% for members using the Pyx Health app.
• Reduced emergency room visits by 39% for engaged HALO program participants.
• Exceeded goals in reducing suicide-related occurrences with the Choose Tomorrow program.

Governance Achievements

• Refreshed sustainability framework aligned with Centene’s business strategy.
• Implemented a compliance goal for all employees as part of annual performance evaluations.
• Improved compliance training processes and reporting.
• Enhanced Ethics & Compliance Program through process standardization and increased leadership engagement.
• Established a standardized review process for AI/ML models to ensure fairness and avoid bias.

Climate Goals & Targets

Environmental Challenges

• Economic uncertainty, rising cost of living, and heightened social and political tensions impacting workforce.
• Potential impacts of climate change on members, employees, facilities, and business operations.
• Addressing health inequities and disparities among member populations.
• Maintaining adequate premium levels and controlling medical and administrative costs.

Mitigation Strategies

• Innovative talent programs, intentional partnerships, and strong employee engagement efforts.
• Preparation for risks like severe weather, flooding, and other environmental risks through advanced analytics and proactive member outreach.
• Tailored, local programs and campaigns to support members and address SDOH.
• Data-driven solutions, AI/ML modeling, and predictive analytics to improve health outcomes and contain costs.
• Robust risk management processes, including quantitative and qualitative assessments of risk exposure.

Supply Chain Management

Supplier Audits: 57 vendors completed a sustainability assessment questionnaire in 2023.

Responsible Procurement

• Vendor Code of Conduct
• Sustainability assessment questionnaire for strategic suppliers
• Supplier diversity initiatives

Climate-Related Risks & Opportunities

Physical Risks

• Severe weather
• Flooding

Reporting Standards

Frameworks Used: SASB, TCFD, GHG Protocol

Certifications: ISO 27001 (Information Security)

UN Sustainable Development Goals

• 3
• 4
• 8
• 10
• 11
• 13
• 17

Centene's initiatives contribute to these goals through various programs and investments related to healthcare access, equity, community development, environmental sustainability, and responsible business practices.

Awards & Recognition

• 2023-2024 Great Place to Work
• 2023 Fortune Best Workplaces in Health Care
• 2023 Fortune Best Workplaces for Women