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Centene

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Ideas that could help Centene

ADA-Aligned CGM/AID Auto-Approval Pack for Health PlansWhy it helps: Its Medicaid members generate high volumes of CGM requests; instant approval for ADA-qualifying requests reduces friction, speeds member access, and supports quality ratings.
Race & Ethnicity Mortality Equity Benchmark (OMB-97 Series)Why it helps: The largest Medicaid managed-care payer; equity reporting to state regulators requires disparity metrics measured against a stable national baseline, which a harmonized OMB-97 series provides.
Dual-Spectrum ADHD Pathway RouterWhy it helps: Large Medicaid managed-care payer carrying substantial pediatric behavioral health costs; correct first-time routing of ADHD cases to the matching service line cuts duplicated assessments and inappropriate utilization.

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