That growth rate clearly outpaced the high single-digit to low double-digit revenue increases reported by most large diversified rivals. UnitedHealth, Elevance and CVS/Aetna all delivered steadier, but slower, top-line expansion driven by employer, Medicare Advantage and services businesses. Centene’s faster growth reflects its greater weighting to ACA marketplace and Medicare PDP, segments that have been expanding rapidly across the industry but carry higher regulatory and earnings risk.