How a Hearing on Medicaid RFP Issues Led to Centene Unit CEO’s Firing

  • Apr 03, 2025

    A seemingly routine discussion of inefficiencies in Texas Medicaid procurement took a shocking turn last week when the committee’s chair accused Superior HealthPlan CEO Mark Sanders of hiring private investigators to spy on customers, lawmakers and journalists. Texas Attorney General Ken Paxton promptly announced plans to investigate the matter, and Centene Corp. fired the Texas subsidiary’s CEO. 

    Superior HealthPlan is currently the largest Texas Medicaid managed care organization, serving more than 930,000 adults and children across the state, according to AIS’s Directory of Health Plans. During a March 26 public hearing held by Texas’s own DOGE committee, the Committee on Delivery of Government Efficiency within the Texas House of Representatives, Superior was one of two MCOs appearing to offer testimony on the Medicaid procurement process, which Sanders said has resulted in six procurement cancellations since 2018. He noted that most of those instances involved “protests and legal challenges with significant time and legal costs for all parties involved,” including the Texas Health and Human Services Commission (HHSC), and often led to the “restarting the process from scratch.”

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  • Lauren Flynn Kelly

    Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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