FILE - This Thursday, July 2, 2015, file photo shows the building housing Centene Corporation headquarters in Clayton, Mo. Aggressive competition on the Affordable Care Act’s health insurance marketplaces has pushed Centene into a lower-than-expected 2021 earnings forecast. The St. Louis-based insurer said Friday, Dec. 18, 2020 that it could take about a $2 billion revenue hit. (AP Photo/Jeff Roberson, File)
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