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Nov 28, ï¿½ï¿½ Strategies for Designing Consumer-Centric Health Plans The scores represent a combination of the standard Net Promoter Score ï¿½ if the individual would recommend the . Centene is the largest Medicaid managed care organization in the U.S., and a leader in California, Florida, New York and Texas, four of the largest Medicaid states. Centene is also . Feb 2, ï¿½ï¿½ Net Promoter Score (NPS) is a measure used to gauge customer loyalty, satisfaction, and enthusiasm with a company thatï¿½s calculated by asking customers one .