• Home
  • Topics
    • Health Insurance Coverage
    • Medicare
    • Medicaid and CHIP
    • Blue Cross Blue Shield
    • Health Insurance Companies
    • Prescription Drugs and Pharmacy
    • Healthcare Policy and Law
    • Hospitals and Health Systems
    • Healthcare Business
    • Health Technology and AI
    • Senior Care
    • Public Health and Research
  • Guides
    • All Health Insurance Guides
    • Choosing a Health Insurance Plan
    • Individual Health Insurance
    • Family Health Insurance
    • High Deductible Health Plans
    • Short-Term Health Insurance
    • Self-Employed Health Insurance
    • Student Health Insurance
    • Low Income Health Insurance
    • Health Sharing Plans
  • Insurance Company List
  • About Us

Health Plan News

Timely Health Plan News and Commentary

Health Plan News
Home Molina Health Insurance (Molina Healthcare): 2026 Company Profile

Molina Health Insurance (Molina Healthcare): 2026 Company Profile

Molina Healthcare is a Medicaid-focused insurer that also sells ACA Marketplace and Medicare plans. It covered 4.86 million members at the end of September 2026, nearly 90% of them in Medicaid, and reported $45.4 billion in revenue for 2025 company results.

Molina is shrinking outside Medicaid. For 2027 it is leaving the ACA Marketplace in seven states and dropping its standard Medicare Advantage drug plans to focus on people who qualify for both Medicare and Medicaid.

Updated November 2026. This profile draws on company filings, federal data and Health Plan News analysis. It is independent of Molina; for questions about your coverage, call the number on your member ID card.

Molina at a Glance

Item Details
Company Molina Healthcare, Inc. (NYSE: MOH)
Headquarters Long Beach, California
CEO Joseph Zubretsky
Founded 1980, by emergency physician Dr. C. David Molina
2025 revenue $45.4 billion
Members 4.86 million (September 30, 2026)
Medicaid 4.37 million members
ACA Marketplace 267,000 members; 14 states in 2026, about 7 in 2027
Medicare 222,000 members; focusing on dual eligibles

Medicaid

Medicaid is Molina’s core business. It started new contracts in Florida and Mississippi in 2025 and in Idaho and Nevada in 2026, and won a Florida contract for children with complex conditions that begins in late 2026. It lost Virginia’s Cardinal Care contract, which ended June 30, 2025 (source).

Molina expects federal Medicaid work requirements to cost it about 6% of its Medicaid enrollees, roughly 260,000 people, in 2027 (source). See our Medicaid managed care by state data.

ACA Marketplace Exits for 2027

Molina raised Marketplace premiums about 30% for 2026 to shrink the business, and membership fell from 655,000 to 267,000. For 2027 it is leaving Utah, South Carolina, Florida, Illinois, Ohio, Mississippi and Kentucky (source). Our report on 2027 Marketplace exits explains what enrollees in those states should do.

Molina by the Numbers: Health Plan News Data

  • Aca exchange market: largest insurer in 0 states and second-largest in 1, based on 2024 AMA data.
  • Claim denials: its HealthCare.gov plans denied 22.4% of in-network claims in 2024 across 6 states, compared with 18.7% for all HealthCare.gov insurers (federal Transparency in Coverage data compiled by KFF).

Compare insurers in every state on our health insurance market share by state page and our claim denial rates by insurer report.

Recent Molina News

  • Profits under pressure: Third-quarter 2026 net income fell about 52% to $38 million on a 92.9% medical care ratio; Molina reaffirmed 2026 adjusted earnings guidance of at least $5.25 a share. (source)
  • Medicare shift: Molina is exiting its traditional Medicare Advantage prescription drug product for 2027. (source)

How To Contact Molina

Purpose Contact
Members State- and program-specific numbers on molinahealthcare.com, or the number on your ID card
Website molinahealthcare.com

For profiles of other carriers, see our List of Health Insurance Companies and follow our Health Insurance Companies hub.

Sources

Becker’s Payer Issues; Insurance Business; KFF; Molina 2026 proxy; Molina 2026 proxy statement; Molina 2026 proxy; Insurance Business; Molina 2026 proxy; Q3 2026 release; Molina Healthcare; Molina Q3 2026 earnings release; Molina Q3 2026 release; finanzen.at; American Medical Association, Competition in Health Insurance (2025 update); KFF, Medicare Advantage in 2026; CMS Transparency in Coverage public use file (2024, via KFF).

Search Our Site

Categories

  • Blue Cross Blue Shield
  • Health Insurance Companies
  • Health Insurance Coverage
  • Health Technology and AI
  • Healthcare Business
  • Healthcare Policy and Law
  • Hospitals and Health Systems
  • Medicaid and CHIP
  • Medicare
  • Prescription Drugs and Pharmacy
  • Public Health and Research
  • Senior Care

Entity Map

Disclaimer

All content on Health Plan News and information provided on this website is for informational purposes only and is not intended as a substitute for advice from your physician or other healthcare professional. You should not use the information on this site for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. Always consult with a healthcare professional before starting any diet, exercise, or supplementation program, before taking any medication, or if you have or suspect you might have a health problem.

Copyright © 2026 - Privacy Policy - Terms of Use - Disclaimer