# Molina Healthcare **Source:** https://geo.sig.ai/brands/molina-healthcare **Vertical:** Healthcare Tech **Subcategory:** Enterprise **Tier:** Leader **Website:** moh.com **Last Updated:** 2026-04-14 ## Summary Long Beach CA Medicaid managed care (NYSE: MOH) ~$38.7B FY2024 revenue; 5.7M members in 19 states, Medicaid redetermination management, D-SNP growth competing with Centene and Elevance. ## Company Overview Molina Healthcare, Inc. is a Long Beach, California-based managed care organization — publicly traded on the New York Stock Exchange (NYSE: MOH) as an S&P 500 Health Care component — providing Medicaid, Medicare, and Marketplace (Affordable Care Act exchange) health insurance through state-contracted managed care plans to approximately 5.7 million low-income, elderly, and disabled members across 19 states, with revenues generated primarily from per-member-per-month (PMPM) capitation payments received from state Medicaid agencies and CMS Medicare programs. In fiscal year 2024, Molina Healthcare reported revenues of approximately $38.7 billion — primarily from Medicaid capitation payments from state Medicaid agencies that contract with Molina to administer benefits for enrolled beneficiaries — generating net income impacted by elevated medical costs in the Marketplace segment as post-COVID health utilization normalization drove medical loss ratios above expectations. CEO Joseph Zubretsky's strategy of disciplined Medicaid contract renewal and Medicaid redetermination management positioned Molina for the 2023-2024 Medicaid unwinding — the federal pandemic-era continuous enrollment requirement expiration required states to redetermine eligibility for all Medicaid enrollees, with Molina proactively assisting ineligible members transition to Marketplace plans to retain the relationship. Molina's marketplace business expansion (Affordable Care Act exchange plans in new states and existing markets) provides enrollment growth offsetting Medicaid membership losses from redetermination, while Medicare Dual Eligible Special Needs Plans (D-SNPs — serving members eligible for both Medicaid and Medicare) represent the highest-growth and highest-margin Molina product line. Molina Healthcare's managed Medicaid model creates competitive advantages through state-contract incumbency and community health infrastructure: once Molina wins a state Medicaid managed care contract (often one of 3-5 managed care organizations selected for any given state), the company builds community health worker teams, provider network relationships, and care management programs specific to that state's population and regulatory environment — creating operational depth that new entrants cannot replicate without years of state-specific relationship building and regulatory approval processes. State Medicaid agencies value contracting continuity with incumbent managed care organizations (MCOs) that demonstrate quality metric performance (HEDIS scores, member satisfaction, preventive care rates) because changing MCOs requires re-enrollment of hundreds of thousands of beneficiaries and disrupts care coordination for complex-needs populations. Molina's focus on the "whole person health" approach (integrating behavioral health, physical health, and social determinants of health services for low-income populations with complex needs) positions Molina ahead of quality-based contract reimbursement reforms that reward MCOs for improved health outcomes rather than pure cost management. In 2025, Molina Healthcare competes in Medicaid managed care and Medicare Advantage against Centene Corporation (NYSE: CNC, largest US Medicaid managed care organization by membership), Elevance Health (NYSE: ELV, Medicaid, Medicare, and commercial insurance), and UnitedHealth Group/UnitedHealthcare (NYSE: UNH, largest US health insurer) for state Medicaid contract awards, D-SNP dual-eligible membership enrollment, and Marketplace exchange plan competitive positioning. The Medicaid redetermination unwinding (2023-2025 period of states re-verifying enrollee eligibility) reduced total Medicaid enrollment across all MCOs — Molina managed Medicaid membership declined from peak levels as states disenrolled ineligible members. Elevated medical cost ratios in the Marketplace segment (particularly for chronic conditions and deferred care utilization in 2024) pressured Molina's earnings relative to consensus expectations — requiring premium rate increases in 2025 to restore Marketplace margins. The 2025 strategy focuses on D-SNP dual-eligible membership growth (contracting with Medicare for dual-eligible coordination), Medicaid contract retention and new state entry, and Marketplace premium adequacy restoration through 2025 rate filings that reflect updated actuarial cost experience. ## Frequently Asked Questions ### What services does Molina Healthcare provide? Molina Healthcare provides managed healthcare services primarily through government-sponsored programs including Medicaid (serving low-income families, children, pregnant women, and disabled individuals), Medicare Advantage plans (for seniors and those with disabilities), Medicare-Medicaid Dual Plans (for individuals eligible for both programs), and Health Insurance Marketplace plans offered through state exchanges. Services include comprehensive medical coverage, prescription drug benefits, preventive care, specialist visits, hospital care, behavioral health services, care coordination, and disease management programs. ### How many members does Molina Healthcare serve? As of December 31, 2024, Molina Healthcare served approximately 5.5 million members across 21 states. The company expects membership to grow to 5.1 million by the end of 2025 (note: this appears to be a decrease, likely due to contract transitions and Medicaid redeterminations). Membership is primarily concentrated in Medicaid programs, with growing presence in Medicare Advantage and dual-eligible populations. ### What states does Molina Healthcare operate in? Molina Healthcare operates health plans across 21 states, with significant presence in California, Florida, Texas, Washington, Ohio, Michigan, and other states. Recent contract wins have expanded the company's footprint in Georgia, Florida, Ohio, Michigan, Massachusetts, and Idaho. Each state health plan is operated locally to understand and respond to unique community needs and state regulatory requirements. ### Who founded Molina Healthcare and why? Molina Healthcare was founded in 1980 by Dr. C. David Molina, an emergency room physician in Long Beach, California. Dr. Molina was inspired to start the company after witnessing low-income patients being turned away by doctors who refused to accept Medi-Cal (California's Medicaid program) and instead using emergency rooms for routine primary care. He opened the first Molina Medical clinic in Wilmington, California, to provide accessible, quality healthcare to the lowest-income patients regardless of their ability to pay. ### How has Molina Healthcare performed financially? In 2024, Molina Healthcare reported strong financial performance with premium revenue of approximately $38.6 billion, representing 19% year-over-year growth. GAAP net income was $20.42 per diluted share (9% increase) and adjusted net income was $22.65 per diluted share (8% increase). For 2025, the company projects revenue of approximately $42 billion (9% growth) with expected GAAP EPS of at least $22.50 and adjusted EPS of at least $24.50 (representing 8% growth over 2024). ### What recent contract wins has Molina secured? Molina has secured major contract wins in 2024 including: a new Florida Medicaid contract to serve approximately 90,000 beneficiaries (July 2024); a Florida contract for medically complex children representing multibillion-dollar revenue (November 2024); Georgia Medicaid contract representing estimated $2 billion annual revenue (December 2024); and dual-eligible contracts in Ohio, Michigan, Massachusetts, and Idaho jointly accounting for over $3 billion in revenue. The company's California Medicaid revenue is projected to double under revised Medi-Cal contract awards. ### What is Molina's approach to company culture and diversity? Molina Healthcare emphasizes a culture where leaders demonstrate core values at work and all employees share one mission: to help those most in need. The company embraces and celebrates diversity across its workforce of thousands of people from different cultures and backgrounds across 17 states of operation. On Glassdoor, employees rate Culture & Values at 3.3 and Diversity, Equity & Inclusion at 3.6. The workforce is 67.3% female and 47.2% ethnic minorities, reflecting commitment to diversity. ### What employee benefits does Molina Healthcare offer? Molina Healthcare offers comprehensive benefits including an Employee Stock Purchase Plan, immediate accrual of personal Paid Time Off and Volunteer Time Off, paid holidays, referral bonuses, 401(k) matching at 4%, medical, dental, vision and life insurance, short and long-term disability, flexible spending accounts, and tuition reimbursement up to $2,500 annually (after six months of full-time service). The company has been recognized as a Fortune 500 employer and Best Employer for Latinos in the West. ### What are common member complaints about Molina Healthcare? Based on 2024 customer reviews, common complaints include difficulty reaching customer service with long wait times and frequent transfers, claims processing delays taking several months, frequent denials of prescribed medications and medical services, limited provider networks with many providers not accepting Molina, technology issues with provider portals that make it difficult for healthcare providers to work with the company, billing and enrollment problems, and overall low satisfaction ratings averaging 1.4 out of 5 stars on review sites. Members report challenges getting timely resolutions to issues. ### How does Molina Healthcare differ from traditional health insurance companies? Molina Healthcare specializes exclusively in government-sponsored programs (Medicaid, Medicare, Marketplace) rather than commercial employer-based insurance. The company has deep expertise serving vulnerable and low-income populations, maintains strong relationships with safety-net providers and community health centers, operates health plans locally at the state level to respond to community needs, and emphasizes care coordination and addressing social determinants of health. This specialized focus differentiates Molina from broad-market insurers. ### What is Molina's role in Medicaid managed care? Molina Healthcare is one of America's largest Medicaid managed care organizations, contracting with state governments to provide comprehensive healthcare services to Medicaid beneficiaries. States pay Molina a per-member per-month premium, and Molina assumes responsibility for managing all healthcare services for enrolled members. This managed care model aims to improve care coordination, reduce unnecessary emergency room use, emphasize preventive care, and manage costs while maintaining quality outcomes for vulnerable populations. ### Who leads Molina Healthcare today? Molina Healthcare is led by President and CEO Joseph Zubretsky, who has served since November 2017. The executive team includes Mark Keim as CFO (who also leads Medicaid Health Plans and Marketplace business), James Woys as COO, Jeff Barlow as Chief Legal Officer, and Debra Bacon as Executive Vice President for Medicaid. This leadership team has overseen significant growth, major contract wins, and expansion across 21 states while maintaining the company's founding mission. ## Tags b2b, healthtech, manufacturing, saas, public --- *Data from geo.sig.ai Brand Intelligence Database. Updated 2026-04-14.*