Molina Healthcare reported adjusted earnings of $0.89 per share for the third quarter, down 53% yearly. The insurer published its results on October 21 in an official earnings release.
Medical costs pressure Molina Healthcare earnings
GAAP net income fell 52% to $38 million, while adjusted net income dropped 53% to $46 million. Molina attributed the decline mainly to a higher consolidated medical care ratio.
The consolidated ratio rose to 92.9% from 92.6% a year earlier. Medicaid and Medicare each recorded 93.0%, while the Marketplace ratio was 92.5%.
Premium revenue
2025: $10.841B 2026: $10.457B
Adjusted EPS
2025: $1.84 2026: $0.89
Source: Molina Healthcare third-quarter 2026 results, published October 21, 2026.
Molina Healthcare guidance remains unchanged
Molina maintained expected 2026 premium revenue near $42 billion. It also retained adjusted earnings guidance of at least $5.25 per diluted share.
The outlook includes a $1.50-per-share loss from implementing a new Florida Medicaid contract. It also includes a $1.00-per-share loss tied to a Medicare product Molina plans to exit in 2027.
Operating cash flow reached $629 million for the first nine months, reversing a $237 million outflow. Related coverage includes Elevance Health earnings, proposed premium tax credit rules, and the Option Care Health acquisition.



